NESTOR GARCIA MD
NPI 1114982329
Pathology - Clinical Pathology/Laboratory Medicine in Wilkes Barre, PA
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Nestor Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilkes Barre, PA 18702
- Reassigned Medicare billing, Pennsylvania enrollment
- 5 clinicians in this Medicare group
Lehighton, PA 18235
- Reassigned Medicare billing, Pennsylvania enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, PAPhysician 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.
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.
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.
WILKES BARRE, PA 18764
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.
Which organizations bill Medicare for Nestor Garcia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nestor Garcia reassigns Medicare benefits to 2 organizations: Wyoming Valley Pathology Associates PC (Wilkes Barre, PA) and Lehigh Gastroenterology Associates (Lehighton, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nestor Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Nestor Garcia, MD · NPI 1114982329
Clinical Pathology/Laboratory Medicine physician in Wilkes Barre, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 19, 2006.
## Identity
- **NPI:** 1114982329 (Entity type: Individual)
- **Enumerated:** April 19, 2006
- **Primary specialty:** Pathology - Clinical Pathology/Laboratory Medicine · taxonomy 207ZP0105X
- **State license:** MD042111E (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 575 N RIVER ST, Wilkes Barre, PA 18764-0999
- **Phone:** (570) 829-8111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wyoming Valley Pathology Associates PC (NPI 1265458988, Wilkes Barre, PA); Lehigh Gastroenterology Associates (NPI 1619961018, Lehighton, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1973
## Record status
- **NPPES last updated:** July 2, 2020
- **Other identifiers:** Medicaid 0012072120005 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114982329) · Data from the CMS NPPES public registry.