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CESAR J GARCIA MD
NPI 1154551943
Internal Medicine in El Paso, TX

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment
91.63/100
CMS Quality Rating
4800 ALBERTA AVE, EL PASO, TX 79905(915) 545-6626 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cesar J Garcia Md NPPES

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

CESAR J GARCIA MD (NPI 1154551943) is an individual internal medicine provider in El Paso, Texas, licensed in Texas (BP10034682) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of El Paso, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154551943
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCESAR J GARCIACredential: MD
Location Address4800 ALBERTA AVEEl Paso, TX 79905-2709
Mailing Address4800 Alberta AveEl Paso, TX 79905-2709 · (915) 545-6626
Phone(915) 545-6626
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 15, 2009
Last NPPES UpdateMay 7, 2025
NPPES CertifiedMay 7, 2025
✔ NPI 1154551943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · BP10034682
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4800 ALBERTA AVE, El Paso, TX 79905
Open in Google Maps ↗

Secondary Practice Locations 3

Location 14815 Alameda AveEl Paso, TX 79905-2705 · Phone (915) 544-1200
Location 21521 Joe Battle BlvdEl Paso, TX 79936-0922 · Phone (915) 790-5700
Location 31700 Curie Dr Ste 500El Paso, TX 79902-2905 · Phone (915) 545-1252

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare.Insurance ›

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

Cesar J 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 ID1355588625
PECOS Enrollment IDI20130503000190
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Cesar Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

El Paso County Hospital District
0.1 mi
General Acute Care Hospital
4815 ALAMEDA AVE
El Paso, TX 79905
  • Reassigned Medicare billing, Texas enrollment
  • 409 clinicians in this Medicare group
NPI 1316936990 (915) 544-1200
Umc El Paso Healthcare Inc
5.3 mi
General Practice
10410 VISTA DEL SOL DR
El Paso, TX 79925
  • Reassigned Medicare billing, Texas enrollment
  • 77 clinicians in this Medicare group
NPI 1528683810 (915) 200-2680

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 4

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.

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.
78 services59 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.
72 services60 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.
28 services28 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center Of El Paso

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450024
Location4815 Alameda AveEl Paso, TX 79905 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79905 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

91.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94
Promoting Interoperability96
Improvement Activities40
Cost70.28

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.

REBECCA M PASILLAS PHD
Psychologist (Clinical)
4800 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 545-6832
PRIYANKA WANI M.D.
Student in an Organized Health Care Education/Training Program
4800 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5200
RICARDO PARRA MD
Emergency Medicine
4800 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
PATRICIA RODARTE MD
Student in an Organized Health Care Education/Training Program
4800 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-4460
AMY HUIMIN-GAO SIM MD
Student in an Organized Health Care Education/Training Program
4800 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
TALITA DA SILVA GOMES BLANCO
Student in an Organized Health Care Education/Training Program
4800 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
WILLIAM B MCILVAINE MD
Anesthesiology (Pediatric Anesthesiology)
4800 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5625
SHERIN ELGOHARY MD
Student in an Organized Health Care Education/Training Program
4800 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-4434

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 Cesar Garcia's NPI number?

The NPI number for Cesar Garcia is 1154551943. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Where is Cesar Garcia located?

Cesar Garcia practices at 4800 Alberta Ave, El Paso, TX 79905. The listed phone number is (915) 545-6626.

What is Cesar Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cesar Garcia enrolled in Medicare?

Yes. Cesar 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 Cesar Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cesar Garcia reassigns Medicare benefits to 2 organizations: El Paso County Hospital District (El Paso, TX) and Umc El Paso Healthcare Inc (El Paso, TX). 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 Cesar Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cesar Garcia accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Cigna Healthcare list Cesar 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 Cesar Garcia affiliated with any hospitals?

According to CMS data, Cesar Garcia is affiliated with University Medical Center Of El Paso.

When was this NPI record last updated?

The NPPES record for Cesar Garcia was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.