DR. BERENICE ANGELICA GARCIA M.D.
NPI 1508220385
Hospitalist in Opa Locka, FL

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
401 OPA LOCKA BLVD, OPA LOCKA, FL 33054(786) 535-7200(786) 535-7294 Get Directions Write a Review

NPPES record last updated: July 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2022, Jun 10, 2019 (2 updates tracked since 2019).

About Dr. Berenice Angelica Garcia M.d. NPPES

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

DR. BERENICE ANGELICA GARCIA M.D. (NPI 1508220385) is an individual hospitalist provider in Opa Locka, Florida, licensed in Florida (ME137895) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital West, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1508220385
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. BERENICE ANGELICA GARCIACredential: M.D.
Location Address401 OPA LOCKA BLVDOpa Locka, FL 33054-3528
Mailing Address401 Opa Locka BlvdOpa Locka, FL 33054-3528 · (786) 535-7200 · Fax (786) 535-7294
Fax(786) 535-7294
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 7, 2016
Last NPPES UpdateJuly 16, 20222 updates tracked since enumeration
NPPES CertifiedJuly 16, 2022
NPI 1508220385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · ME137895
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME137895 (FL)
401 OPA LOCKA BLVD, Opa Locka, FL 33054

Accepted 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. Berenice Angelica 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 ID8224364625
PECOS Enrollment IDI20190723002355
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.

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.
35 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100281
Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County
Emergency services Birthing friendly

Memorial Hospital Miramar

Acute Care Hospitals · Miramar, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100285
Location1901 SW 172nd AveMiramar, FL 33029 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33054 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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers39 claims39 services$15.73 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers39 claims39 services$58.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Internal Medicine
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Internal Medicine
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Internal Medicine
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Internal Medicine
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Internal Medicine
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Non-Pharmacy Dispensing Site
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Internal Medicine
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Nurse Practitioner (Family)
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054

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 Berenice Garcia's NPI number?

The NPI number for Berenice Garcia is 1508220385. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Berenice Garcia located?

Berenice Garcia practices at 401 Opa Locka Blvd, Opa Locka, FL 33054. The listed phone number is (786) 535-7200.

What is Berenice Garcia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Berenice Garcia enrolled in Medicare?

Yes. Berenice 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 Berenice Garcia accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Berenice 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 Berenice Garcia affiliated with any hospitals?

According to CMS data, Berenice Garcia is affiliated with Memorial Hospital West and Memorial Hospital Miramar.

When was this NPI record last updated?

The NPPES record for Berenice Garcia was last updated on July 16, 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.