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DR. MARIA CRUZ GARCIA MD
NPI 1548889488
Family Medicine in San Antonio, TX

Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
1055 ADA ST STE 310, SAN ANTONIO, TX 78223(210) 358-5515 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 1, 2024, Sep 3, 2024, Apr 10, 2020 (3 updates tracked since 2020).

About Dr. Maria Cruz Garcia Md NPPES

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

DR. MARIA CRUZ GARCIA MD (NPI 1548889488) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (U5698) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1548889488
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIA CRUZ GARCIACredential: MD
Location Address1055 ADA ST STE 310San Antonio, TX 78223-1703
Mailing Address903 W Martin St # Ms 49-2San Antonio, TX 78207-0903 · (210) 358-5909 · Fax (210) 358-5940
Phone(210) 358-5515
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 10, 2020
Last NPPES UpdateOctober 1, 20243 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1548889488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · U5698
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1055 ADA ST STE 310, San Antonio, TX 78223
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. 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

Dr. Maria Cruz 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 ID6406219310
PECOS Enrollment IDI20230824004205
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 7

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.
300 services194 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
118 services100 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
51 services51 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
37 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services22 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78223 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.

Other Providers at the Same Location NPPES

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

TOMAS JAVIER MARTINEZ MD
Psychiatry & Neurology (Neurology)
1055 ADA ST STE 310
SAN ANTONIO, TX 78223
Bexar County (210) 358-5515

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 Maria Garcia's NPI number?

The NPI number for Maria Garcia is 1548889488. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Maria Garcia located?

Maria Garcia practices at 1055 Ada St Ste 310, San Antonio, TX 78223. The listed phone number is (210) 358-5515.

What is Maria Garcia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maria Garcia enrolled in Medicare?

Yes. Maria 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 Maria Garcia accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and WellPoint list Maria 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 Maria Garcia affiliated with any hospitals?

According to CMS data, Maria Garcia is affiliated with Peterson Regional Medical Center and University Health System.

When was this NPI record last updated?

The NPPES record for Maria Garcia was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.