LUIS M GARCIA JR. DPM FACFAS
NPI 1306834585
Podiatrist in Wilmington, DE

Q: What is Luis Garcia's NPI number?

The NPI number for Luis Garcia is 1306834585. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Q: What is Luis Garcia's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Luis Garcia was last updated on January 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1941 LIMESTONE RD, SUITE 208, WILMINGTON, DE 19808(302) 994-5956(302) 994-9638 Get Directions Write a Review

NPPES record last updated: January 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Luis M Garcia Jr. Dpm Facfas NPPES

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

LUIS M GARCIA JR. DPM FACFAS (NPI 1306834585) is an individual podiatrist in Wilmington, Delaware, licensed in Delaware (E1-0000080) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1986).

NPPES Registry Identity

NPI1306834585

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameLUIS M GARCIA JR.Credential: DPM FACFAS

Location Address1941 LIMESTONE RD, SUITE 208Wilmington, DE 19808-5400

Mailing Address1941 Limestone Rd, Suite 208Wilmington, DE 19808-5400 · (302) 994-5956 · Fax (302) 994-9638

Phone(302) 994-5956

Fax(302) 994-9638

Sole ProprietorYes

Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1986

Enumeration DateOctober 11, 2005

Last NPPES UpdateJanuary 31, 2014

✔ NPI 1306834585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in DE · E1-0000080

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

1941 LIMESTONE RD, Wilmington, DE 19808

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Other Identifiers 3

Medicare UPINT26965DE

Medicaid578971DE

Medicare PIN159782DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, 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

Luis M Garcia Jr. Dpm Facfas 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 ID2769477900

PECOS Enrollment IDI20041221000052

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 17

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

990 services362 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.

422 services278 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

306 services139 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.

169 services103 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

164 services164 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

135 services46 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

127 services79 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

113 services94 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

59 services54 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

51 services24 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

36 services27 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

36 services35 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

23 services14 patients

Injection, adrenalin, epinephrine, 0.1 mg J0171

This is an injection of a medication called epinephrine, also known as adrenaline. It's often used in emergencies to treat severe allergic reactions. It works by relaxing muscles in the airways and tightening blood vessels, which can help restore normal breathing.

20 services15 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.

19 services15 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

16 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 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

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$71.19 typical visit price

range $18.36 – $141.05

Typical copayment $17.79 (range $4.59 – $35.26)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

99.8

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

100%24 patients5/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

100%2,062 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

99%542 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

95%1,122 patients4/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 96% · 459 patients

Patients screened: 96% · 459 patients

100%34 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 563 patients

Patients totalRate: 0% · 563 patients

0%563 patients5/55-star benchmark: 100%

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.

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.

MRS. CLAIRE TR SHELTON ATC

Physical Medicine & Rehabilitation (Sports Medicine)

1941 LIMESTONE RD
WILMINGTON, DE 19808

New Castle County (302) 655-9494

TIM MURPHY OT

Occupational Therapist

1941 LIMESTONE RD, STE 209
WILMINGTON, DE 19808

New Castle County (302) 894-1600

JOSEPH MARTIN BELGRADE M.D.

Surgery

1941 LIMESTONE RD, STE 213
WILMINGTON, DE 19808

New Castle County (302) 890-2100

MRS. JUDY R SEELIG

Audiologist

1941 LIMESTONE RD
WILMINGTON, DE 19808

New Castle County (302) 998-0300

DR. MICHAEL B PETERS M.D.

Internal Medicine

1941 LIMESTONE RD, SUITE 114
WILMINGTON, DE 19808

New Castle County (302) 992-0500

SETH GREGORY MAHAN P.A.-C

Orthopaedic Surgery

1941 LIMESTONE RD, SUITE 101
WILMINGTON, DE 19808

New Castle County (302) 442-6365

DR. NICHOLAS F QUERCETTI III D.O.

Orthopaedic Surgery

1941 LIMESTONE RD, STE 101
WILMINGTON, DE 19808

New Castle County (302) 633-3555

SURGICAL CARE ASSOCIATES, PA

Surgery

1941 LIMESTONE RD, SUITE 201
WILMINGTON, DE 19808

New Castle County (302) 633-0114

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 Luis Garcia's NPI number?

The NPI number for Luis Garcia is 1306834585. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Luis Garcia located?

Luis Garcia practices at 1941 Limestone Rd Suite 208, Wilmington, DE 19808. The listed phone number is (302) 994-5956.

What is Luis Garcia's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Luis Garcia enrolled in Medicare?

Yes. Luis 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 Luis Garcia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Luis 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 Luis Garcia was last updated on January 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.