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DR. CLEO GARCIA M.D
NPI 1598051773
Emergency Medicine in Chicago, IL

Active since June 25, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7435 W TALCOTT AVE, CHICAGO, IL 60631(773) 792-7921 Get Directions Write a Review

NPPES record last updated: June 25, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Cleo Garcia M.d NPPES

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

DR. CLEO GARCIA M.D (NPI 1598051773) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (125-059469) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Pekin Memorial Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2011).

NPPES Registry Identity

NPI1598051773
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. CLEO GARCIACredential: M.D
Location Address7435 W TALCOTT AVEChicago, IL 60631-3707
Mailing Address846 W Montrose Ave, Apt 609Chicago, IL 60613-1980 · (773) 895-7066
Phone(773) 792-7921
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2011
Enumeration DateJune 25, 2011
✔ NPI 1598051773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 125-059469
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
7435 W TALCOTT AVE, Chicago, IL 60631
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Cleo 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 ID7719103605
PECOS Enrollment IDI20140730000862
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Cleo Garcia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cepamerica Illinois LLP
Same address
Emergency Medicine
7435 W TALCOTT AVE
Chicago, IL 60631
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
NPI 1518415751 (773) 774-8000
Prime Healthcare Illinois Medical Group LLC
4.5 mi
Multi-Specialty
2380 E DEMPSTER ST
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 443 clinicians in this Medicare group
NPI 1023837689 (833) 291-0464
Methodist Medical Center Of Illinois
128 mi
General Acute Care Hospital
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1265966048 (Illinois)
  • 693 clinicians in this Medicare group
NPI 1164474755 (309) 672-5522
Carle Health Medical Group
131 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Epss LLC - Central Series
136 mi
Emergency Medicine
600 S 13TH ST
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 92 clinicians in this Medicare group
NPI 1538680467 (817) 451-4208

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
183 services180 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
78 services76 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
48 services48 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
32 services32 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

Presence Saints Mary And Elizabeth Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140180
Location2233 W Division StChicago, IL 60622 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60631 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

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.

MRS. MARISSA LYNN VARNER R.D, M.S.
Dietitian, Registered
7435 W TALCOTT AVE, HEALTH MANAGEMENT OFFICE
CHICAGO, IL 60631
Cook County (773) 594-7448
MICHAEL ANTHONY HOKS JR.
Emergency Medicine
7435 W TALCOTT AVE, RESURRECTION EM RESIDENCY
CHICAGO, IL 60631
Cook County (773) 792-7321
AKASH PATEL
Emergency Medicine
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-7921
ALINA HUYNH NGUYEN DO
Emergency Medicine
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-7921
DR. MOHAN PHATAK M.D.
Radiology (Pediatric Radiology)
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-5138
DR. AUDREY KAY CAMERON AU.D.
Audiologist
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-5258
JULIE JITENDRAKUMAR PATEL
Emergency Medicine
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 990-7921
MARY RITA SABBAGH DO
Emergency Medicine
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 990-5255

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 Cleo Garcia's NPI number?

The NPI number for Cleo Garcia is 1598051773. It was assigned to this individual provider in the NPPES registry on June 25, 2011.

Where is Cleo Garcia located?

Cleo Garcia practices at 7435 W Talcott Ave, Chicago, IL 60631. The listed phone number is (773) 792-7921.

What is Cleo Garcia's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Cleo Garcia enrolled in Medicare?

Yes. Cleo 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.

Which organizations bill Medicare for Cleo Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cleo Garcia reassigns Medicare benefits to 5 organizations: Cepamerica Illinois LLP (Chicago, IL), Prime Healthcare Illinois Medical Group LLC (Des Plaines, IL), Methodist Medical Center Of Illinois (Peoria, IL), Carle Health Medical Group (Urbana, IL) and Epss LLC - Central Series (Pekin, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cleo Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Cleo Garcia affiliated with any hospitals?

According to CMS data, Cleo Garcia is affiliated with Pekin Memorial Hospital and Presence Saints Mary And Elizabeth Medical Center.

When was this NPI record last updated?

The NPPES record for Cleo Garcia was last updated on June 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.