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MARLENE GARCIA MD
NPI 1780145896
Internal Medicine in Grand Rapids, MI

Active since March 29, 2019PECOS Enrolled
426 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-8338 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2023, May 31, 2023, Jun 24, 2020 (3 updates tracked since 2020).

About Marlene Garcia Md NPPES

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

MARLENE GARCIA MD (NPI 1780145896) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301509418) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780145896
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARLENE GARCIACredential: MD
Location Address426 MICHIGAN ST NEGrand Rapids, MI 49503-5609
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 267-8338
Sole ProprietorNo
Enumeration DateMarch 29, 2019
Last NPPES UpdateAugust 7, 20233 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
✔ NPI 1780145896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301509418
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.
426 MICHIGAN ST NE, Grand Rapids, MI 49503
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlene Garcia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.
34 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 20

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

DR. NICHOLAS ALEXANDER STEPHANOFF M.D.
Family Medicine
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7888
RITA DEKKER
Nurse Practitioner
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-2778
JENNIFER MARIE SHANLEY CNM
Advanced Practice Midwife
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-3302
MICHIGAN STREET OPTICAL
Durable Medical Equipment & Medical Supplies
426 MICHIGAN ST NE, SUITE 101
GRAND RAPIDS, MI 49503
Kent County (616) 459-1844
AMY COX MD
Family Medicine
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7888
TAMI JOY MICHELE DO
Obstetrics & Gynecology
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-3302
MARGUERITE B SOWERS PA-C
Physician Assistant (Medical)
426 MICHIGAN ST NE, SUITE 201
GRAND RAPIDS, MI 49503
Kent County (616) 459-8209
MOLLY JANE TIESENGA APRN
Nurse Practitioner (Adult Health)
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-8338

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 Marlene Garcia's NPI number?

The NPI number for Marlene Garcia is 1780145896. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Marlene Garcia located?

Marlene Garcia practices at 426 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-8338.

What is Marlene Garcia's specialty?

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

Is Marlene Garcia enrolled in Medicare?

Yes. Marlene Garcia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marlene Garcia was last updated on August 7, 2023. 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.