DR. GUILLERMO GARCIA MD
NPI 1669582755
Surgery in Bethlehem, PA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
2649 SCHOENERSVILLE RD, SUITE202, BETHLEHEM, PA 18017(610) 691-8074 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Guillermo Garcia Md NPPES

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

DR. GUILLERMO GARCIA MD (NPI 1669582755) is an individual surgery provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MD430352) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of University Of Texas Medical School At Houston (1999).

NPPES Registry Identity

NPI1669582755
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GUILLERMO GARCIACredential: MD
Location Address2649 SCHOENERSVILLE RD, SUITE202Bethlehem, PA 18017-7326
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1999
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 30, 2015
NPI 1669582755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in PA · MD430352
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2649 SCHOENERSVILLE RD, Bethlehem, PA 18017

Accepted Insurance

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. Guillermo 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 ID3779584545
PECOS Enrollment IDI20070122000264
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 12

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 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.
69 services49 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
43 services42 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
43 services43 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.
31 services14 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
29 services29 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18017 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers12 claims126 services$2.19 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
3 suppliers16 claims960 services$1.65 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims775 services$0.21 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers12 claims435 services$0.23 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.

Hospitalist
2649 SCHOENERSVILLE RD
BETHLEHEM, PA 18017
Physician Assistant (Medical)
2649 SCHOENERSVILLE RD
BETHLEHEM, PA 18017
Hospitalist
2649 SCHOENERSVILLE RD, SUITE 201
BETHLEHEM, PA 18017
Orthopaedic Surgery
2649 SCHOENERSVILLE RD, SUITE 102
BETHLEHEM, PA 18017
Preventive Medicine (Occupational Medicine)
2649 SCHOENERSVILLE RD, SUITE 102
BETHLEHEM, PA 18017
Internal Medicine
2649 SCHOENERSVILLE RD, SUITE 201
BETHLEHEM, PA 18017
Internal Medicine
2649 SCHOENERSVILLE RD, SUITE 201
BETHLEHEM, PA 18017
Internal Medicine (Cardiovascular Disease)
2649 SCHOENERSVILLE RD, SUITE 301
BETHLEHEM, PA 18017

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 Guillermo Garcia's NPI number?

The NPI number for Guillermo Garcia is 1669582755. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Guillermo Garcia located?

Guillermo Garcia practices at 2649 Schoenersville Rd Suite202, Bethlehem, PA 18017. The listed phone number is (610) 691-8074.

What is Guillermo Garcia's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Guillermo Garcia enrolled in Medicare?

Yes. Guillermo 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.

What insurance does Guillermo Garcia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Guillermo 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 Guillermo Garcia affiliated with any hospitals?

According to CMS data, Guillermo Garcia is affiliated with Lehigh Valley Hospital and Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Guillermo Garcia was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.