GRACE GARCIA
NPI 1073900619
Emergency Medicine in Boston, MA

Active since April 21, 2015PECOS EnrolledAccepts Medicare Assignment
99.51/100
CMS Quality Rating
1 BOSTON MEDICAL CTR PL, BOSTON MEDICAL CENTER, BOSTON, MA 02118(617) 638-8000 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Garcia NPPES

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

GRACE GARCIA (NPI 1073900619) is an individual emergency medicine provider in Boston, Massachusetts, licensed in Massachusetts (263894) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and is a graduate of Harvard Medical School (2015).

NPPES Registry Identity

NPI1073900619
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameGRACE GARCIA
Location Address1 BOSTON MEDICAL CTR PL, BOSTON MEDICAL CENTERBoston, MA 02118-2908
Mailing Address1 Boston Medical Ctr Pl, Boston Medical CenterBoston, MA 02118-2908
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2015
Enumeration DateApril 21, 2015
Last NPPES UpdateSeptember 14, 2016
NPI 1073900619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MA · 263894
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 BOSTON MEDICAL CTR PL, Boston, MA 02118

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

Grace Garcia 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 ID1658688791
PECOS Enrollment IDI20191212002617
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
229 services226 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
68 services66 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services22 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

99.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.16
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Physician Assistant
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Psychologist (Clinical)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Nurse Practitioner (Psychiatric/Mental Health)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Emergency Medicine
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Nurse Practitioner
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118

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 Grace Garcia's NPI number?

The NPI number for Grace Garcia is 1073900619. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Grace Garcia located?

Grace Garcia practices at 1 Boston Medical Ctr Pl Boston Medical Center, Boston, MA 02118. The listed phone number is (617) 638-8000.

What is Grace Garcia's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Grace Garcia enrolled in Medicare?

Yes. Grace Garcia 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.

Is Grace Garcia affiliated with any hospitals?

According to CMS data, Grace Garcia is affiliated with Lowell General Hospital.

When was this NPI record last updated?

The NPPES record for Grace Garcia was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.