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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PETE GARCIA M.D.
NPI 1679593842
Internal Medicine in Austin, TX

Active since July 20, 2006PECOS Enrolled
1822 WEST BRAKER LANE, 81603, AUSTIN, TX 78758(512) 973-9222(512) 777-4527 Get Directions Write a Review

NPPES record last updated: November 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 8, 2026, May 7, 2025 (2 updates tracked since 2025).

About Pete Garcia M.d. NPPES

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

PETE GARCIA M.D. (NPI 1679593842) is an individual internal medicine provider in Austin, Texas, licensed in Texas (F6647) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1977).

NPPES Registry Identity

NPI1679593842
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePETE GARCIACredential: M.D.
Location Address1822 WEST BRAKER LANE, 81603Austin, TX 78758
Mailing Address1822 W Braker Ln # 81603Austin, TX 78758-3606 · (512) 973-9222 · Fax (512) 777-4527
Phone(512) 973-9222
Fax(512) 777-4527
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1977
Enumeration DateJuly 20, 2006
Last NPPES UpdateNovember 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 26, 2025
✔ NPI 1679593842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · F6647
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.
1822 WEST BRAKER LANE, Austin, TX 78758
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Pete Garcia 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 ID5193705457
PECOS Enrollment IDI20040726000819
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 Reassignment

Medicare enrollment records show Pete Garcia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lonestar Hospital Medicine Associates, PA
154 mi
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
NPI 1518237429 (682) 622-2000

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.

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.
265 services51 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.
264 services211 patients
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.
250 services222 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
75 services22 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
71 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78758 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers19 claims70 services$6.93 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$40.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Pete Garcia's NPI number?

The NPI number for Pete Garcia is 1679593842. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Pete Garcia located?

Pete Garcia practices at 1822 West Braker Lane 81603, Austin, TX 78758. The listed phone number is (512) 973-9222.

What is Pete Garcia's specialty?

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

Is Pete Garcia enrolled in Medicare?

Yes. Pete 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 organization bills Medicare for Pete Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pete Garcia reassigns Medicare benefits to Lonestar Hospital Medicine Associates, PA (Mansfield, TX). The 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 Pete Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pete Garcia accept?

Health plans from Blue Cross and Blue Shield of Texas list Pete 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.

When was this NPI record last updated?

The NPPES record for Pete Garcia was last updated on November 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.