MICHAEL JOHN GARCIA M.D.
NPI 1215930227
Internal Medicine in Hanover, PA

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
86.18/100
CMS Quality Rating
300 HIGHLAND AVE, HANOVER, PA 17331(717) 316-3711 Get Directions Write a Review

NPPES record last updated: January 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael John Garcia M.d. NPPES

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

MICHAEL JOHN GARCIA M.D. (NPI 1215930227) is an individual internal medicine provider in Hanover, Pennsylvania, licensed in Pennsylvania (MD048047-L) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1215930227
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL JOHN GARCIACredential: M.D.
Location Address300 HIGHLAND AVEHanover, PA 17331-2297
Mailing Address300 Highland AveHanover, PA 17331-2297 · (717) 316-3711
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 23, 2005
Last NPPES UpdateJanuary 2, 2021
NPPES CertifiedJanuary 2, 2021
NPI 1215930227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD048047-L
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.
Also ListedHospitalistTaxonomy 208M00000X · License MD048047L (PA)
300 HIGHLAND AVE, Hanover, PA 17331

Other Identifiers 5

Other232878501PA · Tax Id
OtherCAPITAL BLUE CROSSPA · Capital Blue Cross Provid
Medicaid1521330PA
Other672380PA · Blue Shield Number
OtherMD048047-LPA · License Number

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

Michael John Garcia M.d. 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 ID6002881356
PECOS Enrollment IDI20040831000009
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
647 services577 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
182 services156 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
23 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17331 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

86.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.53
Improvement Activities40
Cost65.62

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 suppliers49 claims49 services$17.89 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 suppliers46 claims47 services$84.88 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 20

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

Clinical Medical Laboratory
300 HIGHLAND AVE
HANOVER, PA 17331
Emergency Medicine
300 HIGHLAND AVE
HANOVER, PA 17331
Emergency Medicine
300 HIGHLAND AVE
HANOVER, PA 17331
Specialist/Technologist Cardiovascular (Cardiovascular Invasive Specialist)
300 HIGHLAND AVE
HANOVER, PA 17331
Nurse Anesthetist, Certified Registered
300 HIGHLAND AVE
HANOVER, PA 17331
Emergency Medicine
300 HIGHLAND AVE
HANOVER, PA 17331
Pediatrics
300 HIGHLAND AVE
HANOVER, PA 17331
Internal Medicine
300 HIGHLAND AVE
HANOVER, PA 17331

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 Michael Garcia's NPI number?

The NPI number for Michael Garcia is 1215930227. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Michael Garcia located?

Michael Garcia practices at 300 Highland Ave, Hanover, PA 17331. The listed phone number is (717) 316-3711.

What is Michael Garcia's specialty?

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

Is Michael Garcia enrolled in Medicare?

Yes. Michael 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.

Is Michael Garcia affiliated with any hospitals?

According to CMS data, Michael Garcia is affiliated with Wellspan York Hospital, Gettysburg Hospital, Upmc Pinnacle Hospitals, Upmc Memorial and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Michael Garcia was last updated on January 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.