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DANIEL GARCIA M.D.
NPI 1245235043
Family Medicine in Houston, TX

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
80.1/100
CMS Quality Rating
5402 E SAM HOUSTON PKWY N, HOUSTON, TX 77015(281) 457-6535(281) 457-6409 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel Garcia M.d. NPPES

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

DANIEL GARCIA M.D. (NPI 1245235043) is an individual family medicine provider in Houston, Texas, licensed in Texas (K7739) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Southeast, and is a graduate of University Of Texas Medical Branch At Galveston (1998).

NPPES Registry Identity

NPI1245235043
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL GARCIACredential: M.D.
Location Address5402 E SAM HOUSTON PKWY NHouston, TX 77015-3267
Mailing Address5402 E Sam Houston Pkwy NHouston, TX 77015-3267 · (281) 457-6535 · Fax (281) 457-6409
Phone(281) 457-6535
Fax(281) 457-6409
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1998
Enumeration DateJune 17, 2005
Last NPPES UpdateOctober 2, 2024
NPPES CertifiedOctober 2, 2024
✔ NPI 1245235043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K7739
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.
5402 E SAM HOUSTON PKWY N, Houston, TX 77015
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Other Identifiers 4

Medicaid141659601TX
Medicaid141659602TX
Other8V1790TX · Bcbs
OtherP00342679TX · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Daniel 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 ID2365459146
PECOS Enrollment IDI20060320000622
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 11

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.
320 services147 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
144 services27 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.
142 services88 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.
131 services17 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
61 services28 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
55 services53 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Southeast

Acute Care Hospitals · Pasadena, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450097
Location4000 Spencer HwyPasadena, TX 77504 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77015 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

80.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost33.69

Reported Quality Measures

Breast Cancer Screening
93%337 patients5/55-star benchmark: 93%
Cervical Cancer Screening
59%460 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
68%1,101 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
71%929 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
39%474 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
84%3,594 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 75% · 1,182 patients
Patients screened: 76% · 1,182 patients
95%128 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 499 patients
Patients totalRate: 0% · 499 patients
0%499 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 2

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

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 suppliers13 claims13 services$60.75 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.52 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 4

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

MRS. VERONICA RENEE ZAVALA-CARRAWAY PA-C
Physician Assistant
5402 E SAM HOUSTON PKWY N
HOUSTON, TX 77015
Harris County (281) 457-6535
ROSA ARREDONDO
Nurse Practitioner (Family)
5402 E SAM HOUSTON PKWY N
HOUSTON, TX 77015
Harris County (281) 457-6435
EAST BELT FAMILY MEDICINE PA
Family Medicine
5402 E SAM HOUSTON PKWY N
HOUSTON, TX 77015
Harris County (281) 457-6535
LANDER GARCIA DE ROJAS
Nurse Practitioner (Family)
5402 E SAM HOUSTON PKWY N
HOUSTON, TX 77015
Harris County (281) 457-6535

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 Daniel Garcia's NPI number?

The NPI number for Daniel Garcia is 1245235043. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Daniel Garcia located?

Daniel Garcia practices at 5402 E Sam Houston Pkwy N, Houston, TX 77015. The listed phone number is (281) 457-6535.

What is Daniel Garcia's specialty?

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

Is Daniel Garcia enrolled in Medicare?

Yes. Daniel 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 Daniel Garcia accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Daniel 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 Daniel Garcia affiliated with any hospitals?

According to CMS data, Daniel Garcia is affiliated with Hca Houston Healthcare Southeast.

When was this NPI record last updated?

The NPPES record for Daniel Garcia was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.