Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BIANCA GARCIA MD
NPI 1811335417
Family Medicine in Bethpage, NY

Active since June 05, 2013PECOS Enrolled
4230 HEMPSTEAD TPKE STE 200, BETHPAGE, NY 11714(516) 731-1900(516) 731-7302 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bianca Garcia Md NPPES

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

BIANCA GARCIA MD (NPI 1811335417) is an individual family medicine provider in Bethpage, New York, licensed in New York (276625) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1811335417
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBIANCA GARCIACredential: MD
Location Address4230 HEMPSTEAD TPKE STE 200Bethpage, NY 11714-5700
Mailing Address1010 Northern Blvd Ste 328Great Neck, NY 11021-5329 · (516) 233-2484 · Fax (516) 304-5850
Fax(516) 731-7302
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 5, 2013
Last NPPES UpdateNovember 5, 2026
NPPES CertifiedNovember 5, 2026
✔ NPI 1811335417 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 · 276625
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.
4230 HEMPSTEAD TPKE STE 200, Bethpage, NY 11714

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bianca 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 ID8729307319
PECOS Enrollment IDI20150504000308
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Bianca Garcia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
206 FALLWOOD PKWY
Farmingdale, NY 11735
  • Reassigned Medicare billing, New York enrollment
  • 944 clinicians in this Medicare group
Specialist
49 NESCONSET HWY
Port Jefferson Station, NY 11776
  • Reassigned Medicare billing, New York enrollment
  • 636 clinicians in this Medicare group
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.
201 services135 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.
148 services97 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.
110 services110 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
109 services109 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.
109 services109 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.
101 services89 patients

Hospital Affiliations CMS Care Compare 2

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11714 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.

Other Providers at the Same Location NPPES 7

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

Family Medicine
4230 HEMPSTEAD TPKE STE 200
BETHPAGE, NY 11714
Family Medicine
4230 HEMPSTEAD TPKE STE 200
BETHPAGE, NY 11714
Podiatrist
4230 HEMPSTEAD TPKE STE 200
BETHPAGE, NY 11714
Family Medicine
4230 HEMPSTEAD TPKE STE 200
BETHPAGE, NY 11714
Specialist
4230 HEMPSTEAD TPKE STE 200
BETHPAGE, NY 11714
Physician Assistant
4230 HEMPSTEAD TPKE STE 200
BETHPAGE, NY 11714
Family Medicine
4230 HEMPSTEAD TPKE STE 200
BETHPAGE, NY 11714

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 Bianca Garcia's NPI number?

The NPI number for Bianca Garcia is 1811335417. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Bianca Garcia located?

Bianca Garcia practices at 4230 Hempstead Tpke Ste 200, Bethpage, NY 11714. The listed phone number is (516) 731-1900.

What is Bianca Garcia's specialty?

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

Is Bianca Garcia enrolled in Medicare?

Yes. Bianca 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.

Which organizations bill Medicare for Bianca Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bianca Garcia reassigns Medicare benefits to 3 organizations: Chs Physician Partners, PC (Farmingdale, NY), North Shore Hematology Oncology Associates PC (Port Jefferson Station, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bianca Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Bianca Garcia affiliated with any hospitals?

According to CMS data, Bianca Garcia is affiliated with John T Mather Memorial Hospital Of Port Jefferson and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Bianca Garcia was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.