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EDWARD TOBIAS GARCIA CNP
NPI 1164805362
Nurse Practitioner - Family in Albuquerque, NM

Active since July 07, 2015PECOS Enrolled
83.84/100
CMS Quality Rating
6400 PASEO DEL NORTE BLVE NE, ALBUQUERQUE, NM 87113(505) 596-2100 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2021, Dec 19, 2019, Dec 28, 2018 (3 updates tracked since 2018).

About Edward Tobias Garcia Cnp NPPES

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

EDWARD TOBIAS GARCIA CNP (NPI 1164805362) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (54691) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164805362
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameEDWARD TOBIAS GARCIACredential: CNP
Location Address6400 PASEO DEL NORTE BLVE NEAlbuquerque, NM 87113-1718
Mailing AddressPo Box 26666, Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Phone(505) 596-2100
Sole ProprietorYes
Enumeration DateJuly 7, 2015
Last NPPES UpdateOctober 5, 20213 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
✔ NPI 1164805362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · 54691
Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License RN-75449 (NM)
6400 PASEO DEL NORTE BLVE NE, Albuquerque, NM 87113
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Tobias Garcia Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 87113 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$16.21 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$74.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Edward Garcia's NPI number?

The NPI number for Edward Garcia is 1164805362. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Edward Garcia located?

Edward Garcia practices at 6400 Paseo Del Norte Blve NE, Albuquerque, NM 87113. The listed phone number is (505) 596-2100.

What is Edward Garcia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Edward Garcia enrolled in Medicare?

Yes. Edward Garcia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Garcia was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.