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LUIS GARCIA
NPI 1124310990
Family Medicine in York, PA

Active since May 11, 2011PECOS EnrolledAccepts Medicare Assignment
116 S GEORGE ST, YORK, PA 17401(717) 845-8617(717) 854-0377 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luis Garcia NPPES

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

LUIS GARCIA (NPI 1124310990) is an individual family medicine provider in York, Pennsylvania, licensed in Pennsylvania (MD450780) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Temple University School Of Medicine (2011).

NPPES Registry Identity

NPI1124310990
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLUIS GARCIA
Location Address116 S GEORGE STYork, PA 17401-1474
Mailing Address116 S George StYork, PA 17401-1474 · (717) 845-8617 · Fax (717) 854-0377
Phone(717) 845-8617
Fax(717) 854-0377
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2011
Enumeration DateMay 11, 2011
Last NPPES UpdateAugust 11, 2014
✔ NPI 1124310990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD450780
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
116 S GEORGE ST, York, PA 17401
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Accepted Insurance

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

Luis Garcia 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 ID1759509938
PECOS Enrollment IDI20140829001497
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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
19 services16 patients

Hospital Affiliations CMS Care Compare

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17401 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
74%208 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
63%418 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
33%206 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%5,393 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
32%992 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%751 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
96%1,518 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,518 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
9%1,518 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%1,518 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers22 claims41 services$5.32 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers19 claims19 services$209.53 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.

MS. NICOLE MARIE CAMPANELLA CNM
Nurse Practitioner (Family)
116 S GEORGE ST
YORK, PA 17401
York County (717) 845-8617
JESSICA GLOVER
Community Health Worker
116 S GEORGE ST
YORK, PA 17401
York County (717) 845-8617
ASCELINE SO GO M.D.
Family Medicine
116 S GEORGE ST, SUITE 200
YORK, PA 17401
York County (717) 845-8617
DR. MARIA LINA THARP FLETCHER D.M.D
Dentist
116 S GEORGE ST, SUITE 301
YORK, PA 17401
York County (717) 801-4821
WENDY GRUBBS
Nurse Practitioner (Family)
116 S GEORGE ST, SUITE 301
YORK, PA 17401
York County (717) 845-8617
TANYA MARIE BARR
Nurse Practitioner (Family)
116 S GEORGE ST
YORK, PA 17401
York County (717) 845-8617
MAHGOL MEHRANPOUR DMD
Dentist (General Practice)
116 S GEORGE ST
YORK, PA 17401
York County (717) 845-8617
JESSICA L BOORE RDH
Dental Hygienist
116 S GEORGE ST
YORK, PA 17401
York County (717) 845-8617

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 Luis Garcia's NPI number?

The NPI number for Luis Garcia is 1124310990. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Luis Garcia located?

Luis Garcia practices at 116 S George St, York, PA 17401. The listed phone number is (717) 845-8617.

What is Luis Garcia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Luis Garcia enrolled in Medicare?

Yes. Luis 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 Luis Garcia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Luis 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 Luis Garcia affiliated with any hospitals?

According to CMS data, Luis Garcia is affiliated with Wellspan York Hospital.

When was this NPI record last updated?

The NPPES record for Luis Garcia was last updated on August 11, 2014. 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.