DR. MARK DAVID GARFIELD MD
NPI 1669555355
Internal Medicine - Sleep Medicine in Monterey, CA

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
12.39/100
CMS Quality Rating
2 UPPER RAGSDALE DR BLDG A, MONTEREY, CA 93940(831) 333-3040 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark David Garfield Md NPPES

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

DR. MARK DAVID GARFIELD MD (NPI 1669555355) is an individual sleep medicine provider in Monterey, California, licensed in California (G86148) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1975).

NPPES Registry Identity

NPI1669555355
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. MARK DAVID GARFIELDCredential: MD
Location Address2 UPPER RAGSDALE DR BLDG AMonterey, CA 93940-5736
Mailing Address100 Wilson Rd Ste 100Monterey, CA 93940-7885 · (831) 242-8301
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1975
Enumeration DateOctober 24, 2006
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
NPI 1669555355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in CA · G86148
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License G86148 (CA)
2 UPPER RAGSDALE DR BLDG A, Monterey, CA 93940

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. Mark David Garfield 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 ID9830002740
PECOS Enrollment IDI20160609000727
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 4

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.

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.
146 services115 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
71 services71 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.
34 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$139.84 typical visit price
range $61.69 – $184.30
Typical copayment $34.96 (range $15.42 – $46.07)
Most-billed visit code 99204
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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.

12.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost41.3

Referred Medical Equipment & Supplies CMS DME claims 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers195 claims195 services$38.11 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers104 claims104 services$89.33 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers110 claims303 services$34.62 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers48 claims255 services$18.94 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers62 claims343 services$15.29 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers107 claims107 services$54.62 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.

Physician Assistant
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940
Nurse Practitioner
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940
Physician Assistant
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940
Internal Medicine
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940
Urology
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940
Internal Medicine (Rheumatology)
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940
Internal Medicine (Pulmonary Disease)
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940
Marriage & Family Therapist
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940

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 Mark Garfield's NPI number?

The NPI number for Mark Garfield is 1669555355. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Mark Garfield located?

Mark Garfield practices at 2 Upper Ragsdale Dr Bldg A, Monterey, CA 93940. The listed phone number is (831) 333-3040.

What is Mark Garfield's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Mark Garfield enrolled in Medicare?

Yes. Mark Garfield 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 Mark Garfield was last updated on March 11, 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.