BRENDA DIANNE GARCIA MD
NPI 1083103113
Internal Medicine - Pulmonary Disease in Lexington, KY

Q: What is Brenda Garcia's NPI number?

The NPI number for Brenda Garcia is 1083103113. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Q: What is Brenda Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Garcia was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 03, 2018PECOS EnrolledAccepts Medicare Assignment

1000 S LIMESTONE, LEXINGTON, KY 40536(859) 323-9057(859) 323-9502 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, Feb 5, 2024, May 3, 2018 (3 updates tracked since 2018).

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About Brenda Dianne Garcia Md NPPES

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

BRENDA DIANNE GARCIA MD (NPI 1083103113) is an individual pulmonary disease provider in Lexington, Kentucky, licensed in Kentucky (59294) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083103113

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameBRENDA DIANNE GARCIACredential: MD

Location Address1000 S LIMESTONELexington, KY 40536-1850

Mailing Address100 E 77th StNew York, NY 10075-1850 · (212) 434-2000

Phone(859) 323-9057

Fax(859) 323-9502

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 2018

Enumeration DateMay 3, 2018

Last NPPES UpdateJune 21, 20243 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1083103113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in KY · 59294✔ Licensed in NY · 311615

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 59294 (KY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1000 S LIMESTONE, Lexington, KY 40536

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Secondary Practice Locations 2

Location 1330 Mount Auburn StCambridge, MA 02138-5597 · Phone (617) 492-3500

Location 2100 E 77th StNew York, NY 10075-1850 · Phone (212) 434-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Brenda Dianne Garcia Md 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 ID7214473446

PECOS Enrollment IDI20240724002983

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.

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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. DOROTHY MCCORD MAES MD

Internal Medicine (Pulmonary Disease)