DR. RAMIRO XAVIER GARCIA M.D.
NPI 1255478772
Hospitalist in Hayward, CA

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
70.3/100
CMS Quality Rating
27200 CALAROGA AVE, HAYWARD, CA 94545(510) 780-4345 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ramiro Xavier Garcia M.d. NPPES

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

DR. RAMIRO XAVIER GARCIA M.D. (NPI 1255478772) is an individual hospitalist provider in Hayward, California, licensed in Arizona (35349) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1255478772
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. RAMIRO XAVIER GARCIACredential: M.D.
Location Address27200 CALAROGA AVEHayward, CA 94545-4339
Mailing Address2333 Mowry Ave, Suite 300Fremont, CA 94538 · (510) 796-0222 · Fax (510) 796-7760
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 31, 2007
Last NPPES UpdateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
NPI 1255478772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in AZ · 35349
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License A68474 (CA), 35349 (AZ)
27200 CALAROGA AVE, Hayward, CA 94545

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

Dr. Ramiro Xavier 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 ID7214911254
PECOS Enrollment IDI20191218002278
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
172 services110 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
86 services86 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
68 services52 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
66 services65 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.
34 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94545 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

70.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality40.27
Improvement Activities40
Cost71.99

Referred Medical Equipment & Supplies CMS DME claims 3

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers22 claims22 services$41.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers12 claims12 services$14.88 avg. paid by Medicare
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 suppliers15 claims15 services$63.98 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 20

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

Internal Medicine
27200 CALAROGA AVE
HAYWARD, CA 94545
Occupational Therapist
27200 CALAROGA AVE
HAYWARD, CA 94545
Physician Assistant
27200 CALAROGA AVE
HAYWARD, CA 94545
Internal Medicine
27200 CALAROGA AVE
HAYWARD, CA 94545
Occupational Therapist (Physical Rehabilitation)
27200 CALAROGA AVE
HAYWARD, CA 94545
Skilled Nursing Facility
27200 CALAROGA AVE
HAYWARD, CA 94545
Physician Assistant
27200 CALAROGA AVE
HAYWARD, CA 94545
Emergency Medicine
27200 CALAROGA AVE
HAYWARD, CA 94545

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 Ramiro Garcia's NPI number?

The NPI number for Ramiro Garcia is 1255478772. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Ramiro Garcia located?

Ramiro Garcia practices at 27200 Calaroga Ave, Hayward, CA 94545. The listed phone number is (510) 780-4345.

What is Ramiro Garcia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ramiro Garcia enrolled in Medicare?

Yes. Ramiro 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 Ramiro Garcia accept?

Health plans from Oscar Health Plan, Inc. list Ramiro 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 Ramiro Garcia was last updated on November 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.