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ANDREW MICHAEL GARCIA MD
NPI 1457939514
Emergency Medicine in St. Louis, MO

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment
1201 SOUTH GRAND BLVD., ST. LOUIS, MO 63104(314) 257-1320(314) 977-1628 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2024, Mar 31, 2021 (2 updates tracked since 2021).

About Andrew Michael Garcia Md NPPES

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

ANDREW MICHAEL GARCIA MD (NPI 1457939514) is an individual emergency medicine provider in St. Louis, Missouri, licensed in Missouri (2024025583) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Saint Louis University School Of Medicine (2021).

NPPES Registry Identity

NPI1457939514
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANDREW MICHAEL GARCIACredential: MD
Location Address1201 SOUTH GRAND BLVD.St. Louis, MO 63104
Mailing Address3691 Rutger Street, Emergency Medicine Administration - 1st FloorSt. Louis, MO 63110 · (314) 977-1919 · Fax (314) 977-1628
Phone(314) 257-1320
Fax(314) 977-1628
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2021
Enumeration DateMarch 31, 2021
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1457939514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · 2024025583
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.
1201 SOUTH GRAND BLVD., St. Louis, MO 63104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Andrew Michael 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 ID3173924289
PECOS Enrollment IDI20240715002065
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 3

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 high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
72 services71 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
14 services13 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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

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

DR. CHRISTOPHER PHELAN AHLERING MD
Emergency Medicine
1201 SOUTH GRAND BLVD.
SAINT LOUIS, MO 63104
St. Louis City (314) 257-1320

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 Andrew Garcia's NPI number?

The NPI number for Andrew Garcia is 1457939514. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Andrew Garcia located?

Andrew Garcia practices at 1201 South Grand Blvd., St. Louis, MO 63104. The listed phone number is (314) 257-1320.

What is Andrew Garcia's specialty?

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

Is Andrew Garcia enrolled in Medicare?

Yes. Andrew 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 Andrew Garcia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Andrew 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 Andrew Garcia affiliated with any hospitals?

According to CMS data, Andrew Garcia is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Garcia was last updated on July 8, 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.