ANDREW M. GARCIA M.D.
NPI 1073806212
Ophthalmology in Middletown, NY

Q: What is Andrew Garcia's NPI number?

The NPI number for Andrew Garcia is 1073806212. It was assigned to this individual provider in the NPPES registry on May 20, 2011.

Q: What is Andrew Garcia's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Garcia was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 20, 2011PECOS EnrolledAccepts Medicare Assignment

95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2020, Jul 18, 2018, Mar 21, 2016 (3 updates tracked since 2016).

On this page

About Andrew M. Garcia M.d. NPPES

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

ANDREW M. GARCIA M.D. (NPI 1073806212) is an individual ophthalmology provider in Middletown, New York, licensed in New York (267982) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2011).

NPPES Registry Identity

NPI1073806212

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameANDREW M. GARCIACredential: M.D.

Location Address95 CRYSTAL RUN RDMiddletown, NY 10941

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4057 · (845) 703-6999 · Fax (845) 703-6297

Phone(845) 703-6999

Fax(845) 703-6297

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2011

Enumeration DateMay 20, 2011

Last NPPES UpdateAugust 13, 20203 updates tracked since enumeration

NPPES CertifiedAugust 13, 2020

✔ NPI 1073806212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in NY · 267982✔ Licensed in CT · 54131

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

95 CRYSTAL RUN RD, Middletown, NY 10941

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew M. Garcia 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 ID3870807936

PECOS Enrollment IDI20180801000174

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.

Medicare Billing Reassignments

Medicare enrollment records show Andrew Garcia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Medical Care, P.C.

38 mi

Cardiovascular Disease

90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Optum Medical Care PC
1,601 clinicians in this Medicare group

NPI 1982643003 (914) 241-1050

Ophthalmology Associates Of Staten Island PC

59 mi

Specialist

1460 VICTORY BLVD
Staten Island, NY 10301

Reassigned Medicare billing, New York enrollment
13 clinicians in this Medicare group

NPI 1114065281 (718) 447-0022

Ophthalmic Consultants Of Long Island

65 mi

Ophthalmology

2000 N VILLAGE AVE, SUITE 402
Rockville Centre, NY 11570

Reassigned Medicare billing, New York enrollment
134 clinicians in this Medicare group

NPI 1285675660 (516) 766-2519

Sight Medical Doctors PLLC

73 mi

Ophthalmology

125 KENNEDY DR STE 400
Hauppauge, NY 11788

Reassigned Medicare billing, New York enrollment
164 clinicians in this Medicare group

NPI 1487077483 (855) 295-4144

Provider Profile

Ophthalmology

736 ROUTE 4 STE 103
Sinajana, GU 96910

Reassigned Medicare billing, Guam enrollment
3 clinicians in this Medicare group

NPI 1336117217 (671) 989-4747

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

143 services125 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

136 services91 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

107 services98 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

72 services58 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

54 services52 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10941 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$141.77 typical visit price

range $61.88 – $187.05

Typical copayment $35.44 (range $15.47 – $46.76)

Most-billed visit code 99204

Established Patient

$76.88 typical visit price

range $19.92 – $151.94

Typical copayment $19.22 (range $4.98 – $37.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RICHARD ESCANO P.T.

Physical Therapist