MR. JULIAN GARCIA IV CF
NPI 1578752259
Speech-Language Pathologist in Mcallen, TX


Quality Rating: 81.44 out of 100 score

NPI Status: Active since October 18, 2007

Contact Information

2108 S M ST
SUITE 6
MCALLEN, TX
ZIP 78503
Phone: (956) 668-7433
Fax: (956) 668-7183

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  • Individual
  • Male
  • Speech-Language Pathologist

About JULIAN GARCIA

This page provides the complete NPI Profile along with additional information for Julian Garcia, a provider established in Mcallen, Texas with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1578752259 assigned on October 2007. The practitioner's primary taxonomy code is 235Z00000X with license number 103498 (TX). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1578752259
Provider Name
MR. JULIAN GARCIA IV CF
Gender
Male
Entity Type
Individual
Location Address
2108 S M ST SUITE 6 MCALLEN, TX 78503
Location Phone
(956) 668-7433
Location Fax
(956) 668-7183
Mailing Address
2108 S M ST SUITE 6 MCALLEN, TX 78503
Mailing Phone
(956) 668-7433
Mailing Fax
(956) 668-7183
Is Sole Proprietor?
No
Enumeration Date
10-18-2007
Last Update Date
10-18-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
103498
License State
TX
Taxonomy Description
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
676624MEDICARE PIN (08) 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Evaluation of speech sound production with evaluation of language comprehension and expression

This service involves assessing your ability to produce speech sounds and understand language. It also evaluates your ability to express yourself through language. It's a comprehensive review of your communication skills to identify any potential issues.

This service was performed 22 times for 19 patients

Treatment of speech, language, voice, communication, and/or hearing processing disorder

This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.

This service was performed 66 times for 22 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 81.44, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 81.44 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 65.83

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 98

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 49.23

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 49.23

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for MR. JULIAN GARCIA IV CF

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1578752259, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 4 + 8 + 1 + 4 + 5 + 4 + 2 + 1 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1578752259.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Physical Therapist
2108 S M ST
MCALLEN, TX 78503
Physical Therapist
2108 S M ST
MCALLEN, TX 78503
Occupational Therapist
2108 S M ST
MCALLEN, TX 78503
Occupational Therapist
2108 S M ST
MCALLEN, TX 78503
Physical Therapy Assistant
2108 S M ST
MCALLEN, TX 78503
Physical Therapy Assistant
2108 S M ST
MCALLEN, TX 78503
Dietitian, Registered
2108 S M ST, SUITE 6
MCALLEN, TX 78503
Pediatrics
2108 S M ST, SUITE1
MCALLEN, TX 78503
Specialist
2108 S M ST, SUITE 4
MCALLEN, TX 78503
Allergy & Immunology (Allergy)
2108 S M ST, STE1
MCALLEN, TX 78503
Physical Medicine & Rehabilitation
2108 S M ST
MCALLEN, TX 78503
Physical Therapist
2108 S M ST, STE 6
MCALLEN, TX 78503
Physical Therapist
2108 S M ST
MCALLEN, TX 78503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578752259, enumerated as an "individual" on October 18, 2007.

The provider is located at 2108 S M ST SUITE 6 MCALLEN, TX 78503 and the phone number is (956) 668-7433.

Speech-Language Pathologist with taxonomy code 235Z00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.