NESTOR GARCIA MD
NPI 1114982329
Pathology - Clinical Pathology/Laboratory Medicine in Wilkes Barre, PA

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
575 N RIVER ST, WILKES BARRE, PA 18764(570) 829-8111 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nestor Garcia Md NPPES

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

NESTOR GARCIA MD (NPI 1114982329) is an individual clinical pathology/laboratory medicine provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD042111E) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1114982329
Entity TypeIndividualMale
Primary Taxonomy207ZP0105X
Provider Legal NameNESTOR GARCIACredential: MD
Location Address575 N RIVER STWilkes Barre, PA 18764-0999
Mailing AddressPo Box 1476Kingston, PA 18704-0476 · (570) 288-8881
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateApril 19, 2006
Last NPPES UpdateJuly 2, 2020
NPPES CertifiedJuly 2, 2020
NPI 1114982329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0105X
License Licensed in PA · MD042111E
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

575 N RIVER ST, Wilkes Barre, PA 18764

Other Identifiers 1

Medicaid0012072120005PA

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

Nestor 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 ID143406215
PECOS Enrollment IDI20110525000721
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 8

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
233 services143 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
226 services35 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
88 services68 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
41 services28 patients
Cell examination of specimen, concentration technique 88108
Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.
22 services21 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18764 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
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 Practitioner
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Practitioner (Family)
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Clinic/Center
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Emergency Medicine
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764

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 Nestor Garcia's NPI number?

The NPI number for Nestor Garcia is 1114982329. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Nestor Garcia located?

Nestor Garcia practices at 575 N River St, Wilkes Barre, PA 18764. The listed phone number is (570) 829-8111.

What is Nestor Garcia's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is Nestor Garcia enrolled in Medicare?

Yes. Nestor 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 Nestor Garcia affiliated with any hospitals?

According to CMS data, Nestor Garcia is affiliated with Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Nestor Garcia was last updated on July 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.