ROCIO CAROLINA GARCIA SANTIBANEZ M.D.
NPI 1073800348
Psychiatry & Neurology - Neuromuscular Medicine in Atlanta, GA

Q: What is Rocio Garcia Santibanez's NPI number?

The NPI number for Rocio Garcia Santibanez is 1073800348. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Q: What is Rocio Garcia Santibanez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neuromuscular Medicine, with taxonomy code 2084N0008X.

Active since July 07, 2011PECOS EnrolledAccepts Medicare Assignment

92.26/100

CMS Quality Rating

12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329(404) 778-3444 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2020, Nov 24, 2020, Apr 5, 2019 and 1 more (4 updates tracked since 2017).

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About Rocio Carolina Garcia Santibanez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROCIO CAROLINA GARCIA SANTIBANEZ M.D. (NPI 1073800348) is an individual neuromuscular medicine provider in Atlanta, Georgia, licensed in Georgia (73146) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1073800348

Entity TypeIndividualFemale

Primary Taxonomy2084N0008X

Provider Legal NameROCIO CAROLINA GARCIA SANTIBANEZCredential: M.D.

Location Address12 EXECUTIVE PARK DR NEAtlanta, GA 30329-2206

Mailing Address12 Executive Park Dr NeAtlanta, GA 30329-2206

Phone(404) 778-3444

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 7, 2011

Last NPPES UpdateDecember 7, 20204 updates tracked since enumeration

NPPES CertifiedDecember 7, 2020

✔ NPI 1073800348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Neuromuscular MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084N0008X

License✔ Licensed in GA · 73146

Definition

A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 73146 (GA)

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 73146 (GA)

12 EXECUTIVE PARK DR NE, Atlanta, GA 30329

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rocio Carolina Garcia Santibanez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012227622

PECOS Enrollment IDI20170714002901

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Needle measurement of electrical activity in arm or leg muscles, limited study 95885

This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.

182 services132 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

132 services123 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

100 services85 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

45 services45 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

42 services39 patients

Nerve conduction, 5-6 studies 95909

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.

39 services39 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

30 services30 patients

Nerve conduction, 7-8 studies 95910

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.

28 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Nerve conduction, 3-4 studies 95908

Nerve conduction studies are tests that measure how well your nerves are working. In a 3-4 studies procedure, electrical signals are sent through 3-4 nerves. The speed and strength of the signal's travel is recorded to detect any nerve damage or dysfunction.

21 services21 patients

Nerve conduction, 11-12 studies 95912

Nerve conduction studies are tests that measure how well your nerves are working. In 11-12 studies, small electrodes are placed on your skin to send and receive electrical signals. These signals show how quickly and effectively your nerves are transmitting signals, helping to identify any nerve damage or dysfunction.

18 services18 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

14 services13 patients

Needle measurement of electrical activity in trunk or head muscles 95887

This procedure, known as electromyography, involves inserting a fine needle into a muscle in your head or trunk to record its electrical activity. It helps identify problems related to muscles or nerves controlling these muscles. It's a safe, valuable tool for diagnosing various conditions.

11 services11 patients

Nerve conduction, 13 or more studies 95913

Nerve conduction studies involve 13 or more tests to check the speed and strength of signals traveling between your nerves and muscles. It helps diagnose conditions affecting nerves and muscles. The test involves small shocks and may cause minor discomfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110010

Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County

Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110078

Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County

Emergency services Birthing friendly

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110230

Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

1 supplier11 claims345 services$3.94 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers67 claims67 services$874.17 avg. paid by Medicare

Cough stimulating device, alternating positive and negative airway pressure E0482

DME-Other DME · category DE000N

2 suppliers41 claims41 services$342.84 avg. paid by Medicare

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

2 suppliers35 claims35 services$32.27 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PEARL VICTORIA RYDER M.D., PH.D.

Student in an Organized Health Care Education/Training Program

12 EXECUTIVE PARK DR NE, SUITE 331
ATLANTA, GA 30329

Dekalb County (404) 727-5159

CHRISTI N ACKER DPT, PT

Physical Therapist (Neurology)

12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329

Dekalb County (404) 778-7777

ORLA MCQUADE FNP-C

Nurse Practitioner (Family)

12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329

Dekalb County (404) 778-3444

MEGAN LEIGH GOODLIN LCSW

Social Worker (Clinical)

12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329

Dekalb County (850) 591-6066

PETER ASH MD

Psychiatry & Neurology (Psychiatry)

12 EXECUTIVE PARK DR NE, CHILD PSYCHIATRY, SUITE 200
ATLANTA, GA 30329

Dekalb County (404) 727-3973

KELSEY R SPRANG JONES PSYD

Psychologist (Clinical)

12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329

Dekalb County (859) 433-5348

BRANDI ANNE BURKE M.D., M.P.H.

Student in an Organized Health Care Education/Training Program

12 EXECUTIVE PARK DR NE, SUITE 331
ATLANTA, GA 30329

Dekalb County (404) 727-5159

PUNITA PEKETI MD

Student in an Organized Health Care Education/Training Program

12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329

Dekalb County (404) 727-5157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rocio Garcia Santibanez's NPI number?

The NPI number for Rocio Garcia Santibanez is 1073800348. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Where is Rocio Garcia Santibanez located?

Rocio Garcia Santibanez practices at 12 Executive Park Dr NE, Atlanta, GA 30329. The listed phone number is (404) 778-3444.

What is Rocio Garcia Santibanez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neuromuscular Medicine, with taxonomy code 2084N0008X.

Is Rocio Garcia Santibanez enrolled in Medicare?

Yes. Rocio Garcia Santibanez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rocio Garcia Santibanez accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Rocio Garcia Santibanez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rocio Garcia Santibanez affiliated with any hospitals?

According to CMS data, Rocio Garcia Santibanez is affiliated with Emory University Hospital, Emory University Hospital Midtown and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Rocio Garcia Santibanez was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.