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CLAUDIA P GARCIA MD
NPI 1316137409
Internal Medicine in Brighton, MA

Active since July 26, 2007PECOS EnrolledAccepts Medicare Assignment
736 CAMBRIDGE STREET, BRIGHTON, MA 02135(617) 789-3000 Get Directions Write a Review

NPPES record last updated: December 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Claudia P Garcia Md NPPES

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

CLAUDIA P GARCIA MD (NPI 1316137409) is an individual internal medicine provider in Brighton, Massachusetts, licensed in Massachusetts (233543) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1316137409
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCLAUDIA P GARCIACredential: MD
Location Address736 CAMBRIDGE STREETBrighton, MA 02135-3601
Mailing Address77 Warren St, Room 339Brighton, MA 02135-3601 · (617) 789-2336 · Fax (617) 562-5415
Phone(617) 789-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 26, 2007
Last NPPES UpdateDecember 22, 2009
✔ NPI 1316137409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 233543
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
736 CAMBRIDGE STREET, Brighton, MA 02135
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Claudia P Garcia Md 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 ID9032285697
PECOS Enrollment IDI20080904000559
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.

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.
135 services135 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.
121 services79 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.
104 services79 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services33 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
34 services32 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Metrowest Medical Center

Acute Care Hospitals · Framingham, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220175
Location115 Lincoln StreetFramingham, MA 01701 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02135 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers11 claims27 services$6.60 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 20

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

DR. LUCA M BIGATELLO MD
Anesthesiology
736 CAMBRIDGE STREET
BOSTON, MA 02135
Suffolk County (617) 789-2782
MR. MINH QUANG THUAN TRAN M.D.
Internal Medicine
736 CAMBRIDGE STREET
BOSTON, MA 02135
Suffolk County (617) 789-3000
MS. SHARON M. KADEN PA
Physician Assistant
736 CAMBRIDGE STREET
BRIGHTON, MA 02135
Suffolk County (617) 632-6464
OGHOSA CLINTON IBUDE M.D.
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE STREET
BOSTON, MA 02135
Suffolk County (617) 779-6342
DR. ANDREW L STERNLICHT
Anesthesiology
736 CAMBRIDGE STREET
BRIGHTON, MA 02135
Suffolk County (617) 789-2782
MAKSIM ISACHANKA M.D.
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE STREET, MOB SUITE 308
BOSTON, MA 02135
Suffolk County (617) 779-6342
NANCY ADAMS WIMS
Physical Therapist
736 CAMBRIDGE STREET
BRIGHTON, MA 02135
Suffolk County (617) 789-3000
DR. DANIEL ISAIAH GREENE M.D.
Psychiatry & Neurology (Psychiatry)
736 CAMBRIDGE STREET, CARITAS ST. ELIZABETH'S MEDICAL CENTER
BOSTON, MA 02135
Suffolk County (617) 789-3070

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 Claudia Garcia's NPI number?

The NPI number for Claudia Garcia is 1316137409. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Claudia Garcia located?

Claudia Garcia practices at 736 Cambridge Street, Brighton, MA 02135. The listed phone number is (617) 789-3000.

What is Claudia Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Claudia Garcia enrolled in Medicare?

Yes. Claudia 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 Claudia Garcia accept?

Health plans from Anthem Blue Cross and Blue Shield list Claudia 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 Claudia Garcia affiliated with any hospitals?

According to CMS data, Claudia Garcia is affiliated with Massachusetts General Hospital, Newton-Wellesley Hospital, Brigham And Women's Hospital, Faulkner Hospital-Brigham And Women's and Metrowest Medical Center.

When was this NPI record last updated?

The NPPES record for Claudia Garcia was last updated on December 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.