DR. GEORGE A GARCIA JR. D.O. NPI 1508112772
Internal Medicine in West Palm Beach, FL

About DR. GEORGE A GARCIA JR. D.O.

George Garcia is an internist established in West Palm Beach, Florida and his medical specialization is Internal Medicine with more than 11 years of experience. He graduated from Philadelphia College Of Osteopathic Medicine in 2012. The NPI number of George Garcia is 1508112772 and was assigned on July 2012. The practitioner's primary taxonomy code is 207R00000X with license number UO3209 (FL). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1508112772
Provider NameDR. GEORGE A GARCIA JR. D.O.
Location Address2201 45TH ST WEST PALM BEACH, FL 33407
Location Phone(561) 842-6141
Mailing Address2201 45TH ST WEST PALM BEACH, FL 33407
GenderMale
NPI Entity TypeIndividual
Medical School NamePHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year2012
Is Sole Proprietor?Yes
Enumeration Date07-25-2012
Last Update Date07-25-2012

An internist like Dr. George A Garcia Jr. D.o. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.George Garcia is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

George Garcia is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 50.6, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: advance care planning, care plan, implementation of medication management practice improvements, measurement and improvement at the practice and panel level and participation in an ahrq-listed patient safety organization..

The typical physician office visit costs for Medicare beneficiaries in this area are: $35.38 for a new patient copayment and $27.09 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.UO3209
License StateFL
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. GEORGE A GARCIA JR. D.O.
2201 45TH ST
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 842-6141

Get Directions


Mailing Address

DR. GEORGE A GARCIA JR. D.O.
2201 45TH ST
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 842-6141


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID5496060600
PECOS Enrollment IDI20150818003806
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 33407 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$61.36 $187 $141.52
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.34 $46.75 $35.38
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.68 $151.65 $108.36
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.67 $37.91 $27.09

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 41.9
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 50.6
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Advance Care PlanningYesN/A
Implementation of practices/processes to develop advance care planning that includes: documenting the advance care plan or living will within the medical record, educating clinicians about advance care planning motivating them to address advance care planning needs of their patients, and how these needs can translate into quality improvement, educating clinicians on approaches and barriers to talking to patients about end-of-life and palliative care needs and ways to manage its documentation, as well as informing clinicians of the healthcare policy side of advance care planning.
Care Plan 68% 252
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 or provide an advance care plan
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Participation in an AHRQ-listed patient safety organization.YesN/A
Participation in an AHRQ-listed patient safety organization.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508112772
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508214714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 2 + 1 + 4 + 7 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1508112772 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568418200COLUMBIA HOSPITAL PALM BEACHES LIMITED PARTNERSHIP
Organization
Psychiatric Unit2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1023064573MD PATH LLC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1184661266COLUMBIA HOSPITAL PALM BEACHES LIMITED PARTNERSHIP
Organization
General Acute Care Hospital2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1639116031GLORIA E DUNKIN MD PA
Organization
Psychiatry & Neurology (Psychiatry)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1134158207MR. RICHARD C KULLEN III PA-C
Individual
Physician Assistant2201 45TH ST EMERGENCY ROOM
WEST PALM BEACH, FL 33407
(561) 863-3901
1639108707DR. RAMIRO A DE LA GUERRA M.D.
Individual
Emergency Medicine2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1386676682MS. STASHA LYNN MARTELLA PA-C
Individual
Physician Assistant2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1588743652PALM BEACHES EKG READERS
Organization
Internal Medicine (Cardiovascular Disease)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1316006703DR. GLORIA E DUNKIN M.D.
Individual
Psychiatry & Neurology (Psychiatry)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1467589267 THELMA ELAINE JOHNSON RN.,RNFA
Individual
Physician Assistant (Surgical)2201 45TH ST COLUMBIA HOSPITAL
WEST PALM BEACH, FL 33407
(561) 863-3855
1205094356 MELISSA JANOSEK LCSW
Individual
Social Worker (Clinical)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 863-2143
1629233515 LARISSA LEMBERT-TEZANOS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1881829281DR. DAVID BOJAN M.D.
Individual
Emergency Medicine2201 45TH ST EMERGENCY DEPARTMENT
WEST PALM BEACH, FL 33407
(561) 863-3901
1831425271 ERIK C NELSON AA
Individual
Anesthesiologist Assistant2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 863-3970
1538462130EAST FLORIDA BEHAVIORAL HEALTH NETWORK, LLC
Organization
Psychiatry & Neurology (Psychiatry)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 863-3824
1427353648FLORIDA PEDIATRIC CRITICAL CARE
Organization
Pediatrics2201 45TH ST
WEST PALM BEACH, FL 33407
(888) 382-5603
1588937346FL-I MEDICAL SERVICES, P.A.
Organization
Emergency Medicine2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1881898963MRS. SHELBY DARLENE NORRIS MSN ARNP
Individual
Nurse Practitioner2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 964-7511
1528238482 VALERIYA Y SHAROVA M.D.
Individual
Psychiatry & Neurology (Psychiatry)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 964-7511
1578516316MS. MARLYN LISA YASSEN PA-C
Individual
Physician Assistant (Medical)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 964-7511

Frequently Asked Questions

What is Dr. George Garcia JR. D.O. NPI number?

The NPI number assigned to Dr. George Garcia JR. D.O. is 1508112772, registered as an "individual" on July 25, 2012

Where is Dr. George Garcia JR. D.O. located?

The provider is located at 2201 45th St West Palm Beach, Fl 33407 and the phone number is (561) 842-6141

Which is Dr. George Garcia JR. D.O. specialty?

The provider's speciality is Internal Medicine

How many years of experience does Dr. George Garcia JR. D.O. have?

The provider has more than 11 years of experience. He graduated from Philadelphia College Of Osteopathic Medicine in 2012.

Is Dr. George Garcia JR. D.O. registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. George Garcia JR. D.O.?

Medicare beneficiaries should expect a typical cost of $141.52 with an average copayment of $35.38 for new patient appointments. Established patients should expect a typical charge of $108.36 and an average copayment of 27.09. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Dr. George Garcia JR. D.O. was last updated on July 25, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]