JOSEPH RAMON GARCIA MD
NPI 1376686329
Internal Medicine - Cardiovascular Disease in Sheridan, WY

Q: What is Joseph Garcia's NPI number?

The NPI number for Joseph Garcia is 1376686329. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Q: What is Joseph Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Garcia was last updated on October 17, 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.

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment

80.86/100

CMS Quality Rating

1333 W 5TH ST, STE 103, SHERIDAN, WY 82801(307) 675-4610(307) 756-4615 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2021, Oct 29, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Joseph Ramon Garcia Md NPPES

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

JOSEPH RAMON GARCIA MD (NPI 1376686329) is an individual cardiovascular disease provider in Sheridan, Wyoming, licensed in Wyoming (8873A) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376686329

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJOSEPH RAMON GARCIACredential: MD

Location Address1333 W 5TH ST, STE 103Sheridan, WY 82801-2752

Mailing Address1333 W 5th St, Ste 110Sheridan, WY 82801-2752 · (307) 675-4610 · Fax (307) 675-4615

Phone(307) 675-4610

Fax(307) 756-4615

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateFebruary 15, 2007

Last NPPES UpdateOctober 17, 20254 updates tracked since enumeration

NPPES CertifiedOctober 17, 2025

✔ NPI 1376686329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in WY · 8873A✔ Licensed in TX · G5076

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1333 W 5TH ST, STE 103, Sheridan, WY 82801

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Secondary Practice Locations 2

Location 11401 W 5th StSheridan, WY 82801-2705 · Phone (307) 674-6022 · Fax (307) 674-5405

Location 27500 Barlite Boulevard, Suite 213San Antonio, TX 78224 · Phone (210) 932-3483 · Fax (210) 932-3514

Other Identifiers 1

Medicaid117478900WY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Ramon 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 ID4789646761

PECOS Enrollment IDI20120920000788

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.

Medicare Billing Reassignments

Medicare enrollment records show Joseph Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Big Horn Health Network

Same address

Internal Medicine

1333 W 5TH ST
Sheridan, WY 82801

Reassigned Medicare billing, Wyoming enrollment
121 clinicians in this Medicare group

NPI 1861722688 (307) 675-2650

Memorial Hospital Of Sheridan County

0.1 mi

General Acute Care Hospital

1401 W 5TH ST
Sheridan, WY 82801

Reassigned Medicare billing, Wyoming enrollment
133 clinicians in this Medicare group

NPI 1487707188 (307) 672-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

449 services425 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

349 services285 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

137 services128 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

132 services129 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

124 services121 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

111 services111 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.

84 services67 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

67 services66 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

50 services50 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.

44 services44 patients

Injection, perflutren lipid microspheres, per ml Q9957

Perflutren lipid microspheres injection, per ml, is a diagnostic tool used to enhance ultrasound images. It contains tiny gas-filled bubbles that improve the clarity of the images, aiding in a more accurate diagnosis.

43 services22 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

25 services25 patients

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional 93272

An Electrocardiogram (ECG) is a test that records the electrical activity of your heart. For up to 30 days, a device will continuously monitor your heart's rhythm, noting any symptoms. The data is sent to a healthcare professional who reviews it and provides a report on your heart health.

20 services20 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.

18 services17 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

16 services13 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Billings Clinic

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270004

Location2800 10th Ave NBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Sheridan Memorial Hospital

Acute Care Hospitals · Sheridan, WY

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number530006

Location1401 W 5th StSheridan, WY 82801 · Sheridan County

Emergency services

Johnson County Healthcare Center

Critical Access Hospitals · Buffalo, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531308

Location497 West LottBuffalo, WY 82834 · Johnson County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82801 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

$129.37 typical visit price

range $56.42 – $170.72

Typical copayment $32.34 (range $14.10 – $42.68)

Most-billed visit code 99204

Established Patient

$70.32 typical visit price

range $18.19 – $139.32

Typical copayment $17.58 (range $4.54 – $34.83)

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.

80.86/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.83

Promoting Interoperability

Improvement Activities

Cost

68.06

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 Joseph Garcia's NPI number?

The NPI number for Joseph Garcia is 1376686329. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Joseph Garcia located?

Joseph Garcia practices at 1333 W 5th St, Ste 103, Sheridan, WY 82801. The listed phone number is (307) 675-4610.

What is Joseph Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Joseph Garcia enrolled in Medicare?

Yes. Joseph 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.

Which organizations bill Medicare for Joseph Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Garcia reassigns Medicare benefits to 2 organizations: Big Horn Health Network (Sheridan, WY) and Memorial Hospital Of Sheridan County (Sheridan, WY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Garcia accept?

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

According to CMS data, Joseph Garcia is affiliated with Billings Clinic, Sheridan Memorial Hospital and Johnson County Healthcare Center.

When was this NPI record last updated?

The NPPES record for Joseph Garcia was last updated on October 17, 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.