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DR. ROGER GARCIA D.O.
NPI 1366655656
Family Medicine - Addiction Medicine in Columbus, OH

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment
4889 SINCLAIR RD STE 112, COLUMBUS, OH 43229(614) 537-5542(614) 505-6258 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Roger Garcia D.o. NPPES

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

DR. ROGER GARCIA D.O. (NPI 1366655656) is an individual addiction medicine provider in Columbus, Ohio, licensed in Ohio (34.003736) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Twin City Medical Center, and is a graduate of Ohio University, College Of Osteopathic Medicine (1983).

NPPES Registry Identity

NPI1366655656
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameDR. ROGER GARCIACredential: D.O.
Location Address4889 SINCLAIR RD STE 112Columbus, OH 43229-5433
Mailing Address6699 Lake Trail DrWesterville, OH 43082-7700 · (614) 402-5687 · Fax (614) 939-5053
Phone(614) 537-5542
Fax(614) 505-6258
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1983
Enumeration DateMay 7, 2007
Last NPPES UpdateSeptember 2, 2015
✔ NPI 1366655656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in OH · 34.003736
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedEmergency Medicine · Hospice and Palliative MedicineTaxonomy 207PH0002X · License 34.003736 (OH)
4889 SINCLAIR RD STE 112, Columbus, OH 43229
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Roger Garcia D.o. 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 ID5193814762
PECOS Enrollment IDI20180223002182
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

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.

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.
65 services11 patients

Hospital Affiliations CMS Care Compare

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

Twin City Medical Center

Critical Access Hospitals · Dennison, OH
OwnershipVoluntary non-profit - Church
CMS Certification Number361302
Location819 North First StreetDennison, OH 44621 · Tuscarawas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43229 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

MOONLIGHT BEHAVIORAL CENTER
Community/Behavioral Health
4889 SINCLAIR RD STE 112
COLUMBUS, OH 43229
Franklin County (614) 598-7888

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 Roger Garcia's NPI number?

The NPI number for Roger Garcia is 1366655656. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Roger Garcia located?

Roger Garcia practices at 4889 Sinclair Rd Ste 112, Columbus, OH 43229. The listed phone number is (614) 537-5542.

What is Roger Garcia's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Roger Garcia enrolled in Medicare?

Yes. Roger 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 Roger Garcia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Roger 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 Roger Garcia affiliated with any hospitals?

According to CMS data, Roger Garcia is affiliated with Twin City Medical Center.

When was this NPI record last updated?

The NPPES record for Roger Garcia was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.