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DR. EDIBERTO DEJESUS GARCIA M.D.
NPI 1598836314
General Practice in Madisonville, KY

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
200 CLINIC DR, MADISONVILLE, KY 42431(270) 825-7351(270) 825-6630 Get Directions Write a Review

NPPES record last updated: January 17, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Ediberto Dejesus Garcia M.d. NPPES

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

DR. EDIBERTO DEJESUS GARCIA M.D. (NPI 1598836314) is an individual general practice provider in Madisonville, Kentucky, licensed in Kentucky (TP652) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1598836314
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. EDIBERTO DEJESUS GARCIACredential: M.D.
Location Address200 CLINIC DRMadisonville, KY 42431-1661
Mailing AddressPo Box 950248Louisville, KY 40295-0248 · (502) 489-5730 · Fax (502) 489-5733
Phone(270) 825-7351
Fax(270) 825-6630
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 13, 2006
Last NPPES UpdateJanuary 17, 2015
✔ NPI 1598836314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in KY · TP652✔ Licensed in VA · 0101240450
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
200 CLINIC DR, Madisonville, KY 42431
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Health, Oscar Health Insurance and more.Insurance ›

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. Ediberto Dejesus 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 ID1850851213
PECOS Enrollment IDI20260903005326
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 Reassignment

Medicare enrollment records show Ediberto Garcia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Current Care, P.A.
84 mi
Urgent Care
1719 GALLATIN ROAD
Madison, TN 37115
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: American Current Care PA
  • 37 clinicians in this Medicare group
NPI 1316136294 (615) 870-0143

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

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.

HEATHER RAE PENDLEY
Case Manager/Care Coordinator
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 821-8874
KRISTIN WICKHAM M.D.
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-7200
OHIO VALLEY NEUROLOGY LLC
Psychiatry & Neurology (Neurology)
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-6601
DR. TIMI A AKINS MD
Internal Medicine (Nephrology)
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5220
JAMES CRISS YELTON M.D.
Orthopaedic Surgery
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 824-6655
TEHMINA KHAN MD
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-6690
RACHEL ELIZABETH VAUGHAN
Counselor
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 821-8874
BRENDA L. BRUCE KCSA
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-7200

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 Ediberto Garcia's NPI number?

The NPI number for Ediberto Garcia is 1598836314. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Ediberto Garcia located?

Ediberto Garcia practices at 200 Clinic Dr, Madisonville, KY 42431. The listed phone number is (270) 825-7351.

What is Ediberto Garcia's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ediberto Garcia enrolled in Medicare?

Yes. Ediberto 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 organization bills Medicare for Ediberto Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ediberto Garcia reassigns Medicare benefits to American Current Care, P.A. (Madison, TN). The 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 Ediberto Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ediberto Garcia accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Ediberto 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.

When was this NPI record last updated?

The NPPES record for Ediberto Garcia was last updated on January 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.