1. Home
  2. Directory
  3. New York
  4. Elmhurst
  5. Internal Medicine
  6. NPI Profile

MR. MARCO ANTONIO GARCIA M.D
NPI 1730103672
Internal Medicine in Elmhurst, NY

Active since July 26, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D2311746 · Waiver
40-35 95TH STREET, ELMHURST, NY 11373(718) 803-8463(718) 205-4928 Get Directions Write a Review

NPPES record last updated: November 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Marco Antonio Garcia M.d NPPES

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

MR. MARCO ANTONIO GARCIA M.D (NPI 1730103672) is an individual internal medicine provider in Elmhurst, New York, licensed in New York (221842) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 26, 2027, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1730103672
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. MARCO ANTONIO GARCIACredential: M.D
Location Address40-35 95TH STREETElmhurst, NY 11373
Mailing Address30 Willow RdNew Hyde Park, NY 11040-3326 · (516) 326-8879
Phone(718) 803-8463
Fax(718) 205-4928
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 26, 2006
Last NPPES UpdateNovember 16, 2014
✔ NPI 1730103672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 221842
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.
40-35 95TH STREET, Elmhurst, NY 11373
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH46088NY

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

Mr. Marco Antonio 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 ID6103811690
PECOS Enrollment IDI20040415000391
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2311746

Marco A Garcia MD PC · Elmhurst, NY
Active · expires Mar 26, 2027
CLIA Number33D2311746
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Marco A. Garcia
Laboratory Phone(718) 803-8463
Laboratory LocationMarco A Garcia MD PC40-35 95th St, Elmhurst, NY 11373
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

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.
379 services113 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
270 services93 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
200 services116 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.
87 services59 patients
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.
65 services61 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
55 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%174 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 suppliers20 claims60 services$5.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims25 services$0.77 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 Marco Garcia's NPI number?

The NPI number for Marco Garcia is 1730103672. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Marco Garcia located?

Marco Garcia practices at 40-35 95th Street, Elmhurst, NY 11373. The listed phone number is (718) 803-8463.

What is Marco Garcia's specialty?

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

Is Marco Garcia enrolled in Medicare?

Yes. Marco 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.

Does Marco Garcia hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2311746) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marco Garcia was last updated on November 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.