MARIA KARLA GARCIA M.D.
NPI 1639260797
Pathology - Anatomic Pathology & Clinical Pathology in Brentwood, TN

Q: What is Maria Garcia's NPI number?

The NPI number for Maria Garcia is 1639260797. It was assigned to this individual provider in the NPPES registry on September 27, 2006. The provider is also known as Karla Garcia M.D..

Q: What is Maria Garcia's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Maria Garcia was last updated on October 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment

73.51/100

CMS Quality Rating

5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027(615) 221-4474 Get Directions Write a Review

NPPES record last updated: October 19, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Maria Karla Garcia M.d. NPPES

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

MARIA KARLA GARCIA M.D. (NPI 1639260797) is an individual anatomic pathology & clinical pathology provider in Brentwood, Tennessee, licensed in Tennessee (45268) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Perry County Memorial Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1639260797

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameMARIA KARLA GARCIACredential: M.D.

Location Address5301 VIRGINIA WAY, SUITE 300Brentwood, TN 37027-7541

Mailing Address5301 Virginia Way, Suite 300Brentwood, TN 37027-7541 · (615) 221-4474

Phone(615) 221-4474

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateSeptember 27, 2006

Last NPPES UpdateOctober 19, 2009

✔ NPI 1639260797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in TN · 45268✔ Licensed in AL · 26339

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

5301 VIRGINIA WAY, Brentwood, TN 37027

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Other Names 1

Other Name (5)Karla Garcia M.d.

Other Identifiers 3

Medicare UPINI33347

Medicare ID-Type Unspecified000075645

Medicaid000075645AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Maria Karla 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 ID1456387844

PECOS Enrollment IDI20091104000090, I20250319003373, I20251104002320

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 17

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

276 services170 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

255 services201 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

81 services21 patients

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician G0124

This is a routine health check where a sample of cells is collected from the lower region of the female reproductive system. The sample is preserved and prepared using automated technology for detailed examination. A doctor interprets the results to check for any abnormalities.

57 services57 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

43 services35 patients

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision G0145

This is a procedure to check for abnormal cells in the lower part of the womb or the birth canal. Cells are collected in a special fluid and prepared in a thin layer. They are then examined by an automated system and manually reviewed by a doctor for accuracy.

42 services42 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

38 services12 patients

Detection test by nucleic acid for human papillomavirus (hpv), high-risk types 87624

This test detects high-risk types of HPV, a common virus. It's done by analyzing a small sample of cells for the presence of HPV DNA. The aim is to identify any high-risk types early, as they may increase the risk of certain health issues.

36 services36 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

36 services32 patients

Special stained specimen slides to examine tissue, initial procedure 88342

32 services25 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

23 services23 patients

Pap test 88141

A Pap test is a routine exam that checks for changes in cells that could signal a health concern. During this test, a small sample of cells is gently collected from the lower region of the body. The sample is then examined under a microscope to ensure everything looks normal.

22 services22 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

22 services21 patients

Detection test by nucleic acid for human papillomavirus (hpv), types 16 and 18 only 87625

This test identifies specific types of HPV, a common virus, by examining your body's cells for the virus's genetic material. It's specifically designed to detect types 16 and 18, which are often associated with certain health risks. The procedure is safe and simple.

21 services21 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

21 services18 patients

Pap test, automated thin layer preparation; automated system and manual rescreening 88175

A Pap test is a screening tool that helps detect unusual cells. The automated thin layer preparation involves placing your cell sample in a thin layer on a slide. An automated system then scans the slide, and experts manually review any areas flagged by the system. This method enhances the accuracy of the results.

20 services20 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

14 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Perry County Memorial Hospital

Critical Access Hospitals · Tell City, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number151322

Location8885 Sr 237Tell City, IN 47586 · Perry County

Emergency services

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN

OwnershipGovernment - Local

CMS Certification Number151330

Location1100 Mercer AveDecatur, IN 46733 · Adams County

Emergency services Birthing friendly

Southern Tennessee Regional Hlth System Winchester

Acute Care Hospitals · Winchester, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440058

Location185 Hospital RoadWinchester, TN 37398 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37027 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

73.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.83

Improvement Activities

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.

KATHY BRUNER MD