MILDRED GARCIA MD
NPI 1750464673
Family Medicine in Riverhead, NY

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
31 MAIN RD, RIVERHEAD, NY 11901(631) 722-4400(631) 722-4426 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mildred Garcia Md NPPES

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

MILDRED GARCIA MD (NPI 1750464673) is an individual family medicine provider in Riverhead, New York, licensed in New York (220400-1) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with St Vincent Healthcare, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1750464673
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMILDRED GARCIACredential: MD
Location Address31 MAIN RDRiverhead, NY 11901-1953
Mailing AddressPo Box 511Aquebogue, NY 11931-0511 · (631) 722-4400 · Fax (631) 722-4426
Fax(631) 722-4426
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1750464673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 220400-1
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.
31 MAIN RD, Riverhead, NY 11901

Other Identifiers 2

Medicare UPINH65558NY
Medicare ID-Type Unspecified5142B2NY

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

Mildred 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 ID1850302589
PECOS Enrollment IDI20211111000138
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 13

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.
324 services200 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.
265 services179 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.
136 services136 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.
44 services40 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
32 services30 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
32 services31 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers13 claims15 services$94.16 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$19.84 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 17

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

Nurse Practitioner
31 MAIN RD
RIVERHEAD, NY 11901
Family Medicine
31 MAIN RD
RIVERHEAD, NY 11901
Surgery (Vascular Surgery)
31 MAIN RD, SUITE 2
RIVERHEAD, NY 11901
Physician Assistant
31 MAIN RD
RIVERHEAD, NY 11901
Home Health
31 MAIN RD, SUITE 9
RIVERHEAD, NY 11901
Orthopaedic Surgery
31 MAIN RD, SUITE 3
RIVERHEAD, NY 11901
Family Medicine
31 MAIN RD, SUITE 1
RIVERHEAD, NY 11901
Physical Therapist
31 MAIN RD, SUITE 4
RIVERHEAD, NY 11901

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 Mildred Garcia's NPI number?

The NPI number for Mildred Garcia is 1750464673. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Mildred Garcia located?

Mildred Garcia practices at 31 Main Rd, Riverhead, NY 11901. The listed phone number is (631) 722-4400.

What is Mildred Garcia's specialty?

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

Is Mildred Garcia enrolled in Medicare?

Yes. Mildred 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 Mildred Garcia accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Mildred 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 Mildred Garcia affiliated with any hospitals?

According to CMS data, Mildred Garcia is affiliated with St Vincent Healthcare.

When was this NPI record last updated?

The NPPES record for Mildred Garcia was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.