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ANA MARIEL GARCIA D.O.
NPI 1710418249
Family Medicine in East Hampton, CT

Active since March 26, 2017PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
42 E HIGH ST STE 205, EAST HAMPTON, CT 06424(860) 358-3500(860) 358-8322 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2026, Oct 6, 2020, Jul 6, 2020 and 1 more (4 updates tracked since 2017).

About Ana Mariel Garcia D.o. NPPES

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

ANA MARIEL GARCIA D.O. (NPI 1710418249) is an individual family medicine provider in East Hampton, Connecticut, licensed in Connecticut (72394) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2013).

NPPES Registry Identity

NPI1710418249
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANA MARIEL GARCIACredential: D.O.
Location Address42 E HIGH ST STE 205East Hampton, CT 06424-1056
Mailing Address28 Crescent StMiddletown, CT 06457-3654 · (860) 358-6000
Phone(860) 358-3500
Fax(860) 358-8322
Sole ProprietorYes
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2013
Enumeration DateMarch 26, 2017
Last NPPES UpdateFebruary 4, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1710418249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 72394
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
42 E HIGH ST STE 205, East Hampton, CT 06424
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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

Ana Mariel Garcia D.o. 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 ID6204173461
PECOS Enrollment IDI20221004002765
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 Ana Garcia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Middlesex Hospital Dba Family Practice Group Portland
6.4 mi
Medical
595 MAIN ST
Portland, CT 06480
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Middlesex Hospital
  • 66 clinicians in this Medicare group
NPI 1568597128 (860) 344-6394

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 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.

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.
69 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.
55 services48 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.
52 services47 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06424 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

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.

DOMENIC WILLIAM CASABLANCA M.D.
Family Medicine
42 E HIGH ST STE 205
EAST HAMPTON, CT 06424
Lower Connecticut River Valley Planning Region (860) 358-3500
DR. RACHEL SUSAN MADORE DO
Student in an Organized Health Care Education/Training Program
42 E HIGH ST STE 205
EAST HAMPTON, CT 06424
Lower Connecticut River Valley Planning Region (860) 358-6418

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 Ana Garcia's NPI number?

The NPI number for Ana Garcia is 1710418249. It was assigned to this individual provider in the NPPES registry on March 26, 2017.

Where is Ana Garcia located?

Ana Garcia practices at 42 E High St Ste 205, East Hampton, CT 06424. The listed phone number is (860) 358-3500.

What is Ana Garcia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ana Garcia enrolled in Medicare?

Yes. Ana 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 Ana Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ana Garcia reassigns Medicare benefits to Middlesex Hospital Dba Family Practice Group Portland (Portland, CT). 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 Ana Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ana Garcia was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.