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CARMEN GARCIA
NPI 1194169557
Podiatrist in Mount Prospect, IL

Active since April 29, 2013PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1406 S CHESTNUT DR, MOUNT PROSPECT, IL 60056(708) 628-4520(773) 847-4467 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2021, Mar 4, 2021, Mar 2, 2020 and 2 more (5 updates tracked since 2016).

About Carmen Garcia NPPES

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

CARMEN GARCIA (NPI 1194169557) is an individual podiatrist in Mount Prospect, Illinois, licensed in Illinois (316.002904) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1194169557
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameCARMEN GARCIA
Location Address1406 S CHESTNUT DRMount Prospect, IL 60056-4520
Mailing Address2440 S Laramie Ave Unit 50646Cicero, IL 60804-5147 · (708) 320-1510
Phone(708) 628-4520
Fax(773) 847-4467
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 29, 2013
Last NPPES UpdateSeptember 10, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2021
✔ NPI 1194169557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IL · 316.002904
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1406 S CHESTNUT DR, Mount Prospect, IL 60056
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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 and accepts Medicare assignment

Carmen 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 ID7517248669
PECOS Enrollment IDI20170103001000
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 10

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
1,526 services719 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
1,141 services484 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
1,062 services548 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
271 services241 patients
Placement of strapping to ankle or foot 29540
Strapping to the ankle or foot is a procedure involving the application of tape or a similar material to provide support and stability. It can help manage injuries, reduce pain, and prevent further harm. The process is non-invasive and typically performed by a trained professional.
257 services192 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
236 services236 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60056 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 6

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

FEYINTOLU M. BALOGUN, DPM PLLC
Podiatrist
1406 S CHESTNUT DR
MOUNT PROSPECT, IL 60056
Cook County (708) 628-4520
CARMEN GARCIA PODIATRY, P.C.
Podiatrist
1406 S CHESTNUT DR
MOUNT PROSPECT, IL 60056
Cook County (708) 628-4520
AMV MEDICAL LLC
Nurse Practitioner (Family)
1406 S CHESTNUT DR
MOUNT PROSPECT, IL 60056
Cook County (708) 320-1510
FEYINTOLU MORAYO BALOGUN D.P.M.
Podiatrist
1406 S CHESTNUT DR
MT PROSPECT, IL 60056
Cook County (708) 628-4520
PODIATRY OF GREATER CHICAGO, PLLC
Podiatrist
1406 S CHESTNUT DR
MT PROSPECT, IL 60056
Cook County (708) 320-1510
PODIATRY AT YOUR DOOR BY DR. GARCIA, P.C.
Podiatrist
1406 S CHESTNUT DR
MOUNT PROSPECT, IL 60056
Cook County (773) 512-4938

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 Carmen Garcia's NPI number?

The NPI number for Carmen Garcia is 1194169557. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Where is Carmen Garcia located?

Carmen Garcia practices at 1406 S Chestnut Dr, Mount Prospect, IL 60056. The listed phone number is (708) 628-4520.

What is Carmen Garcia's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Carmen Garcia enrolled in Medicare?

Yes. Carmen 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.

When was this NPI record last updated?

The NPPES record for Carmen Garcia was last updated on September 10, 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.