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DR. KENNETH J GARCIA M.D.
NPI 1154374544
Psychiatry & Neurology - Psychiatry in Rockport, ME

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
6 GLEN COVE DR, ROCKPORT, ME 04856(207) 301-8000 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2026, Nov 7, 2023, Oct 11, 2019 (3 updates tracked since 2019).

About Dr. Kenneth J Garcia M.d. NPPES

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

DR. KENNETH J GARCIA M.D. (NPI 1154374544) is an individual psychiatry provider in Rockport, Maine, licensed in Rhode Island (MD19398) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1154374544
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KENNETH J GARCIACredential: M.D.
Location Address6 GLEN COVE DRRockport, ME 04856-4272
Mailing Address1575 Washington StWatertown, NY 13601-9367 · (315) 779-5060 · Fax (315) 779-5028
Phone(207) 301-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 18, 2006
Last NPPES UpdateMay 12, 20263 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1154374544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in RI · MD19398✔ Licensed in NY · 174464✔ Licensed in CT · 50663✔ Licensed in ME · MD27645
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
6 GLEN COVE DR, Rockport, ME 04856
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11575 Washington StWatertown, NY 13601-9367 · Phone (315) 779-5060 · Fax (315) 779-5028
Location 2130 Division StDerby, CT 06418-1326 · Phone (203) 732-1330 · Fax (203) 732-1332
Location 31443 Hartford AveJohnston, RI 02919-3224 · Phone (401) 273-8100

Other Identifiers 1

Medicaid00354316NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Dr. Kenneth J Garcia M.d. 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 ID244289502
PECOS Enrollment IDI20240328003530
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04856 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
$162.77 typical visit price
range $53.26 – $162.77
Typical copayment $40.69 (range $13.31 – $40.69)
Most-billed visit code 99205
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

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.

PETER H BAGLEY M.D.
Internal Medicine (Pulmonary Disease)
6 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 301-8542
BRUCE B LOWRY MD
Emergency Medicine
6 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (073) 018-3332
KAREN BRENNAN CRNA
Registered Nurse
6 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 921-8215
KARA DEVANNA NORCIA CRNA
Nurse Anesthetist, Certified Registered
6 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 921-8400
PETER E GIUSTRA M.D.
Radiology (Diagnostic Radiology)
6 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 596-8000
MS. EILEEN MARIE MOLLOY M.S., R.D.N. C.D.E.
Dietitian, Registered
6 GLEN COVE DR, PEN BAY MEDICAL CENTER
ROCKPORT, ME 04856
Knox County (207) 596-8537
DR. KAITLYN ELIZABETH HALSEMA DO
Psychiatry & Neurology (Psychiatry)
6 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 921-8632
DR. ROBERT J RUXIN MD
Psychiatry & Neurology (Psychiatry)
6 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 921-8000

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 Kenneth Garcia's NPI number?

The NPI number for Kenneth Garcia is 1154374544. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Kenneth Garcia located?

Kenneth Garcia practices at 6 Glen Cove Dr, Rockport, ME 04856. The listed phone number is (207) 301-8000.

What is Kenneth Garcia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kenneth Garcia enrolled in Medicare?

Yes. Kenneth 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 Kenneth Garcia accept?

Health plans from Harvard Pilgrim Health Care list Kenneth 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.

When was this NPI record last updated?

The NPPES record for Kenneth Garcia was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.