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DR. GERARDO L GARCIA M.D.
NPI 1568424539
Internal Medicine - Cardiovascular Disease in St Petersburg, FL

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
1839 CENTRAL AVE, ST PETERSBURG, FL 33713(727) 322-1054(727) 821-7213 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gerardo L Garcia M.d. NPPES

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

DR. GERARDO L GARCIA M.D. (NPI 1568424539) is an individual cardiovascular disease provider in St Petersburg, Florida, licensed in Florida (ME79279) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Pasadena Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1568424539
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. GERARDO L GARCIACredential: M.D.
Location Address1839 CENTRAL AVESt Petersburg, FL 33713-8900
Mailing Address1839 Central AveSt Petersburg, FL 33713-8900 · (727) 322-1054 · Fax (727) 821-7213
Phone(727) 322-1054
Fax(727) 821-7213
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateApril 5, 2006
Last NPPES UpdateDecember 16, 2016
✔ NPI 1568424539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME79279
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedSpecialistTaxonomy 174400000X · License ME79279 (FL)
1839 CENTRAL AVE, St Petersburg, FL 33713
Open in Google Maps ↗

Other Identifiers 5

OtherP00913605FL · Railroad Medicare
Medicaid264331600FL
Medicare PIN03320XFL
Medicare UPING59905FL
Other03320FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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. Gerardo L 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 ID8123076601
PECOS Enrollment IDI20050111000834, I20250822003386
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 10

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.

Follow-up hospital inpatient care per day, typically 25 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.
535 services154 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
207 services80 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
124 services95 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
113 services97 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
48 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
25 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Pasadena Hospital

Acute Care Hospitals · Saint Petersburg, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100126
Location1501 Pasadena Ave SSaint Petersburg, FL 33707 · Pinellas County
Emergency services

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490113
Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33713 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 20

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

PATRICIA K PRYDE ARNP
Internal Medicine
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 322-1054
DR. VITALIS UNAEZE M.D.
Internal Medicine
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 322-1054
MRS. MARIE ELIZABETH POVEY ARNP, CRRN
Nurse Practitioner (Adult Health)
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 322-1054
DOMINIQUE MESIDOR MD P.A.
Surgery (Surgical Critical Care)
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 896-1300
MS. TAMMY E CASTRO ARNP
Nurse Practitioner (Family)
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 322-1054
DR. HECTOR FELIX MESIDOR M,D.
General Practice
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 896-1300
KATRINA LYNN BAKER
Pharmacist
1839 CENTRAL AVE, UNIT 101
ST PETERSBURG, FL 33713
Pinellas County (727) 894-3002
MRS. ANAHITA EBRAHIMPOUR RPH
Pharmacist
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 894-3001

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 Gerardo Garcia's NPI number?

The NPI number for Gerardo Garcia is 1568424539. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Gerardo Garcia located?

Gerardo Garcia practices at 1839 Central Ave, St Petersburg, FL 33713. The listed phone number is (727) 322-1054.

What is Gerardo Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gerardo Garcia enrolled in Medicare?

Yes. Gerardo 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 Gerardo Garcia accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Gerardo 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 Gerardo Garcia affiliated with any hospitals?

According to CMS data, Gerardo Garcia is affiliated with Hca Florida Pasadena Hospital and Sentara Northern Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Gerardo Garcia was last updated on December 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.