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DR. EVELIO D GARCIA MD FACC FSCAI
NPI 1669436200
Internal Medicine in Hayti, SD

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment
102 MAIN AVE, HAYTI, SD 57241(605) 783-2999(605) 783-1399 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 2, 2025, Feb 28, 2025 (2 updates tracked since 2025).

About Dr. Evelio D Garcia Md Facc Fscai NPPES

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

DR. EVELIO D GARCIA MD FACC FSCAI (NPI 1669436200) is an individual internal medicine provider in Hayti, South Dakota, licensed in South Dakota (7092) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Prairie Lakes Healthcare System, Inc, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1669436200
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EVELIO D GARCIACredential: MD FACC FSCAI
Location Address102 MAIN AVEHayti, SD 57241-0301
Mailing AddressPo Box 301Hayti, SD 57241-0301 · (605) 783-2999 · Fax (605) 783-1399
Phone(605) 783-2999
Fax(605) 783-1399
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateApril 12, 2006
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1669436200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SD · 7092
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.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License J6112 (TX), 7092 (SD)
102 MAIN AVE, Hayti, SD 57241
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Other Identifiers 2

Other0084BLTX · Blue Shield Blue Cross
Medicaid133683609TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company and more.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. Evelio D Garcia Md Facc Fscai 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 ID244205029
PECOS Enrollment IDI20071101000461
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

2

Medicare enrollment records show Evelio Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Garcia Family Clinic, PLLC
0.1 mi
Family Medicine
102 MAIN STREET, PO BOX 301
Hayti, SD 57241
  • Reassigned Medicare billing, South Dakota enrollment
  • 2 clinicians in this Medicare group
NPI 1891213567 (605) 783-2999
Avera Medical Group Webster
50 mi
Family Medicine
401 E HIGHWAY 12 STE 2
Webster, SD 57274
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Avera St Lukes
  • 259 clinicians in this Medicare group
NPI 1588978423 (605) 345-2222

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 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
26 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57241 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYTI MEDICAL CLINIC
Clinic/Center
102 MAIN AVE
HAYTI, SD 57241
Hamlin County (605) 783-3030
MRS. JOSEPHINE DC GARCIA APRN BC FNP-,DNP,MD
Nurse Practitioner (Family)
102 MAIN AVE
HAYTI, SD 57241
Hamlin County (605) 783-2999

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 Evelio Garcia's NPI number?

The NPI number for Evelio Garcia is 1669436200. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Evelio Garcia located?

Evelio Garcia practices at 102 Main Ave, Hayti, SD 57241. The listed phone number is (605) 783-2999.

What is Evelio Garcia's specialty?

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

Is Evelio Garcia enrolled in Medicare?

Yes. Evelio 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 Evelio Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evelio Garcia reassigns Medicare benefits to 2 organizations: Garcia Family Clinic, PLLC (Hayti, SD) and Avera Medical Group Webster (Webster, SD). 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 Evelio Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evelio Garcia accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company, Sanford Health Plan and Wellmark of South Dakota, Inc. list Evelio 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 Evelio Garcia affiliated with any hospitals?

According to CMS data, Evelio Garcia is affiliated with Prairie Lakes Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Evelio Garcia was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.