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MR. MARIO JOAQUIN GARCIA FNP
NPI 1780839175
Nurse Practitioner - Family in Miami, FL

Active since November 26, 2008PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
900 NW 17TH ST, ROOM 560, MIAMI, FL 33136(305) 326-6544 Get Directions Write a Review

NPPES record last updated: September 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mario Joaquin Garcia Fnp NPPES

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

MR. MARIO JOAQUIN GARCIA FNP (NPI 1780839175) is an individual family provider in Miami, Florida, licensed in Florida (9298719) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1780839175
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MARIO JOAQUIN GARCIACredential: FNP
Location Address900 NW 17TH ST, ROOM 560Miami, FL 33136-1119
Mailing Address7540 Cutlass AveNorth Bay Village, FL 33141-4114 · (786) 348-0918
Phone(305) 326-6544
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 26, 2008
Last NPPES UpdateSeptember 23, 2012
✔ NPI 1780839175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in FL · 9298719✔ Licensed in NY · F335699
900 NW 17TH ST, Miami, FL 33136
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

Mr. Mario Joaquin Garcia Fnp 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 ID9032375324
PECOS Enrollment IDI20120801000429
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 2

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.
51 services39 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.
24 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
86%43 patients4/55-star benchmark: 100%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
4%105 patients
Breast Cancer Screening
82%256 patients4/55-star benchmark: 93%
Cervical Cancer Screening
58%508 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
63%570 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
72%322 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
35%159 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
23%159 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,765 patients5/55-star benchmark: 100%
e-Prescribing
100%1,252 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%103 patients4/55-star benchmark: 100%
HIV Screening
64%1,032 patients5/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
64%1,079 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
87%918 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
44%1,156 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 848 patients
Patients screened: 100% · 848 patients
67%46 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%478 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 11% · 132 patients
Patients totalRate: 17% · 132 patients
14%132 patients3/55-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.

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.

EFREM D MANDELCORN ND
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 326-6000
DIEGO LUNA CRNA
Nurse Anesthetist, Certified Registered
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-6411
DR. ARINDEL STEFON RAVINDRA MAHARAJ M.D., PH.D
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-2020
ZELIA MARIA CORREA MD, PHD
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 326-6000
JESSICA ADAMS OTR/L, CHT
Specialist
900 NW 17TH ST, RM 27
MIAMI, FL 33136
Miami-Dade County (305) 547-3703
TA CHEN PETER CHANG M.D.
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-2020
MR. JULIO CESAR FIGUEROA APRN
Nurse Anesthetist, Certified Registered
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 326-6523
MICHAEL CONRAD SCHNEIDER MD
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-4000

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 Mario Garcia's NPI number?

The NPI number for Mario Garcia is 1780839175. It was assigned to this individual provider in the NPPES registry on November 26, 2008.

Where is Mario Garcia located?

Mario Garcia practices at 900 NW 17th St Room 560, Miami, FL 33136. The listed phone number is (305) 326-6544.

What is Mario Garcia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mario Garcia enrolled in Medicare?

Yes. Mario 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 Mario Garcia accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Mario 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.

When was this NPI record last updated?

The NPPES record for Mario Garcia was last updated on September 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.