JOHN S GARCIA M.D.
NPI 1285662502
Family Medicine in San Antonio, TX

Q: What is John Garcia's NPI number?

The NPI number for John Garcia is 1285662502. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is John Garcia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for John Garcia was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 28, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0969295 · Waiver

730 N MAIN AVE, 824, SAN ANTONIO, TX 78205(210) 222-2001(210) 222-2254 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About John S Garcia M.d. NPPES

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

JOHN S GARCIA M.D. (NPI 1285662502) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (J3105) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 18, 2027, and is a graduate of University Of California, San Diego School Of Medicine (1976).

NPPES Registry Identity

NPI1285662502

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOHN S GARCIACredential: M.D.

Location Address730 N MAIN AVE, 824San Antonio, TX 78205-1152

Mailing AddressPo Box 100104San Antonio, TX 78201-1404 · (210) 222-2001 · Fax (210) 222-2254

Phone(210) 222-2001

Fax(210) 222-2254

Sole ProprietorYes

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1976

Enumeration DateJune 28, 2006

Last NPPES UpdateMarch 21, 2023

NPPES CertifiedMarch 21, 2023

✔ NPI 1285662502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · J3105

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

730 N MAIN AVE, San Antonio, TX 78205

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Other Identifiers 2

Medicaid121165802TX

Other00N81ZTX · Bcbstx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

John S 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 ID7315960549

PECOS Enrollment IDI20060113000127

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0969295

Dr John S Garcia · San Antonio, TX

Active · expires Mar 18, 2027

CLIA Number45D0969295

Laboratory TypePhysician Office

Certificate Effective DateMarch 19, 2025

Certificate Expiration DateMarch 18, 2027

Laboratory DirectorJohn S. Garcia

Laboratory Phone(210) 222-2001

Laboratory LocationDr John S Garcia7254 Blanco #104, San Antonio, TX 78216

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

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 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.

254 services82 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

163 services79 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

86 services41 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

57 services57 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.

40 services27 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

38 services15 patients

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.

31 services30 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

26 services17 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

20 services16 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

19 services15 patients

Stool analysis for blood to screen for colon tumors 82270

A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.

18 services18 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

15 services14 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

14 services11 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.

13 services13 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78205 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier548 claims3,100 services$214.31 avg. paid by Medicare

Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554

DME-Other DME · category DE017N

1 supplier136 claims136 services$201.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. LUIS GASTON PRIETO M.D.

Obstetrics & Gynecology

730 N MAIN AVE, SUITE 219
SAN ANTONIO, TX 78205

Bexar County (210) 227-0195

DR. ERIC TODD PT, DPT

Physical Therapist

730 N MAIN AVE, SUITE 107
SAN ANTONIO, TX 78205

Bexar County (210) 297-7725

M & S TOWER PHARMACY INC

Pharmacy

730 N MAIN AVE, S 107
SAN ANTONIO, TX 78205

Bexar County (210) 225-2951

SAN ANTONIO BONE & JOINT CLINIC, P.A.

Orthopaedic Surgery

730 N MAIN AVE, SUITE 110
SAN ANTONIO, TX 78205

Bexar County (210) 226-9311

LUIS GASTON PRIETO, M.D., P.A.

Obstetrics & Gynecology

730 N MAIN AVE, SUITE 219
SAN ANTONIO, TX 78205

Bexar County (210) 227-0195

ROSANNA L LOPEZ PTA

Physical Therapy Assistant

730 N MAIN AVE
SAN ANTONIO, TX 78205

Bexar County (210) 710-7177

EMILY REBEKAH GERLOFF MS. CCC-SLP

Speech-Language Pathologist

730 N MAIN AVE, SUITE 107
SAN ANTONIO, TX 78205

Bexar County (210) 297-7725

MS. LUCILA MARGARITA VILLARREAL R.D., L.D.

Dietitian, Registered

730 N MAIN AVE
SAN ANTONIO, TX 78205

Bexar County (210) 386-8204

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 John Garcia's NPI number?

The NPI number for John Garcia is 1285662502. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is John Garcia located?

John Garcia practices at 730 N Main Ave 824, San Antonio, TX 78205. The listed phone number is (210) 222-2001.

What is John Garcia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Garcia enrolled in Medicare?

Yes. John 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.

Does John Garcia hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0969295) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does John Garcia accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list John 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 John Garcia was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.