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DR. NICOLE MARIE GARCIA MD
NPI 1366766941
Surgery in Greenville, NC

Active since March 25, 2010PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
503 BOWMAN GRAY DR, GREENVILLE, NC 27834(252) 816-0600(252) 816-0721 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2025, Dec 16, 2020, Nov 9, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Nicole Marie Garcia Md NPPES

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

DR. NICOLE MARIE GARCIA MD (NPI 1366766941) is an individual surgery provider in Greenville, North Carolina, licensed in North Carolina (2016-01245) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2010).

NPPES Registry Identity

NPI1366766941
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. NICOLE MARIE GARCIACredential: MD
Location Address503 BOWMAN GRAY DRGreenville, NC 27834-7286
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Phone(252) 816-0600
Fax(252) 816-0721
Sole ProprietorYes
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2010
Enumeration DateMarch 25, 2010
Last NPPES UpdateAugust 13, 20254 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1366766941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2016-01245
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.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 2016-01245 (NC)
503 BOWMAN GRAY DR, Greenville, NC 27834
Open in Google Maps ↗

Other Identifiers 2

Other19KJ8NC · Bcbs Of Nc
Medicaid1366766941NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Nicole Marie 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 ID6204079452
PECOS Enrollment IDI20160810000000
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services36 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services32 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
20 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services12 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

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.

KELLI STARR OLDHAM
Dietitian, Registered
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
ASHLEY NICOLE PALDINO NP
Nurse Practitioner (Acute Care)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
MR. SHAWN ALAN MCCARTHY PA-C, ATC
Physician Assistant (Surgical)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-4001
SHANNON WRIGHT LONGSHORE M.D.
Surgery (Pediatric Surgery)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
MRS. TRACY COLLINS PATERSON FNP
Nurse Practitioner (Family)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
DR. FRANCES CHINENYE OKOLO M.D.
Surgery
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
COLLEEN SOLES BUCHER RDN LDN
Dietitian, Registered
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
EVAN JONES REY DO
Surgery
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600

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 Nicole Garcia's NPI number?

The NPI number for Nicole Garcia is 1366766941. It was assigned to this individual provider in the NPPES registry on March 25, 2010.

Where is Nicole Garcia located?

Nicole Garcia practices at 503 Bowman Gray Dr, Greenville, NC 27834. The listed phone number is (252) 816-0600.

What is Nicole Garcia's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicole Garcia enrolled in Medicare?

Yes. Nicole 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 Nicole Garcia accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Nicole 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 Nicole Garcia affiliated with any hospitals?

According to CMS data, Nicole Garcia is affiliated with Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Garcia was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.