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ELENA GARCIA MD.
NPI 1750375150
Family Medicine in Conroe, TX

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
503 MEDICAL CENTER BLVD, STE 100, CONROE, TX 77304(936) 788-1060(936) 788-2844 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2022, May 16, 2016 (2 updates tracked since 2016).

About Elena Garcia Md. NPPES

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

ELENA GARCIA MD. (NPI 1750375150) is an individual family medicine provider in Conroe, Texas, licensed in Texas (L1050) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of University Of Texas Medical School At Houston (1998).

NPPES Registry Identity

NPI1750375150
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELENA GARCIACredential: MD.
Location Address503 MEDICAL CENTER BLVD, STE 100Conroe, TX 77304-2809
Mailing Address503 Medical Center Blvd, Ste. 100Conroe, TX 77304-2809 · (936) 788-1060 · Fax (936) 788-2844
Phone(936) 788-1060
Fax(936) 788-2844
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1998
Enumeration DateAugust 31, 2005
Last NPPES UpdateOctober 13, 20222 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1750375150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L1050
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.
503 MEDICAL CENTER BLVD, Conroe, TX 77304
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Other Identifiers 4

Other080191575TX · Railroad Medicare
Medicaid150961401TX
Medicaid037714502TX
Other8G0690TX · Blue Cross Blue Shield

Accepted Insurance

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

Elena 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 ID3476598723
PECOS Enrollment IDI20100812001080
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 10

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.
175 services94 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.
121 services88 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.
68 services68 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
44 services43 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
41 services41 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
37 services36 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Conroe

Acute Care Hospitals · Conroe, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450222
Location504 Medical Center BlvdConroe, TX 77304 · Montgomery County
Emergency services Birthing friendly

Tops Surgical Specialty Hospital

Acute Care Hospitals · Houston, TX
OwnershipPhysician
CMS Certification Number450774
Location17080 Red Oak DriveHouston, TX 77090 · Harris County

Aspire Hospital

Acute Care Hospitals · Conroe, TX
OwnershipPhysician
CMS Certification Number670093
Location2006 South Loop 336 West, Suite 500Conroe, TX 77304 · Montgomery County

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77304 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
98%50 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
67%3,360 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
31%196 patients2/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%90 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
17%648 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%648 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
67%648 patients5/55-star benchmark: 59%
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

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
9 suppliers23 claims72 services$5.35 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREG KRENEK, M.D., P.A.
Dermatology
503 MEDICAL CENTER BLVD, SUITE 140
CONROE, TX 77304
Montgomery County (936) 756-0668
ERIN RENE MCLEAN FNP-C
Nurse Practitioner (Family)
503 MEDICAL CENTER BLVD
CONROE, TX 77304
Montgomery County (936) 441-1064
MRS. TASLIMA A KARIM PA-C
Physician Assistant (Medical)
503 MEDICAL CENTER BLVD, SUITE 100
CONROE, TX 77304
Montgomery County (936) 788-1060
GREG KRENEK M.D.
Dermatology
503 MEDICAL CENTER BLVD, SUITE 140
CONROE, TX 77304
Montgomery County (936) 756-0668

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 Elena Garcia's NPI number?

The NPI number for Elena Garcia is 1750375150. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Elena Garcia located?

Elena Garcia practices at 503 Medical Center Blvd Ste 100, Conroe, TX 77304. The listed phone number is (936) 788-1060.

What is Elena Garcia's specialty?

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

Is Elena Garcia enrolled in Medicare?

Yes. Elena 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 Elena Garcia accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Elena 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 Elena Garcia affiliated with any hospitals?

According to CMS data, Elena Garcia is affiliated with Memorial Hermann Hospital System, Hca Houston Healthcare Conroe, Tops Surgical Specialty Hospital, Aspire Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Elena Garcia was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.