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DR. STEPHEN EUGENE GARCIA M.D.
NPI 1285721647
Internal Medicine - Nephrology in Springfield, MO

Active since October 06, 2006PECOS Enrolled
1911 S NATIONAL AVE, SUITE 301, SPRINGFIELD, MO 65804(417) 886-5000(417) 886-1100 Get Directions Write a Review

NPPES record last updated: December 1, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephen Eugene Garcia M.d. NPPES

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

DR. STEPHEN EUGENE GARCIA M.D. (NPI 1285721647) is an individual nephrology provider in Springfield, Missouri, licensed in Missouri (105669) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285721647
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. STEPHEN EUGENE GARCIACredential: M.D.
Location Address1911 S NATIONAL AVE, SUITE 301Springfield, MO 65804-2219
Mailing Address1911 S National Ave, Suite 301Springfield, MO 65804-2219 · (417) 886-5000 · Fax (417) 886-1100
Phone(417) 886-5000
Fax(417) 886-1100
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateDecember 1, 2009
✔ NPI 1285721647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MO · 105669
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1911 S NATIONAL AVE, Springfield, MO 65804
Open in Google Maps ↗

Other Identifiers 7

Other001012599MO · Medicare Ptan
Other21256MO · Blue Cross Blue Shield
Medicare UPINC36672
Medicaid127435001AR
Other390003931Railroad Medicare
Other253780Healthlink
Medicaid207662115MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen Eugene Garcia M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
18%60 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
69%48 patients3/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
84%1,600 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%262 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
2%222 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
93%222 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
43%489 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
91%758 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 93% · 231 patients
Patients tobacco: 77% · 231 patients
5%38 patients1/55-star benchmark: 98%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
93%222 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
0%222 patients1/55-star benchmark: 75%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 489 patients
0%489 patients5/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
4%222 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims660 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers14 claims930 services$1.71 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers12 claims24 services$58.29 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
2 suppliers11 claims66 services$35.48 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims900 services$0.88 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
7 suppliers22 claims22 services$16.35 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 13

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

ELIN WATSON LPC
Counselor (Professional)
1911 S NATIONAL AVE, SUITE 407
SPRINGFIELD, MO 65804
Greene County (417) 379-6335
DR. DAVID LEE SOMMERFELD M.D.
Internal Medicine (Nephrology)
1911 S NATIONAL AVE, SUITE 301
SPRINGFIELD, MO 65804
Greene County (417) 886-5000
OZARKS PHYSICAL THERAPY ASSOCIATES INC.
Clinic/Center (Rehabilitation)
1911 S NATIONAL AVE, SUITE 302
SPRINGFIELD, MO 65804
Greene County (417) 881-4164
CHARLES W. WATSON PSYD
Psychologist (Clinical)
1911 S NATIONAL AVE, SUITE 407
SPRINGFIELD, MO 65804
Greene County (417) 234-9987
DR. JULIE ANN WARREN M.D.
Psychiatry & Neurology (Psychiatry)
1911 S NATIONAL AVE, STE 405
SPRINGFIELD, MO 65804
Greene County (417) 881-6533
AMANDA MCCREARY
Nurse Practitioner
1911 S NATIONAL AVE, STE 301
SPRINGFIELD, MO 65804
Greene County (417) 886-5000
DR. WADE THOMAS JORDAN M..D.
Internal Medicine (Nephrology)
1911 S NATIONAL AVE, SUITE 301
SPRINGFIELD, MO 65804
Greene County (417) 886-5000
MRS. MICHELLE L. HOMESLEY FNP
Nurse Practitioner (Family)
1911 S NATIONAL AVE, SUITE 301
SPRINGFIELD, MO 65804
Greene County (417) 886-5000

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 Stephen Garcia's NPI number?

The NPI number for Stephen Garcia is 1285721647. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Stephen Garcia located?

Stephen Garcia practices at 1911 S National Ave Suite 301, Springfield, MO 65804. The listed phone number is (417) 886-5000.

What is Stephen Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Stephen Garcia enrolled in Medicare?

Yes. Stephen Garcia is registered in the Medicare PECOS enrollment system.

What insurance does Stephen Garcia accept?

Health plans from Medica list Stephen 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 Stephen Garcia was last updated on December 1, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.