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LUIS EDMUNDO GARCIA M.D.
NPI 1528343472
Pediatrics in Mcallen, TX

Active since October 11, 2011PECOS Enrolled
6900 N 10TH ST STE 1, MCALLEN, TX 78504(956) 686-2229(956) 686-2280 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Luis Edmundo Garcia M.d. NPPES

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

LUIS EDMUNDO GARCIA M.D. (NPI 1528343472) is an individual pediatrics provider in Mcallen, Texas, licensed in Texas (P0978) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528343472
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameLUIS EDMUNDO GARCIACredential: M.D.
Location Address6900 N 10TH ST STE 1Mcallen, TX 78504-3151
Mailing Address6900 N 10th St Ste 1Mcallen, TX 78504-3151 · (956) 686-2229 · Fax (956) 686-2280
Phone(956) 686-2229
Fax(956) 686-2280
Sole ProprietorNo
Enumeration DateOctober 11, 2011
Last NPPES UpdateFebruary 27, 2017
✔ NPI 1528343472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · P0978
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6900 N 10TH ST STE 1, Mcallen, TX 78504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Luis Edmundo Garcia M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Luis Garcia's NPI number?

The NPI number for Luis Garcia is 1528343472. It was assigned to this individual provider in the NPPES registry on October 11, 2011.

Where is Luis Garcia located?

Luis Garcia practices at 6900 N 10th St Ste 1, Mcallen, TX 78504. The listed phone number is (956) 686-2229.

What is Luis Garcia's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Luis Garcia enrolled in Medicare?

Yes. Luis Garcia is registered in the Medicare PECOS enrollment system.

What insurance does Luis Garcia accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Luis 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.

When was this NPI record last updated?

The NPPES record for Luis Garcia was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.