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LUIS JOSE GARCIA M.D.
NPI 1386858751
Surgery in Iowa City, IA

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
200 HAWKINS DR, DEPT OF SURGERY, IOWA CITY, IA 52242(319) 467-5108(319) 356-3392 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Luis Jose Garcia M.d. NPPES

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

LUIS JOSE GARCIA M.D. (NPI 1386858751) is an individual surgery provider in Iowa City, Iowa, licensed in Iowa (41203) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (2004).

NPPES Registry Identity

NPI1386858751
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameLUIS JOSE GARCIACredential: M.D.
Location Address200 HAWKINS DR, DEPT OF SURGERYIowa City, IA 52242-1009
Mailing Address200 Hawkins Dr, Dept Of SurgeryIowa City, IA 52242-1009 · (319) 467-5108 · Fax (319) 356-3392
Phone(319) 467-5108
Fax(319) 356-3392
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2004
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 20, 2013
✔ NPI 1386858751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IA · 41203✔ Licensed in MD · D74581✔ Licensed in PA · MT184333
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 · Surgical Critical CareTaxonomy 2086S0102X · License 41203 (IA)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 41203 (IA)
200 HAWKINS DR, Iowa City, IA 52242
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Other Identifiers 2

Medicaid055909100MD
Medicare PIN242988YVEMD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Luis Jose 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 ID4183880016
PECOS Enrollment IDI20130911000675
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 5

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.
128 services79 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.
45 services45 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.
27 services16 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
14 services14 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number160058
Location200 Hawkins DriveIowa City, IA 52242 · Johnson County
Emergency services Birthing friendly

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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.

SANGIL LEE M.D.
Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2233
RAMI G. EL ABIAD M.D.
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-4901
GRERK SUTAMTEWAGUL MD
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Johnson County (319) 356-1616
DR. KALEB TANNER VEIT D.O.
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2320
OMAR JABER M.D
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 471-8958
JENNIFER MANCUSO MS, CGC
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Johnson County (319) 384-7983
ASHLEY KAISER M.D.
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Johnson County (319) 356-2294
MRS. NANCY JANE MILLICE
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242
Johnson County (319) 356-3825

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 1386858751. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Luis Garcia located?

Luis Garcia practices at 200 Hawkins Dr Dept Of Surgery, Iowa City, IA 52242. The listed phone number is (319) 467-5108.

What is Luis Garcia's specialty?

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

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.

What insurance does Luis Garcia accept?

Health plans from Medica and Sanford Health Plan list Luis 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 Luis Garcia affiliated with any hospitals?

According to CMS data, Luis Garcia is affiliated with Southeast Iowa Regional Medical Center, University Of Iowa Hospital & Clinics and Allen Hospital.

When was this NPI record last updated?

The NPPES record for Luis Garcia was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.