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DR. MICHAEL ANTHONY GARCIA MD
NPI 1376809533
Radiology - Radiation Oncology in Sun City, AZ

Active since April 02, 2012PECOS EnrolledAccepts Medicare Assignment
10424 W SANTA FE DR, SUN CITY, AZ 85351(623) 832-3400(623) 832-3419 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 3, 2020, Feb 5, 2019, Dec 3, 2018 and 2 more (5 updates tracked since 2018).

About Dr. Michael Anthony Garcia Md NPPES

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

DR. MICHAEL ANTHONY GARCIA MD (NPI 1376809533) is an individual radiation oncology provider in Sun City, Arizona, licensed in Arizona (55617) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Harvard Medical School (2012).

NPPES Registry Identity

NPI1376809533
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. MICHAEL ANTHONY GARCIACredential: MD
Location Address10424 W SANTA FE DRSun City, AZ 85351
Mailing Address10424 W Santa Fe DrSun City, AZ 85351 · (623) 832-3400 · Fax (623) 832-3419
Phone(623) 832-3400
Fax(623) 832-3419
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2012
Enumeration DateApril 2, 2012
Last NPPES UpdateOctober 17, 20245 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
✔ NPI 1376809533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in AZ · 55617
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
10424 W SANTA FE DR, Sun City, AZ 85351
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1350 W Thomas RdPhoenix, AZ 85013-4409 · Phone (602) 406-6761 · Fax (602) 406-5515
Location 23686 S Rome StGilbert, AZ 85297-7341 · Phone (480) 890-7705

Other Identifiers 1

Medicaid380433AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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

Dr. Michael Anthony 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 ID5698066256
PECOS Enrollment IDI20180618002625
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

3

Medicare enrollment records show Michael Garcia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Cancer Center Specialists LLC
15 mi
Oncology
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 470 clinicians in this Medicare group
NPI 1518253152 (602) 747-4000
Vincere Physicians Group PLLC
21 mi
Specialist
7469 E MONTE CRISTO AVE
Scottsdale, AZ 85260
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group
NPI 1124545934 (602) 331-7811
Ironwood Physicians, PC
31 mi
Hematology & Oncology
695 S DOBSON RD
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 148 clinicians in this Medicare group
NPI 1740269299 (480) 821-2838

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85351 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
73%66 patients4/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%142 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
60%112 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%292 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
75%182 patients4/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%167 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
96%76 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
28%200 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
63%142 patients3/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
61%100 patients3/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 96% · 72 patients
100%72 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
8%200 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

SAMEERA RAY FNP-C
Nurse Practitioner (Family)
10424 W SANTA FE DR
SUN CITY, AZ 85351
Maricopa County (623) 832-3400

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 Michael Garcia's NPI number?

The NPI number for Michael Garcia is 1376809533. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Michael Garcia located?

Michael Garcia practices at 10424 W Santa Fe Dr, Sun City, AZ 85351. The listed phone number is (623) 832-3400.

What is Michael Garcia's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Michael Garcia enrolled in Medicare?

Yes. Michael 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 Michael Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Garcia reassigns Medicare benefits to 3 organizations: Banner Cancer Center Specialists LLC (Phoenix, AZ), Vincere Physicians Group PLLC (Scottsdale, AZ) and Ironwood Physicians, PC (Chandler, AZ). 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 Michael Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Garcia accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Garcia was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.