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DR. EFRAIN GARCIA MD
NPI 1447239496
Internal Medicine - Infectious Disease in Miami, FL

Active since January 10, 2006PECOS EnrolledAccepts Medicare Assignment
85.32/100
CMS Quality Rating
3661 S MIAMI AVE, SUITE 702, MIAMI, FL 33133(305) 857-3330(305) 857-3338 Get Directions Write a Review

NPPES record last updated: April 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Efrain Garcia Md NPPES

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

DR. EFRAIN GARCIA MD (NPI 1447239496) is an individual infectious disease provider in Miami, Florida, licensed in Florida (ME0067732) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Mercy Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1447239496
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. EFRAIN GARCIACredential: MD
Location Address3661 S MIAMI AVE, SUITE 702Miami, FL 33133-4236
Mailing Address3661 S Miami Ave, Suite 702Miami, FL 33133-4236 · (305) 857-3330 · Fax (305) 857-3338
Phone(305) 857-3330
Fax(305) 857-3338
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJanuary 10, 2006
Last NPPES UpdateApril 9, 2012
✔ NPI 1447239496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME0067732
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
3661 S MIAMI AVE, Miami, FL 33133
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING13250
Medicaid255508FL
Medicare PIN27635VFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.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. Efrain 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 ID7012912629
PECOS Enrollment IDI20061003000285
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 4

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.

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.
93 services49 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.
41 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100167
Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

85.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost17.75

Reported Quality Measures

Colorectal Cancer Screening
66%735 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
77%259 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
11%83 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
27%83 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%3,450 patients4/55-star benchmark: 100%
e-Prescribing
98%1,827 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
55%1,203 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
14%2,385 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 93% · 1,107 patients
Patients screened: 96% · 1,107 patients
61%85 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
82%617 patients4/55-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 20

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

ROSENDO GALBAN C.S.A
Community Health Worker
3661 S MIAMI AVE, ST.708
MIAMI, FL 33133
Miami-Dade County (305) 856-1002
DR. FERNANDO JULIO ALVAREZ PEREZ M.D.
Specialist
3661 S MIAMI AVE, SUITE 106
MIAMI, FL 33133
Miami-Dade County (305) 854-9966
MS. ANA G. MARTINEZ FUENTES CRNA
Nurse Anesthetist, Certified Registered
3661 S MIAMI AVE, STE 902
MIAMI, FL 33133
Miami-Dade County (305) 854-0302
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Dermatology
3661 S MIAMI AVE, SUITE 702
MIAMI, FL 33133
Miami-Dade County (305) 652-8600
CARLOS M DE CESPEDES JR,MD.P.A.
Obstetrics & Gynecology (Gynecology)
3661 S MIAMI AVE, 505
MIAMI, FL 33133
Miami-Dade County (305) 556-7809
J ARTHUR BOLT
Nurse Anesthetist, Certified Registered
3661 S MIAMI AVE, SUITE 107
MIAMI, FL 33133
Miami-Dade County (305) 854-0302
AYMARAH M ROBLES MD PA
Internal Medicine (Pulmonary Disease)
3661 S MIAMI AVE, MERCY PROFESSIONAL BUILDING I SUITE 702
MIAMI, FL 33133
Miami-Dade County (305) 858-2282
JEFFREY LEE HORSTMYER M.D
Specialist
3661 S MIAMI AVE, SUITE 209
MIAMI, FL 33133
Miami-Dade County (305) 856-8942

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 Efrain Garcia's NPI number?

The NPI number for Efrain Garcia is 1447239496. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Efrain Garcia located?

Efrain Garcia practices at 3661 S Miami Ave Suite 702, Miami, FL 33133. The listed phone number is (305) 857-3330.

What is Efrain Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Efrain Garcia enrolled in Medicare?

Yes. Efrain 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 Efrain Garcia accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Efrain 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 Efrain Garcia affiliated with any hospitals?

According to CMS data, Efrain Garcia is affiliated with Hca Florida Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Efrain Garcia was last updated on April 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.