DR. MANISHA GARG MD
NPI 1215215389
Internal Medicine - Endocrinology, Diabetes & Metabolism in Montgomery, AL

Active since July 23, 2011PECOS EnrolledAccepts Medicare Assignment
80.87/100
CMS Quality Rating
2119 E SOUTH BLVD, SUITE 200, MONTGOMERY, AL 36116(334) 613-7070(334) 613-7072 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2023, Aug 30, 2016 (2 updates tracked since 2016).

About Dr. Manisha Garg Md NPPES

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

DR. MANISHA GARG MD (NPI 1215215389) is an individual endocrinology, diabetes & metabolism provider in Montgomery, Alabama, licensed in Alabama (34994) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1215215389
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MANISHA GARGCredential: MD
Location Address2119 E SOUTH BLVD, SUITE 200Montgomery, AL 36116-2454
Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005 · (334) 747-4159
Fax(334) 613-7072
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 23, 2011
Last NPPES UpdateJanuary 6, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
NPI 1215215389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in AL · 34994
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2119 E SOUTH BLVD, Montgomery, AL 36116

Other Identifiers 1

Medicaid189502AL

Accepted 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. Manisha Garg 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 ID7113213588
PECOS Enrollment IDI20160912000218
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 6

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.
417 services240 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
310 services165 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
287 services161 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
181 services95 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
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.
28 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36116 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

80.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.7
Promoting Interoperability100
Improvement Activities40
Cost59.55

Reported Quality Measures

e-Prescribing
97%1,316 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
84%799 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers41 claims705 services$18.66 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers40 claims1,415 services$2.27 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers34 claims34 services$169.73 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
25 suppliers62 claims260 services$6.31 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers14 claims14 services$2.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers30 claims55 services$1.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Rheumatology)
2119 E SOUTH BLVD, SUITE 100
MONTGOMERY, AL 36116
Urology
2119 E SOUTH BLVD, SUITE 200
MONTGOMERY, AL 36116
Physical Therapist
2119 E SOUTH BLVD, SUITE 200
MONTGOMERY, AL 36116
Registered Nurse
2119 E SOUTH BLVD
MONTGOMERY, AL 36116
Physical Therapist
2119 E SOUTH BLVD, SUITE 200
MONTGOMERY, AL 36116

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 Manisha Garg's NPI number?

The NPI number for Manisha Garg is 1215215389. It was assigned to this individual provider in the NPPES registry on July 23, 2011.

Where is Manisha Garg located?

Manisha Garg practices at 2119 E South Blvd Suite 200, Montgomery, AL 36116. The listed phone number is (334) 613-7070.

What is Manisha Garg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Manisha Garg enrolled in Medicare?

Yes. Manisha Garg 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 Manisha Garg accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Manisha Garg 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 Manisha Garg was last updated on January 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.