LUIS T GARCIA M.D.
NPI 1598874398
Family Medicine in Chicago, IL

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
711 W NORTH AVE, CHICAGO, IL 60610(312) 337-1982 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 15, 2025, Mar 16, 2021 (2 updates tracked since 2021).

About Luis T Garcia M.d. NPPES

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

LUIS T GARCIA M.D. (NPI 1598874398) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036066009) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Hospital - Chicago, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1981).

NPPES Registry Identity

NPI1598874398
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLUIS T GARCIACredential: M.D.
Location Address711 W NORTH AVEChicago, IL 60610-1174
Mailing Address711 W North AveChicago, IL 60610-1174 · (312) 337-1982
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1981
Enumeration DateAugust 29, 2006
Last NPPES UpdateMay 15, 20252 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
NPI 1598874398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036066009
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.

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 036066009 (IL)
711 W NORTH AVE, Chicago, IL 60610

Other Identifiers 2

Other036066009IL · Il State License #
Medicaid036066009IL

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

Luis T 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 ID6800089087
PECOS Enrollment IDI20101020000572
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
98 services33 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
39 services25 patients

Hospital Affiliations CMS Care Compare

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

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140224
Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60610 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
70%23 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
74%23 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Ophthalmology
711 W NORTH AVE, SUITE 206
CHICAGO, IL 60610
Family Medicine (Adult Medicine)
711 W NORTH AVE, STE 209
CHICAGO, IL 60610
Dentist
711 W NORTH AVE, SUITE 216
CHICAGO, IL 60610
Chiropractor
711 W NORTH AVE, SUITE 201
CHICAGO, IL 60610
Family Medicine
711 W NORTH AVE
CHICAGO, IL 60610
Urology
711 W NORTH AVE, SUITE 212
CHICAGO, IL 60610
Marriage & Family Therapist
711 W NORTH AVE, ST. #201
CHICAGO, IL 60610
Podiatrist (Foot & Ankle Surgery)
711 W NORTH AVE, STE 210
CHICAGO, IL 60610

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598874398, enumerated as an "individual" on August 29, 2006.

The provider is located at 711 W NORTH AVE CHICAGO, IL 60610 and the phone number is (312) 337-1982.

Family Medicine with taxonomy code 207Q00000X.

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

Luis Garcia is affiliated with: PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO.