MARK D GARCIA D.O.
NPI 1235492182
Family Medicine in Auburn, WA

Active since June 15, 2012PECOS EnrolledAccepts Medicare Assignment
205 10TH ST NE STE 200, AUBURN, WA 98002(253) 351-5300 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2020, Sep 4, 2020, Sep 25, 2019 and 1 more (4 updates tracked since 2017).

About Mark D Garcia D.o. NPPES

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

MARK D GARCIA D.O. (NPI 1235492182) is an individual family medicine provider in Auburn, Washington, licensed in Washington (OP60950769) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1235492182
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK D GARCIACredential: D.O.
Location Address205 10TH ST NE STE 200Auburn, WA 98002-4045
Mailing Address205 10th St Ne Ste 200Auburn, WA 98002-4045 · (253) 351-5300
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 15, 2012
Last NPPES UpdateDecember 3, 20204 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
NPI 1235492182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · OP60950769
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.
205 10TH ST NE STE 200, Auburn, WA 98002

Other Identifiers 1

Medicaid2138506WA

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

Mark D Garcia D.o. 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 ID4082985403
PECOS Enrollment IDI20191030000578
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 15

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.
286 services143 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
138 services135 patients
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.
124 services18 patients
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.
110 services110 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.
59 services50 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
56 services56 patients

Hospital Affiliations CMS Care Compare 4

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

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

St Francis Community Hospital

Acute Care Hospitals · Federal Way, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500141
Location34515 9th Avenue SFederal Way, WA 98003 · King County
Emergency services Birthing friendly

St Elizabeth Hospital

Critical Access Hospitals · Enumclaw, WA
OwnershipVoluntary non-profit - Private
CMS Certification Number501335
Location1450 Battersby AvenueEnumclaw, WA 98022 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98002 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
7 suppliers16 claims25 services$6.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mark Garcia's NPI number?

The NPI number for Mark Garcia is 1235492182. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Where is Mark Garcia located?

Mark Garcia practices at 205 10th St NE Ste 200, Auburn, WA 98002. The listed phone number is (253) 351-5300.

What is Mark Garcia's specialty?

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

Is Mark Garcia enrolled in Medicare?

Yes. Mark 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.

What insurance does Mark Garcia accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mark Garcia 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.

Is Mark Garcia affiliated with any hospitals?

According to CMS data, Mark Garcia is affiliated with Valley Medical Center, St Joseph Medical Center, St Francis Community Hospital and St Elizabeth Hospital.

When was this NPI record last updated?

The NPPES record for Mark Garcia was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.