DR. JOHN ANDREW GARCIA MD
NPI 1649294554
Internal Medicine in Chesterfield, MO

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
19 WHARTON WAY CT, CHESTERFIELD, MO 63017(314) 775-7608 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John Andrew Garcia Md NPPES

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

DR. JOHN ANDREW GARCIA MD (NPI 1649294554) is an individual internal medicine provider in Chesterfield, Missouri, licensed in Missouri (R8P02) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Phelps County Regional Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1990).

NPPES Registry Identity

NPI1649294554
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN ANDREW GARCIACredential: MD
Location Address19 WHARTON WAY CTChesterfield, MO 63017-2242
Mailing Address19 Wharton Way CtChesterfield, MO 63017-2242 · (314) 775-7608
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1990
Enumeration DateJuly 26, 2006
Last NPPES UpdateMarch 26, 2015
✔ NPI 1649294554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · R8P02
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
19 WHARTON WAY CT, Chesterfield, MO 63017

Other Identifiers 4

Medicare PIN132110005MO
Medicare PIN132100010MO
Medicare UPINF51165
Medicaid1649294554MO

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

Dr. John Andrew Garcia Md 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 ID1254395361
PECOS Enrollment IDI20041118000264
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

10

Medicare enrollment records show John Garcia reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1 MEMORIAL DR
Alton, IL 62002
  • Reassigned Medicare billing, Missouri enrollment
  • 343 clinicians in this Medicare group
Family Medicine
509 WEST 18TH
Hermann, MO 65041
  • Reassigned Medicare billing, Missouri enrollment
  • 81 clinicians in this Medicare group
Emergency Medicine
300 HEALTH WAY DR
Potosi, MO 63664
  • Reassigned Medicare billing, Missouri enrollment
  • 60 clinicians in this Medicare group
Critical Access
301 N HIGHWAY 21
Pilot Knob, MO 63663
  • Reassigned Medicare billing, Missouri enrollment
  • 71 clinicians in this Medicare group
Rural Health
206 HOSPITAL LN
Perryville, MO 63775
  • Reassigned Medicare billing, Missouri enrollment
  • 192 clinicians in this Medicare group
Rural Health
1000 N JEFFERSON STREET
St. James, MO 65559
  • Reassigned Medicare billing, Missouri enrollment
  • 195 clinicians in this Medicare group
Rural Health
1003 STATE HWY 25 NORTH
Bloomfield, MO 63825
  • Reassigned Medicare billing, Missouri enrollment
  • 105 clinicians in this Medicare group
Critical Access
100 WEST HIGHWAY 60
Mountain View, MO 65548
  • Reassigned Medicare billing, Missouri enrollment
  • 126 clinicians in this Medicare group
Emergency Medicine
1008 N MAIN ST
Sikeston, MO 63801
  • Reassigned Medicare billing, Missouri enrollment
  • 46 clinicians in this Medicare group
Emergency Medicine
315 S OSTEOPATHY AVE
Kirksville, MO 63501
  • Reassigned Medicare billing, Missouri enrollment
  • 78 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 3

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 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.
132 services128 patients
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.
61 services61 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
54 services54 patients

Hospital Affiliations CMS Care Compare 4

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

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260017
Location1000 W 10th StRolla, MO 65401 · Phelps County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Mercy Hospital Stoddard

Acute Care Hospitals · Dexter, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260160
Location1200 N One Mile RdDexter, MO 63841 · Stoddard County
Emergency services

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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 John Garcia's NPI number?

The NPI number for John Garcia is 1649294554. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is John Garcia located?

John Garcia practices at 19 Wharton Way Ct, Chesterfield, MO 63017. The listed phone number is (314) 775-7608.

What is John Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Garcia enrolled in Medicare?

Yes. John 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 John Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Garcia reassigns Medicare benefits to 10 organizations: Southeastern Emergency Physicians Of Memphis LLC (Alton, IL), Hermann Area Hospital District (Hermann, MO), Potosi Emergency Group, LLC (Potosi, MO), Iron County Hospital District (Pilot Knob, MO), Mercy Hospital Perry (Perryville, MO) and 5 more organizations, listed in the Medicare section above. 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 John Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Garcia accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list John 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 John Garcia affiliated with any hospitals?

According to CMS data, John Garcia is affiliated with Phelps County Regional Medical Center, Barnes Jewish Hospital, Mercy Hospital Stoddard and Barnes-Jewish West County Hospital.

When was this NPI record last updated?

The NPPES record for John Garcia was last updated on March 26, 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.