DR. ESTEVAN ADAN GARCIA MD
NPI 1255415709
Pediatrics - Pediatric Emergency Medicine in Worcester, MA
About Dr. Estevan Adan Garcia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ESTEVAN ADAN GARCIA MD (NPI 1255415709) is an individual pediatric emergency medicine provider in Worcester, Massachusetts, licensed in Massachusetts (270364) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 1
Accepted 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. Estevan Adan 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.
Medicare Billing Reassignments
8Medicare enrollment records show Estevan Garcia reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, MA 01199
- Reassigned Medicare billing, Massachusetts enrollment
- 1,537 clinicians in this Medicare group
Northampton, MA 01060
- Reassigned Medicare billing, Massachusetts enrollment
- 539 clinicians in this Medicare group
Hampstead, NH 03841
- Reassigned Medicare billing, New Hampshire enrollment
- 2,620 clinicians in this Medicare group
Keene, NH 03431
- Reassigned Medicare billing, New Hampshire enrollment
- 2,999 clinicians in this Medicare group
West Dover, VT 05356
- Reassigned Medicare billing, Vermont enrollment
- Also billed through NPI 1184994162 (Vermont)
- 143 clinicians in this Medicare group
Brooklyn, NY 11212
- Reassigned Medicare billing, New York enrollment
- 782 clinicians in this Medicare group
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 189 clinicians in this Medicare group
Elmira, NY 14901
- Reassigned Medicare billing, New York enrollment
- 72 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Estevan Garcia's NPI number?
The NPI number for Estevan Garcia is 1255415709. It was assigned to this individual provider in the NPPES registry on October 24, 2006.
Where is Estevan Garcia located?
Estevan Garcia practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 421-1600.
What is Estevan Garcia's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Estevan Garcia enrolled in Medicare?
Yes. Estevan 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 Estevan Garcia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Estevan Garcia reassigns Medicare benefits to 8 organizations: Baystate Medical Practices, Inc (Springfield, MA), Mass General Brigham Medical Group Western Massachusetts Inc (Northampton, MA), Mary Hitchcock Memorial Hospital (Hampstead, NH), Dartmouth-Hitchcock Clinic (Keene, NH), Southwestern Vermont Medical Center, Inc (West Dover, VT) and 3 more organizations, listed in the Medicare section above. 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 Estevan Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Estevan Garcia accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Estevan 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 Estevan Garcia was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Estevan Adan Garcia, MD · NPI 1255415709
Pediatric Emergency Medicine physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1255415709 (Entity type: Individual)
- **Enumerated:** October 24, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 270364 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 421-1600 · **Fax:** (774) 442-2510
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Baystate Medical Practices, Inc (NPI 1548205909, Springfield, MA); Mass General Brigham Medical Group Western Massachusetts Inc (NPI 1295787919, Northampton, MA); Mary Hitchcock Memorial Hospital (NPI 1699584219, Hampstead, NH); Dartmouth-Hitchcock Clinic (NPI 1174176861, Keene, NH); Southwestern Vermont Medical Center, Inc (NPI 1134401599, West Dover, VT); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** August 7, 2024
- **Other identifiers:** Medicaid 110130064A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1255415709) · Data from the CMS NPPES public registry.