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DR. RAYMOND CHRISTOPHER GARCIA MD
NPI 1245217959
Psychiatry & Neurology - Psychiatry in Rockford, IL

Active since December 23, 2005PECOS EnrolledAccepts Medicare Assignment
8616 NORTHERN AVE, ROCKFORD, IL 61107(815) 399-9700(815) 394-1401 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Raymond Christopher Garcia Md NPPES

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

DR. RAYMOND CHRISTOPHER GARCIA MD (NPI 1245217959) is an individual psychiatry provider in Rockford, Illinois, licensed in Illinois (036093873) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rockford, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1245217959
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RAYMOND CHRISTOPHER GARCIACredential: MD
Location Address8616 NORTHERN AVERockford, IL 61107-5309
Mailing Address1021 N Mulford RdRockford, IL 61107-3877 · (815) 391-1000 · Fax (815) 394-1401
Phone(815) 399-9700
Fax(815) 394-1401
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 23, 2005
Last NPPES UpdateJune 18, 2019
✔ NPI 1245217959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036093873
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 036093873 (IL)
8616 NORTHERN AVE, Rockford, IL 61107
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Secondary Practice Location 1

Location 13815 Harrison AveRockford, IL 61108-7631 · Phone (815) 391-1000 · Fax (815) 391-5040

Other Identifiers 2

Medicaid036093873IL
Other036093873IL · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cigna Healthcare, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Raymond Christopher Garcia 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 ID5799973921
PECOS Enrollment IDI20110103000546
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

3

Medicare enrollment records show Raymond Garcia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rosecrance, Inc.
Same address
Rehabilitation, Substance Use Disorder
8616 NORTHERN AVE
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
NPI 1538527213 (815) 391-1000
Aspen Counseling & Consulting LLC
2.7 mi
Community/Behavioral Health
1021 N MULFORD RD, L1
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • 23 clinicians in this Medicare group
NPI 1326288994 (815) 399-9700
Jackson Recovery Centers, Inc.
382 mi
Substance Abuse Rehabilitation Facility
800 5TH ST, SUITE 200
Sioux City, IA 51101
  • Reassigned Medicare billing, Iowa enrollment
  • 20 clinicians in this Medicare group
NPI 1811994973 (712) 234-2300

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 2

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.
126 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.
44 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 20

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

HOLLY BRUN
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
MR. JACOB R WILSON BA
Counselor (Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
SEAN WALSH LPC
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
DEBRA CORRIGAN APN
Nurse Practitioner (Psychiatric/Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 399-9700
JACQUELINE BELTER
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
ALICIA ANDERSON L.S.W.
Social Worker
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 338-8003
CHRISTINA ADAMS
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
MELISSA LEE
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003

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 Raymond Garcia's NPI number?

The NPI number for Raymond Garcia is 1245217959. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Raymond Garcia located?

Raymond Garcia practices at 8616 Northern Ave, Rockford, IL 61107. The listed phone number is (815) 399-9700.

What is Raymond Garcia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Raymond Garcia enrolled in Medicare?

Yes. Raymond 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.

Which organizations bill Medicare for Raymond Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Garcia reassigns Medicare benefits to 3 organizations: Rosecrance, Inc. (Rockford, IL), Aspen Counseling & Consulting LLC (Rockford, IL) and Jackson Recovery Centers, Inc. (Sioux City, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raymond Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raymond Garcia accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare, Group Health Cooperative-SCW, MercyCare Health Plans and Oscar Insurance Company and 2 other insurers list Raymond 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.

When was this NPI record last updated?

The NPPES record for Raymond Garcia was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.