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CAROLINA GARCIA GARCIA DO
NPI 1528557717
Psychiatry & Neurology - Neurology in Kansas City, MO

Active since May 03, 2018PECOS EnrolledAccepts Medicare Assignment
93.57/100
CMS Quality Rating
4400 BROADWAY BLVD STE 520, KANSAS CITY, MO 64111(816) 960-7600 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 15, 2024, Jul 11, 2022, Jun 14, 2021 and 1 more (4 updates tracked since 2018).

About Carolina Garcia Garcia Do NPPES

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

CAROLINA GARCIA GARCIA DO (NPI 1528557717) is an individual neurology provider in Kansas City, Missouri, licensed in Missouri (2024034368) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2018).

NPPES Registry Identity

NPI1528557717
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameCAROLINA GARCIA GARCIACredential: DO
Location Address4400 BROADWAY BLVD STE 520Kansas City, MO 64111-3342
Mailing Address901 E 104th St # Ms 400sKansas City, MO 64131-4517 · (816) 960-7600 · Fax (503) 494-3283
Phone(816) 960-7600
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2018
Enumeration DateMay 3, 2018
Last NPPES UpdateNovember 15, 20244 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1528557717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in MO · 2024034368✔ Licensed in KS · 0549840
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4400 BROADWAY BLVD STE 520, Kansas City, MO 64111
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Other Names 1

Other Name (5)Carolina G Garcia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica 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

Carolina Garcia Garcia Do 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 ID8224431234
PECOS Enrollment IDI20241016004322, I20241017002142
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

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.
44 services40 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170185
Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County
Emergency services

Saint Lukes North Hospital

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260062
Location5830 N W Barry RoadKansas City, MO 64154 · Platte County
Emergency services Birthing friendly

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

93.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.33
Promoting Interoperability100
Improvement Activities40

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.

MARGARET EMILY NAYLOR RN
Nurse Practitioner (Family)
4400 BROADWAY BLVD STE 520
KANSAS CITY, MO 64111
Jackson County (816) 960-7601
NATHAN K MCGRAW MD
Psychiatry & Neurology (Neurology)
4400 BROADWAY BLVD STE 520
KANSAS CITY, MO 64111
Jackson County (816) 960-7600
ANTHONY GAGE HULL DO
Psychiatry & Neurology (Neurology)
4400 BROADWAY BLVD STE 520
KANSAS CITY, MO 64111
Jackson County (816) 960-7600
MADYSON MARIE LEE
Physician Assistant
4400 BROADWAY BLVD STE 520
KANSAS CITY, MO 64111
Jackson County (816) 960-7600
JAMES SHAY MD
Psychiatry & Neurology (Neurology)
4400 BROADWAY BLVD STE 520
KANSAS CITY, MO 64111
Jackson County (816) 960-7600
KELSEY WICKER FNP-C
Nurse Practitioner (Family)
4400 BROADWAY BLVD STE 520
KANSAS CITY, MO 64111
Jackson County (816) 960-7600
DR. HASHAAM ARSHAD MD
Psychiatry & Neurology (Neurology)
4400 BROADWAY BLVD STE 520
KANSAS CITY, MO 64111
Jackson County (816) 960-7600
CHRISTI J LEDO FNP-BC
Nurse Practitioner (Family)
4400 BROADWAY BLVD STE 520
KANSAS CITY, MO 64111
Jackson County (816) 960-7601

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 Carolina Garcia Garcia's NPI number?

The NPI number for Carolina Garcia Garcia is 1528557717. It was assigned to this individual provider in the NPPES registry on May 3, 2018. The provider is also known as Carolina G Garcia.

Where is Carolina Garcia Garcia located?

Carolina Garcia Garcia practices at 4400 Broadway Blvd Ste 520, Kansas City, MO 64111. The listed phone number is (816) 960-7600.

What is Carolina Garcia Garcia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Carolina Garcia Garcia enrolled in Medicare?

Yes. Carolina Garcia 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 Carolina Garcia Garcia accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica, Moda Health Plan, Inc. and UnitedHealthcare list Carolina Garcia 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 Carolina Garcia Garcia affiliated with any hospitals?

According to CMS data, Carolina Garcia Garcia is affiliated with Saint Luke's South Hospital, Saint Lukes North Hospital, St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for Carolina Garcia Garcia was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.