1. Home
  2. Directory
  3. Oklahoma
  4. City
  5. Physician Assistant
  6. NPI Profile

EDUARDO GARCIA PA-C
NPI 1255885471
Physician Assistant - Surgical in Oklahoma City, OK

Active since August 04, 2016PECOS EnrolledAccepts Medicare Assignment
85.7/100
CMS Quality Rating
535 NW 9TH ST STE 305, OKLAHOMA CITY, OK 73102(405) 231-2900(405) 272-4905 Get Directions Write a Review

NPPES record last updated: January 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 1, 2021, Feb 22, 2019 (2 updates tracked since 2019).

About Eduardo Garcia Pa-c NPPES

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

EDUARDO GARCIA PA-C (NPI 1255885471) is an individual surgical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (2619) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1255885471
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameEDUARDO GARCIACredential: PA-C
Location Address535 NW 9TH ST STE 305Oklahoma City, OK 73102
Mailing Address535 Nw 9th St Ste 305Oklahoma City, OK 73102-1073 · (405) 231-2900 · Fax (405) 272-4905
Phone(405) 231-2900
Fax(405) 272-4905
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 4, 2016
Last NPPES UpdateJanuary 1, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2021
✔ NPI 1255885471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OK · 2619
Also ListedPhysician AssistantTaxonomy 363A00000X · License 2619 (OK)
535 NW 9TH ST STE 305, Oklahoma City, OK 73102
Open in Google Maps ↗

Secondary Practice Location 1

Location 18100 S Walker Ave, Building AOklahoma City, OK 73139-9404 · Phone (405) 632-4468 · Fax (405) 631-4964

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Eduardo Garcia Pa-c 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 ID2264720408
PECOS Enrollment IDI20161004001500
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 9

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 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.
440 services226 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.
406 services240 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
270 services25 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.
172 services37 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
35 services33 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.
26 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Midwest

Acute Care Hospitals · Midwest City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370094
Location2825 Parklawn DriveMidwest City, OK 73110 · Oklahoma County
Emergency services

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.

85.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.33
Promoting Interoperability100
Improvement Activities40
Cost62.01

Other Providers at the Same Location NPPES

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

KIBWEI A MCKINNEY MD
Otolaryngology
535 NW 9TH ST STE 305
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 272-8435

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 Eduardo Garcia's NPI number?

The NPI number for Eduardo Garcia is 1255885471. It was assigned to this individual provider in the NPPES registry on August 4, 2016.

Where is Eduardo Garcia located?

Eduardo Garcia practices at 535 NW 9th St Ste 305, Oklahoma City, OK 73102. The listed phone number is (405) 231-2900.

What is Eduardo Garcia's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Eduardo Garcia enrolled in Medicare?

Yes. Eduardo 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 Eduardo Garcia accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Eduardo 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 Eduardo Garcia affiliated with any hospitals?

According to CMS data, Eduardo Garcia is affiliated with Ssm Health St Anthony Hospital - Oklahoma City and Ssm Health St Anthony Hospital - Midwest.

When was this NPI record last updated?

The NPPES record for Eduardo Garcia was last updated on January 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.