GREGORY GARCIA M.D.
NPI 1326239690
Surgery in Albuquerque, NM

Active since August 02, 2007PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
1 UNIVERSITY OF NEW MEXICO, MSC 10 5610, ALBUQUERQUE, NM 87131(505) 272-4161 Get Directions Write a Review

NPPES record last updated: August 2, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gregory Garcia M.d. NPPES

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

GREGORY GARCIA M.D. (NPI 1326239690) is an individual surgery provider in Albuquerque, New Mexico, licensed in New Mexico (RS2007-0420) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of New Mexico School Of Medicine (2006).

NPPES Registry Identity

NPI1326239690
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameGREGORY GARCIACredential: M.D.
Location Address1 UNIVERSITY OF NEW MEXICO, MSC 10 5610Albuquerque, NM 87131-0001
Mailing Address1 University Of New Mexico, Msc 10 5610Albuquerque, NM 87131-0001 · (505) 272-4161
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2006
Enumeration DateAugust 2, 2007
NPI 1326239690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NM · RS2007-0420
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

Accepted 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

Gregory 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 ID8921271065
PECOS Enrollment IDI20111104000425
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit, 30-44 minutes 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.
48 services48 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
21 services18 patients
Melanoma (skin cancer) excision NAN03
Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
0 services1 patient
Upper gastrointestinal (GI) endoscopy for acid reflux NAN12
An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
0 services1 patient
Hernia repair (minimally invasive) NAN16
Hernia repair is a surgery to fix a hernia - a condition where an organ pushes through an opening in the muscle or tissue that holds it in place. Minimally invasive hernia repair involves small incisions, a tiny camera, and special surgical tools. This method often leads to quicker recovery, less pain, and reduced scarring compared to traditional surgery.
0 services1 patient
Hernia repair - groin (open) NAN19
Hernia repair in the groin area (open) is a surgical procedure to fix a bulge or protrusion, caused by internal tissues pushing through a weak spot in your abdominal wall. In this operation, a small incision is made in the groin area. The protruding tissue is then placed back into the abdomen, and the weakened area is reinforced with stitches or a mesh.
0 services36 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

Nurse Practitioner (Pediatrics)
1 UNIVERSITY OF NEW MEXICO, MSC10 5590
ALBUQUERQUE, NM 87131
Surgery (Surgical Critical Care)
1 UNIVERSITY OF NEW MEXICO, MSC 10-5610
ALBUQUERQUE, NM 87131
Registered Nurse (School)
1 UNIVERSITY OF NEW MEXICO, MSC11 6145
ALBUQUERQUE, NM 87131
Contractor
1 UNIVERSITY OF NEW MEXICO, MSC04 2680
ALBUQUERQUE, NM 87131
Pediatrics (Pediatric Emergency Medicine)
1 UNIVERSITY OF NEW MEXICO, UNM DEPARTMENT OF EMERGENCY MEDICINE, MSC10 5560
ALBUQUERQUE, NM 87131
Anesthesiology
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Internal Medicine (Geriatric Medicine)
1 UNIVERSITY OF NEW MEXICO, MSC11 6095
ALBUQUERQUE, NM 87131
Anesthesiology
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326239690, enumerated as an "individual" on August 02, 2007.

The provider is located at 1 UNIVERSITY OF NEW MEXICO MSC 10 5610 ALBUQUERQUE, NM 87131 and the phone number is (505) 272-4161.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.

Gregory Garcia is affiliated with: PRESBYTERIAN HOSPITAL.