RAFAEL M GARCIA PA-C
NPI 1144317637
Physician Assistant in Phoenix, AZ

Q: What is Rafael Garcia's NPI number?

The NPI number for Rafael Garcia is 1144317637. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Q: What is Rafael Garcia's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Garcia was last updated on January 13, 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.

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment

444 W OSBORN RD, SUITE 200, PHOENIX, AZ 85013(602) 230-1400(602) 230-7676 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Rafael M Garcia Pa-c NPPES

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

RAFAEL M GARCIA PA-C (NPI 1144317637) is an individual physician assistant in Phoenix, Arizona, licensed in New Mexico (PA2006-0034) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of Utah School Of Medicine (2006).

NPPES Registry Identity

NPI1144317637

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameRAFAEL M GARCIACredential: PA-C

Location Address444 W OSBORN RD, SUITE 200Phoenix, AZ 85013-3814

Mailing Address444 W Osborn Rd, Suite 200Phoenix, AZ 85013-3814 · (602) 230-1400 · Fax (602) 230-7676

Phone(602) 230-1400

Fax(602) 230-7676

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2006

Enumeration DateOctober 6, 2006

Last NPPES UpdateJanuary 13, 2015

✔ NPI 1144317637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NM · PA2006-0034

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA20060034 (NM)

444 W OSBORN RD, Phoenix, AZ 85013

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Other Identifiers 2

Medicare PINNM100038

Medicaid45050074NM

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

Rafael M Garcia Pa-c 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 ID4284734245

PECOS Enrollment IDI20070705000547

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 15

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,025 services143 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

199 services139 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

149 services124 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

87 services87 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.

71 services68 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

54 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

46 services46 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

31 services29 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.

29 services29 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

16 services15 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

15 services15 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

13 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

11 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320021

Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85013 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

Reported Quality Measures

Falls: Plan of Care

Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months

78%23 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

15%1,094 patients1/55-star benchmark: 97%

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.

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JERRY LEE LLOYD JR. AT

Specialist/Technologist (Athletic Trainer)

444 W OSBORN RD, SUITE 303
PHOENIX, AZ 85013

Maricopa County (602) 279-8022

DR. WILLIAM FRIEDMAN D.P.M.

Podiatrist

444 W OSBORN RD, SUITE 301
PHOENIX, AZ 85013

Maricopa County (602) 264-1031

GRETA B LUDWIG P.A.

Physician Assistant (Medical)

444 W OSBORN RD, SUITE 200
PHOENIX, AZ 85013

Maricopa County (602) 230-1400

DR. CRAIG R METZGER M.D.

Orthopaedic Surgery

444 W OSBORN RD, SUITE 200
PHOENIX, AZ 85013

Maricopa County (602) 230-1400

ISAAK DUNCAN DPT

Physical Therapist

444 W OSBORN RD, SUITE 303
PHOENIX, AZ 85013

Maricopa County (602) 279-8022

DR. CHRISTOPHER SABIN CRANFORD M.D.

Orthopaedic Surgery (Sports Medicine)

444 W OSBORN RD, SUITE 200
PHOENIX, AZ 85013

Maricopa County (602) 230-1400

DR. GEORGE A VAN DE WYNGAERDE MD

Orthopaedic Surgery

444 W OSBORN RD, SUITE 200
PHOENIX, AZ 85013

Maricopa County (602) 230-1400

ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC

Orthopaedic Surgery

444 W OSBORN RD, SUITE 200
PHOENIX, AZ 85013

Maricopa County (602) 230-1400

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 Rafael Garcia's NPI number?

The NPI number for Rafael Garcia is 1144317637. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Rafael Garcia located?

Rafael Garcia practices at 444 W Osborn Rd Suite 200, Phoenix, AZ 85013. The listed phone number is (602) 230-1400.

What is Rafael Garcia's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rafael Garcia enrolled in Medicare?

Yes. Rafael 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 Rafael Garcia affiliated with any hospitals?

According to CMS data, Rafael Garcia is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Rafael Garcia was last updated on January 13, 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.