DR. RAMON ANDRES GARCIA JR. M.D
NPI 1235295999
Internal Medicine in Chicago, IL

Q: What is Ramon Garcia's NPI number?

The NPI number for Ramon Garcia is 1235295999. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Q: What is Ramon Garcia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ramon Garcia was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 December 28, 2006PECOS EnrolledAccepts Medicare Assignment

59.57/100

CMS Quality Rating

3538 W FULLERTON AVE, CHICAGO, IL 60647(773) 772-1212(773) 772-8666 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Ramon Andres Garcia Jr. M.d NPPES

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

DR. RAMON ANDRES GARCIA JR. M.D (NPI 1235295999) is an individual internal medicine provider in Chicago, Illinois and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Presence Saints Mary And Elizabeth Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1235295999

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. RAMON ANDRES GARCIA JR.Credential: M.D

Location Address3538 W FULLERTON AVEChicago, IL 60647-2443

Mailing Address3538 W Fullerton AveChicago, IL 60647-2443 · (773) 772-1212 · Fax (773) 772-8666

Phone(773) 772-1212

Fax(773) 772-8666

Sole ProprietorYes

Medical School CMSOtherGraduated 1983

Enumeration DateDecember 28, 2006

Last NPPES UpdateMarch 10, 2025

NPPES CertifiedMarch 10, 2025

✔ NPI 1235295999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

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.

3538 W FULLERTON AVE, Chicago, IL 60647

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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

Dr. Ramon Andres Garcia Jr. 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 ID244274165

PECOS Enrollment IDI20090210000449

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 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

240 services46 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.

214 services122 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

137 services60 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

73 services62 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

60 services43 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

32 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Presence Saints Mary And Elizabeth Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140180

Location2233 W Division StChicago, IL 60622 · Cook County

Emergency services Birthing friendly

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140224

Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County

Emergency services Birthing friendly

Community First Medical Center

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number140251

Location5645 W Addison StreetChicago, IL 60634 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60647 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

59.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

95.26

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

77%213 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%435 patients5/55-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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

15 suppliers50 claims143 services$6.19 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

2 suppliers18 claims18 services$2.94 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

13 suppliers45 claims65 services$1.06 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 8

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

CARDINAL SURGERY SYSTEMS PC

Internal Medicine

3538 W FULLERTON AVE
CHICAGO, IL 60647

Cook County (773) 772-1212

YOLANDA LALYRE-RODRIGUEZ M.D.

Internal Medicine (Gastroenterology)

3538 W FULLERTON AVE, MC 716
CHICAGO, IL 60647

Cook County (773) 772-1212

RAMON A GARCIA MD PC

Internal Medicine (Gastroenterology)

3538 W FULLERTON AVE
CHICAGO, IL 60647

Cook County (773) 772-1212

MR. JESUS MANCILLA SR. RSA

Specialist

3538 W FULLERTON AVE
CHICAGO, IL 60647

Cook County (773) 772-1212

SOLARIS DIAGNOSTICS PC

Pathology (Clinical Pathology)

3538 W FULLERTON AVE
CHICAGO, IL 60647

Cook County (773) 772-1212

LOGAN SQUARE ANESTHESIA PC

Anesthesiology

3538 W FULLERTON AVE
CHICAGO, IL 60647

Cook County (773) 772-1212

GARCIA RADIOLOGY PC

Radiology (Diagnostic Radiology)

3538 W FULLERTON AVE
CHICAGO, IL 60647

Cook County (773) 772-1212

DR. ANDREW GORCHYNSKY M.D.

Surgery

3538 W FULLERTON AVE
CHICAGO, IL 60647

Cook County (773) 327-3141

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 Ramon Garcia's NPI number?

The NPI number for Ramon Garcia is 1235295999. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Ramon Garcia located?

Ramon Garcia practices at 3538 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 772-1212.

What is Ramon Garcia's specialty?

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

Is Ramon Garcia enrolled in Medicare?

Yes. Ramon 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 Ramon Garcia affiliated with any hospitals?

According to CMS data, Ramon Garcia is affiliated with Presence Saints Mary And Elizabeth Medical Center, Presence Saint Joseph Hospital - Chicago and Community First Medical Center.

When was this NPI record last updated?

The NPPES record for Ramon Garcia was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.