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DR. RALPH GARCIA-PACHECO M.D.
NPI 1093923088
Internal Medicine - Pulmonary Disease in Bakersfield, CA

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306(661) 326-2000(661) 326-2000 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ralph Garcia-pacheco M.d. NPPES

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

DR. RALPH GARCIA-PACHECO M.D. (NPI 1093923088) is an individual pulmonary disease provider in Bakersfield, California, licensed in California (A110188) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1093923088
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RALPH GARCIA-PACHECOCredential: M.D.
Location Address1700 MOUNT VERNON AVEBakersfield, CA 93306
Mailing Address1700 Mount Vernon AveBakersfield, CA 93306 · (661) 326-2000 · Fax (661) 326-2000
Phone(661) 326-2000
Fax(661) 326-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 30, 2015
✔ NPI 1093923088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A110188
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 MedicineTaxonomy 207R00000X · License A110188 (CA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A110188 (CA)
1700 MOUNT VERNON AVE, Bakersfield, CA 93306
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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

Dr. Ralph Garcia-pacheco 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 ID1355527805
PECOS Enrollment IDI20110517000584
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 10

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.

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.
117 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
58 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
37 services32 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.
35 services27 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.
34 services34 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.
28 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93306 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
$135.05 typical visit price
range $59.26 – $178.09
Typical copayment $33.76 (range $14.81 – $44.52)
Most-billed visit code 99204
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.76
Promoting Interoperability100
Improvement Activities40
Cost59.39

Referred Medical Equipment & Supplies CMS DME claims 12

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers18 claims18 services$69.25 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers17 claims37 services$26.72 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers13 claims13 services$16.17 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
7 suppliers19 claims19 services$10.99 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers21 claims89 services$1.68 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers21 claims21 services$14.17 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.

RYAN ROLESON
Emergency Medicine
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2168
MRS. BRIEANNA COX
Social Worker
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2000
DR. POOJA VISHNU PATEL PHARM.D.
Pharmacist (Pharmacotherapy)
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2362
JUSTIN A WEST PA-C
Physician Assistant
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2000
MR. BRYAN ELROD CRNA
Nurse Anesthetist, Certified Registered
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2000
DR. MOUJIDIN ALADE ADEBAYO MD
Internal Medicine
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2202
KELLY MAE HOOD DO
Obstetrics & Gynecology
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2000
STEPHANIE ZAPATA MD
Psychiatry & Neurology (Psychiatry)
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2234

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 Ralph Garcia-pacheco's NPI number?

The NPI number for Ralph Garcia-pacheco is 1093923088. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Ralph Garcia-pacheco located?

Ralph Garcia-pacheco practices at 1700 Mount Vernon Ave, Bakersfield, CA 93306. The listed phone number is (661) 326-2000.

What is Ralph Garcia-pacheco's specialty?

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

Is Ralph Garcia-pacheco enrolled in Medicare?

Yes. Ralph Garcia-pacheco 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.

When was this NPI record last updated?

The NPPES record for Ralph Garcia-pacheco was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.