MICHELLE GARCIA MD
NPI 1215375589
Family Medicine in Gorham, ME

Q: What is Michelle Garcia's NPI number?

The NPI number for Michelle Garcia is 1215375589. It was assigned to this individual provider in the NPPES registry on June 10, 2013.

Q: What is Michelle Garcia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Garcia was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 10, 2013PECOS Enrolled

19 S GORHAM XING, GORHAM, ME 04038(207) 535-1400(207) 535-1439 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Michelle Garcia Md NPPES

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

MICHELLE GARCIA MD (NPI 1215375589) is an individual family medicine provider in Gorham, Maine, licensed in Maine (MD20723) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215375589

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMICHELLE GARCIACredential: MD

Location Address19 S GORHAM XINGGorham, ME 04038-2690

Mailing Address19 S Gorham XingGorham, ME 04038-2690 · (207) 535-1400 · Fax (207) 535-1439

Phone(207) 535-1400

Fax(207) 535-1439

Sole ProprietorNo

Enumeration DateJune 10, 2013

Last NPPES UpdateFebruary 25, 2020

✔ NPI 1215375589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ME · MD20723

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

19 S GORHAM XING, Gorham, ME 04038

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Garcia Md 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.

Medicare Billing Reassignments

Medicare enrollment records show Michelle Garcia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maine Medical Consultants PC

6.8 mi

Internal Medicine

335 BRIGHTON AVE
Portland, ME 04102

Reassigned Medicare billing, Maine enrollment
28 clinicians in this Medicare group

NPI 1619519873 (207) 775-4000

Mercy Hospital

7.0 mi

General Acute Care Hospital

195 FORE RIVER PKWY, SUITE 300
Portland, ME 04102

Reassigned Medicare billing, Maine enrollment
322 clinicians in this Medicare group

NPI 1427313048 (207) 879-3601

Pai Participant 7 PC

10 mi

Geriatric Medicine

367 US ROUTE 1 STE 3S
Falmouth, ME 04105

Reassigned Medicare billing, Maine enrollment
26 clinicians in this Medicare group

NPI 1548829872 (207) 962-1200

Mainegeneral Medical Center

59 mi

Family Medicine

35 MEDICAL CENTER PKWY
Augusta, ME 04330

Reassigned Medicare billing, Maine enrollment
22 clinicians in this Medicare group

NPI 1063716710 (207) 626-1000

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 9

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

105 services105 patients

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.

86 services64 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.

80 services69 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

41 services34 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

33 services30 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04038 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

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.

Other Providers at the Same Location NPPES 7

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

GORHAM CROSSING PRIMARY CARE

Clinic/Center (Primary Care)