DR. GURKARAN SINGH GARCHA M.D.
NPI 1659667574
Hospitalist in Folsom, CA

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
1700 PRAIRIE CITY RD, FOLSOM, CA 95630(916) 351-4800(916) 351-4899 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2020, Sep 2, 2016 (2 updates tracked since 2016).

About Dr. Gurkaran Singh Garcha M.d. NPPES

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

DR. GURKARAN SINGH GARCHA M.D. (NPI 1659667574) is an individual hospitalist provider in Folsom, California, licensed in California (C161815) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kalamazoo, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1659667574
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. GURKARAN SINGH GARCHACredential: M.D.
Location Address1700 PRAIRIE CITY RDFolsom, CA 95630-9594
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(916) 351-4899
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 20, 2011
Last NPPES UpdateJune 10, 20202 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
NPI 1659667574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · C161815
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301105895 (MI), BP10041503 (TX)
1700 PRAIRIE CITY RD, Folsom, CA 95630

Secondary Practice Location 1

Location 11521 Gull RdKalamazoo, MI 49048-1640 · Phone (269) 226-5165

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

Dr. Gurkaran Singh Garcha 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 ID7315164456
PECOS Enrollment IDI20200707000539
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
418 services153 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
139 services136 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
138 services138 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
79 services43 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
17 services17 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers21 claims21 services$46.34 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$14.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers65 claims65 services$62.37 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers27 claims27 services$14.21 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
3 suppliers34 claims34 services$32.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Hospitalist
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Internal Medicine (Critical Care Medicine)
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Hospitalist
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Family Medicine
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Family Medicine
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Internal Medicine
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Hospitalist
1700 PRAIRIE CITY RD
FOLSOM, CA 95630

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 Gurkaran Garcha's NPI number?

The NPI number for Gurkaran Garcha is 1659667574. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Gurkaran Garcha located?

Gurkaran Garcha practices at 1700 Prairie City Rd, Folsom, CA 95630. The listed phone number is (916) 351-4800.

What is Gurkaran Garcha's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Gurkaran Garcha enrolled in Medicare?

Yes. Gurkaran Garcha 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.

When was this NPI record last updated?

The NPPES record for Gurkaran Garcha was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.