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DR. LUIS A GARCIA M.D.
NPI 1356325047
Pediatrics in Worcester, MA

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment
291 LINCOLN ST, SUITE 101, WORCESTER, MA 01605(508) 752-7888(508) 753-6536 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Luis A Garcia M.d. NPPES

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

DR. LUIS A GARCIA M.D. (NPI 1356325047) is an individual pediatrics provider in Worcester, Massachusetts, licensed in Massachusetts (80297) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1976).

NPPES Registry Identity

NPI1356325047
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. LUIS A GARCIACredential: M.D.
Location Address291 LINCOLN ST, SUITE 101Worcester, MA 01605-3643
Mailing AddressPo Box 415348Boston, MA 02241-0001 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 752-7888
Fax(508) 753-6536
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1976
Enumeration DateDecember 6, 2005
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1356325047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 80297
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
291 LINCOLN ST, Worcester, MA 01605
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Other Identifiers 1

Medicaid3134717MA

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

Dr. Luis A 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 ID1052354560
PECOS Enrollment IDI20050606001056
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 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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. MARY R HAWTHORNE M.D.
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 791-8524
DR. JAMES E FANALE M.D.
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-6251
SEVIL HEMAYAT M.D
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 791-8524
MARIAN SABA MD
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 791-8524
MS. TRACY M. CORMIER NP
Nurse Practitioner
291 LINCOLN ST, EMPLOYEE HEALTH
WORCESTER, MA 01605
Worcester County (508) 793-6400
DR. HAWA OZIEN ABU MD
Internal Medicine (Geriatric Medicine)
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-6251
DOUGLAS MISAEL PALACIOS HERNANDEZ
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 799-2922
HAHNEMANN UROLOGY ASSOCIATES, INC.
Urology
291 LINCOLN ST, SUITE 201
WORCESTER, MA 01605
Worcester County (508) 755-8663

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 1356325047. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Luis Garcia located?

Luis Garcia practices at 291 Lincoln St Suite 101, Worcester, MA 01605. The listed phone number is (508) 752-7888.

What is Luis Garcia's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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.

When was this NPI record last updated?

The NPPES record for Luis Garcia was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.