KATHLEEN MICHELE GARCIA
NPI 1275592172
Physician Assistant in Rockville Centre, NY

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1000 N VILLAGE AVE, DEPARTMENT OF SURGERY, ROCKVILLE CENTRE, NY 11570(516) 663-8700 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Michele Garcia NPPES

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

KATHLEEN MICHELE GARCIA (NPI 1275592172) is an individual physician assistant in Rockville Centre, New York, licensed in New York (81901) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2001).

NPPES Registry Identity

NPI1275592172
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN MICHELE GARCIA
Location Address1000 N VILLAGE AVE, DEPARTMENT OF SURGERYRockville Centre, NY 11570-1000
Mailing Address1000 N Village Ave, Department Of SurgeryRockville Centre, NY 11570-1000
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2001
Enumeration DateMarch 20, 2006
Last NPPES UpdateJune 28, 2023
NPI 1275592172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 81901
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1000 N VILLAGE AVE, Rockville Centre, NY 11570

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

Kathleen Michele Garcia 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 ID5991790727
PECOS Enrollment IDI20040420000047
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11570 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Physician Assistant
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Physical Therapist
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Internal Medicine
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Social Worker (Clinical)
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Physician Assistant (Surgical)
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Respiratory Therapist, Registered
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Social Worker (Clinical)
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Nurse Practitioner (Family)
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570

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 Kathleen Garcia's NPI number?

The NPI number for Kathleen Garcia is 1275592172. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Kathleen Garcia located?

Kathleen Garcia practices at 1000 N Village Ave Department Of Surgery, Rockville Centre, NY 11570. The listed phone number is (516) 663-8700.

What is Kathleen Garcia's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kathleen Garcia enrolled in Medicare?

Yes. Kathleen 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.

Is Kathleen Garcia affiliated with any hospitals?

According to CMS data, Kathleen Garcia is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Kathleen Garcia was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.