RICHARD GARCIA MD
NPI 1437110566
Emergency Medicine in Modesto, CA

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
4601 DALE RD, MODESTO, CA 95356(209) 735-5000(818) 587-2493 Get Directions Write a Review

NPPES record last updated: February 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 19, 2022, Dec 17, 2021 (2 updates tracked since 2021).

About Richard Garcia Md NPPES

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

RICHARD GARCIA MD (NPI 1437110566) is an individual emergency medicine provider in Modesto, California, licensed in California (G68526) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1983).

NPPES Registry Identity

NPI1437110566
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRICHARD GARCIACredential: MD
Location Address4601 DALE RDModesto, CA 95356-9718
Mailing AddressPo Box 4419Woodland Hills, CA 91365-4419 · (818) 340-9988 · Fax (818) 587-2493
Fax(818) 587-2493
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1983
Enumeration DateMarch 29, 2006
Last NPPES UpdateFebruary 19, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2022
✔ NPI 1437110566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · G68526
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedSpecialistTaxonomy 174400000X
4601 DALE RD, Modesto, CA 95356

Other Identifiers 1

Medicaid00G685260CA

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

Richard 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 ID9830087410
PECOS Enrollment IDI20040305000708
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

2

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

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Emergency Medicine
345 HALYCON ROAD
Arroyo Grande, CA 93420
  • Reassigned Medicare billing, California enrollment
  • 1,204 clinicians in this Medicare group

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

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 20

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

Emergency Medicine
4601 DALE RD
MODESTO, CA 95356
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Internal Medicine
4601 DALE RD
MODESTO, CA 95356
Surgery
4601 DALE RD, SUITE 4A5
MODESTO, CA 95356
Internal Medicine (Gastroenterology)
4601 DALE RD
MODESTO, CA 95356
Respiratory Therapist, Registered
4601 DALE RD
MODESTO, CA 95356
Midwife
4601 DALE RD
MODESTO, CA 95356

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 Richard Garcia's NPI number?

The NPI number for Richard Garcia is 1437110566. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Richard Garcia located?

Richard Garcia practices at 4601 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 735-5000.

What is Richard Garcia's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Richard Garcia enrolled in Medicare?

Yes. Richard 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 Richard Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Garcia reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Stockton, CA) and Cep America - California (Arroyo Grande, CA). 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 Richard Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Garcia was last updated on February 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.