SERGIO G. GARCIA M.D.
NPI 1649266297
Internal Medicine - Pulmonary Disease in Norman, OK
About Sergio G. Garcia M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERGIO G. GARCIA M.D. (NPI 1649266297) is an individual pulmonary disease provider in Norman, Oklahoma, licensed in Oklahoma (28909) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 2
Accepted 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
Sergio G. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Sergio Garcia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norman, OK 73071
- Reassigned Medicare billing, Oklahoma enrollment
- 418 clinicians in this Medicare group
Norman, OK 73072
- Reassigned Medicare billing, Oklahoma enrollment
- 218 clinicians in this Medicare group
Oklahoma City, OK 73102
- Reassigned Medicare billing, Oklahoma enrollment
- Medicare enrollment name: Emergency Physicians Of Mid-America PC
- 310 clinicians in this Medicare group
Lawton, OK 73505
- Reassigned Medicare billing, Oklahoma enrollment
- 96 clinicians in this Medicare group
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 24
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Norman Regional
Acute Care Hospitals · Norman, OKSsm Health St Anthony Hospital - Oklahoma City
Acute Care Hospitals · Oklahoma City, OKMercy Hospital Ardmore, Inc
Acute Care Hospitals · Ardmore, OKO U Medical Center
Acute Care Hospitals · Oklahoma City, OKArbuckle Memorial Hospital
Critical Access Hospitals · Sulphur, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Referred Medical Equipment & Supplies CMS DME claims 31
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORMAN, OK 73071
NORMAN, OK 73071
NORMAN, OK 73071
NORMAN, OK 73071
NORMAN, OK 73071
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 Sergio Garcia's NPI number?
The NPI number for Sergio Garcia is 1649266297. It was assigned to this individual provider in the NPPES registry on September 20, 2005.
Where is Sergio Garcia located?
Sergio Garcia practices at 701 E Robinson St Suite 105, Norman, OK 73071. The listed phone number is (405) 515-4888.
What is Sergio Garcia's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Sergio Garcia enrolled in Medicare?
Yes. Sergio 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 Sergio Garcia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Garcia reassigns Medicare benefits to 4 organizations: Emergency Services Of Oklahoma PC (Norman, OK), Norman Regional Providers Specialty Care (Norman, OK), Emergency Physicians Of Mid-America, P.C. (Oklahoma City, OK) and Oklahoma Emergency Services PC (Lawton, OK). 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 Sergio Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sergio Garcia accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Sergio 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.
Is Sergio Garcia affiliated with any hospitals?
According to CMS data, Sergio Garcia is affiliated with Norman Regional, Ssm Health St Anthony Hospital - Oklahoma City, Mercy Hospital Ardmore, Inc, O U Medical Center and Arbuckle Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Sergio Garcia was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.