MERCEDES RITA GARCIA MD
NPI 1114381183
Obstetrics & Gynecology in Opa Locka, FL

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
16555 NW 25TH AVE, OPA LOCKA, FL 33054(786) 466-1707 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mercedes Rita Garcia Md NPPES

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

MERCEDES RITA GARCIA MD (NPI 1114381183) is an individual obstetrics & gynecology provider in Opa Locka, Florida, licensed in Florida (ME146312) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of University Of South Florida College Of Medicine (2016).

NPPES Registry Identity

NPI1114381183
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMERCEDES RITA GARCIACredential: MD
Location Address16555 NW 25TH AVEOpa Locka, FL 33054-6583
Mailing Address1408 Brickell Bay Dr Apt 212Miami, FL 33131-3618 · (305) 788-2877
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2016
Enumeration DateApril 6, 2016
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
NPI 1114381183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in FL · ME146312
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

16555 NW 25TH AVE, Opa Locka, FL 33054

Accepted 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

Mercedes Rita 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 ID1951727346
PECOS Enrollment IDI20200817000697
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.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33054 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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.

87.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost60.03

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.

Pharmacist
16555 NW 25TH AVE
OPA LOCKA, FL 33054
Obstetrics & Gynecology
16555 NW 25TH AVE
MIAMI GARDENS, FL 33054
Nurse Practitioner (Family)
16555 NW 25TH AVE
OPA LOCKA, FL 33054
Pediatrics
16555 NW 25TH AVE
MIAMI GARDENS, FL 33054
Social Worker (Clinical)
16555 NW 25TH AVE
OPA LOCKA, FL 33054
General Practice
16555 NW 25TH AVE
MIAMI, FL 33054
Pharmacy (Clinic Pharmacy)
16555 NW 25TH AVE
OPA LOCKA, FL 33054
Pharmacist
16555 NW 25TH AVE
OPA LOCKA, FL 33054

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 Mercedes Garcia's NPI number?

The NPI number for Mercedes Garcia is 1114381183. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Mercedes Garcia located?

Mercedes Garcia practices at 16555 NW 25th Ave, Opa Locka, FL 33054. The listed phone number is (786) 466-1707.

What is Mercedes Garcia's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mercedes Garcia enrolled in Medicare?

Yes. Mercedes 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.

What insurance does Mercedes Garcia accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Mercedes Garcia 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 Mercedes Garcia affiliated with any hospitals?

According to CMS data, Mercedes Garcia is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Mercedes Garcia was last updated on August 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.