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DR. JUAN C GARCIA MD
NPI 1255334991
Internal Medicine - Cardiovascular Disease in Miami, FL

Active since May 26, 2005PECOS EnrolledAccepts Medicare Assignment
9240 SW 72ND ST, SUITE 240, MIAMI, FL 33173(305) 273-6912(305) 273-6915 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Juan C Garcia Md NPPES

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

DR. JUAN C GARCIA MD (NPI 1255334991) is an individual cardiovascular disease provider in Miami, Florida, licensed in Florida (ME47288) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1979).

NPPES Registry Identity

NPI1255334991
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JUAN C GARCIACredential: MD
Location Address9240 SW 72ND ST, SUITE 240Miami, FL 33173-3261
Mailing Address9240 Sw 72nd St, Suite 240Miami, FL 33173-3261 · (305) 273-6912 · Fax (305) 273-6915
Phone(305) 273-6912
Fax(305) 273-6915
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1979
Enumeration DateMay 26, 2005
Last NPPES UpdateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1255334991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME47288
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedSpecialistTaxonomy 174400000X · License ME47288 (FL)
9240 SW 72ND ST, Miami, FL 33173
Open in Google Maps ↗

Other Identifiers 1

Medicaid062102100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and more.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

Dr. Juan C 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 ID2769406529
PECOS Enrollment IDI20060119000306
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 8

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.

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.
269 services197 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.
219 services158 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
137 services137 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
123 services111 patients
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.
49 services48 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
36 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
41%647 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
74%564 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
58%473 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
10%895 patients1/55-star benchmark: 99%
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…
19%533 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 43% · 97 patients
47%97 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
68%895 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%895 patients1/55-star benchmark: 59%
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.

Other Providers at the Same Location NPPES 11

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

NEW STAR HOME HEALTH INC
Home Health
9240 SW 72ND ST, STE 237
MIAMI, FL 33173
Miami-Dade County (786) 517-3949
DR. MARIA CRISTINA CRESPO-SMITH M.D.
Family Medicine
9240 SW 72ND ST, STE 229
MIAMI, FL 33173
Miami-Dade County (305) 270-3236
SUBSPECIALISTS OF SOUTH FLORIDA LLC
Family Medicine
9240 SW 72ND ST
MIAMI, FL 33173
Miami-Dade County (305) 271-1919
MAGALIS AGUILERA, PSY.D., P.A
Clinic/Center (Adolescent and Children Mental Health)
9240 SW 72ND ST, SUITE 106
MIAMI, FL 33173
Miami-Dade County (305) 595-8787
DR. ERICKA I FELIX DMD
Dentist
9240 SW 72ND ST, SUITE #115
MIAMI, FL 33173
Miami-Dade County (305) 595-0557
CARLOS A GARCIA-RIVERA, DOPA
Psychiatry & Neurology (Neurology)
9240 SW 72ND ST, SUITE 118
MIAMI, FL 33173
Miami-Dade County (305) 229-9899
DR. CARLOS ANDRES GARCIA-RIVERA D.O.
Psychiatry & Neurology (Neurology)
9240 SW 72ND ST, SUITE 118
MIAMI, FL 33173
Miami-Dade County (305) 229-9899
ROBERT J HERNANDEZ MD
Internal Medicine (Infectious Disease)
9240 SW 72ND ST, SUITE 241
MIAMI, FL 33173
Miami-Dade County (305) 271-1919

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 Juan Garcia's NPI number?

The NPI number for Juan Garcia is 1255334991. It was assigned to this individual provider in the NPPES registry on May 26, 2005.

Where is Juan Garcia located?

Juan Garcia practices at 9240 SW 72nd St Suite 240, Miami, FL 33173. The listed phone number is (305) 273-6912.

What is Juan Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Juan Garcia enrolled in Medicare?

Yes. Juan 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 Juan Garcia accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Juan 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 Juan Garcia affiliated with any hospitals?

According to CMS data, Juan Garcia is affiliated with Jackson Health System and South Miami Hospital.

When was this NPI record last updated?

The NPPES record for Juan Garcia was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.