MRS. MELISSA OEHL GARCIA PA NPI 1821083213
Physician Assistant - Medical in Cypress, TX
About MRS. MELISSA OEHL GARCIA PA
Melissa Garcia is a primary care provider established in Cypress, Texas and her medical specialization is Physician Assistant with a focus in medical with more than 23 years of experience. She graduated from Baylor College Of Medicine in 2000. The NPI number of Melissa Garcia is 1821083213 and was assigned on September 2005. The practitioner's primary taxonomy code is 363AM0700X with license number PA02907 (TX). The provider is registered as an individual and her NPI record was last updated 13 years ago.
| NPI | 1821083213 |
| Provider Name | MRS. MELISSA OEHL GARCIA PA |
| Location Address | 21216 NORTHWEST FWY SUITE 620 CYPRESS, TX 77429 |
| Location Phone | (281) 469-7704 |
| Mailing Address | 21216 NORTHWEST FWY SUITE 620 CYPRESS, TX 77429 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Is Sole Proprietor? | No |
| Enumeration Date | 09-13-2005 |
| Last Update Date | 01-05-2010 |
A primary care provider (PCP) like Mrs. Melissa Oehl Garcia Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Melissa Garcia is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Melissa Garcia is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data she has hospital affiliations with .
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 81.2, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 363AM0700X |
| Classification | Physician Assistant |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| Specialization | Medical |
| License No. | PA02907 |
| License State | TX |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:
- Blue Cross Blue Shield
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
MRS. MELISSA OEHL GARCIA PA
21216 NORTHWEST FWY
SUITE 620
CYPRESS, TX
ZIP 77429
Phone: (281) 469-7704
Fax: (281) 469-4066
Mailing Address
MRS. MELISSA OEHL GARCIA PA
21216 NORTHWEST FWY
SUITE 620
CYPRESS, TX
ZIP 77429
Phone: (281) 469-7704
Fax: (281) 469-4066
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 6002834710 |
| PECOS Enrollment ID | I20051110000411 |
| Accepts Medicare Assignment? | Maybe "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 81.1 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 72 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 81.2 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 106Urinalysis, manual test (HCPCS:81002)
- 45Hemoglobin A1C level (HCPCS:83036)
- 22Administration of influenza virus vaccine (HCPCS:G0008)
- 15Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00889N | MEDICARE PIN (08) | ||
| 8G1327 | MEDICARE PIN (08) | ||
| Q55892 | MEDICARE UPIN (02) | ||
| 8N9698 | OTHER (01) | BLUE CROSS BLUE SHIELD |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 2 | 1 | 0 | 8 | 3 | 2 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 0 | 8 | 6 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 0 + 8 + 6 + 2 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1821083213 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144215369 | MICHAEL A BARNARD MD Individual | Family Medicine | 21216 NORTHWEST FWY SUITE 620 CYPRESS, TX 77429 (281) 469-7704 |
| 1982699575 | MICHAEL C RZASNICKI MD Individual | Family Medicine | 21216 NORTHWEST FWY SUITE 620 CYPRESS, TX 77429 (281) 469-7704 |
| 1407842123 | MRS. STACEY GIBILTERRA FNP Individual | Nurse Practitioner (Family) | 21216 NORTHWEST FWY STE. 460 CYPRESS, TX 77429 (281) 807-5300 |
| 1578546347 | DR. IRVIN J. SARON M.D. Individual | Urology | 21216 NORTHWEST FWY SUITE 440 CYPRESS, TX 77429 (281) 890-0911 |
| 1619947827 | DR. JOHN HUGH ROFF III M.D. Individual | Plastic Surgery | 21216 NORTHWEST FWY SUITE 530 CYPRESS, TX 77429 (281) 807-6676 |
| 1487621835 | BERNARD HIMEL M.D. Individual | General Practice | 21216 NORTHWEST FWY SUITE 260 CYPRESS, TX 77429 (281) 955-7301 |
| 1003857855 | KERRY KIRKMAN MD PA Organization | Obstetrics & Gynecology | 21216 NORTHWEST FWY STE 520 CYPRESS, TX 77429 (281) 955-7900 |
| 1053419564 | BRADLEY WAGGONER MD PA Organization | Surgery | 21216 NORTHWEST FWY SUITE 540 CYPRESS, TX 77429 (281) 640-8373 |
| 1972682136 | DR. SCOTT E. OLSSON M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 21216 NORTHWEST FWY SUITE 680 CYPRESS, TX 77429 (713) 467-5111 |
| 1013089549 | SLEEP RESOURCES OF HOUSTON INC Organization | Durable Medical Equipment & Medical Supplies | 21216 NORTHWEST FWY SUITE 510 CYPRESS, TX 77429 (832) 678-2971 |
| 1083781736 | DR. NALINAKSHI SUBBARAYAN RANGALA M.D. Individual | Radiology (Radiation Oncology) | 21216 NORTHWEST FWY SUITE 110 CYPRESS, TX 77429 (281) 517-0262 |
| 1568504199 | MS. SAMMIE I JONES LPC Individual | Counselor (Professional) | 21216 NORTHWEST FWY SUITE 450 CYPRESS, TX 77429 (832) 237-2673 |
| 1023225786 | SCOTT E OLSSON, MD, PA Organization | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 21216 NORTHWEST FWY SUITE 680 CYPRESS, TX 77429 (713) 467-5111 |
| 1427257302 | JILL ZIMMERMANN RIDER M.C.D. Individual | Audiologist | 21216 NORTHWEST FWY STE 310 CYPRESS, TX 77429 (281) 890-6155 |
| 1558556381 | RONALD J. TAYLOR MD PA Organization | Internal Medicine (Geriatric Medicine) | 21216 NORTHWEST FWY SUITE 560 CYPRESS, TX 77429 (281) 469-3949 |
| 1881866945 | MS. ANGELA MICHELLE' HOPKINS LPC Individual | Counselor (Professional) | 21216 NORTHWEST FWY SUITE 450 CYPRESS, TX 77429 (832) 392-1926 |
| 1851558639 | MRS. JACQUELINE MOUTON PA-C Individual | Physician Assistant | 21216 NORTHWEST FWY SUITE 620 CYPRESS, TX 77429 (281) 469-7704 |
| 1013156280 | CY-FAIR BONE AND JOINT, LLP Organization | Orthopaedic Surgery | 21216 NORTHWEST FWY SUITE 620 CYPRESS, TX 77429 (281) 955-7577 |
| 1124269410 | LAURA MARMION, MA, LLC Organization | Counselor (Mental Health) | 21216 NORTHWEST FWY SUITE 450 CYPRESS, TX 77429 (888) 371-0527 |
| 1326280876 | MRS. DEANNA LYNN DAIGLE PA-C Individual | Physician Assistant | 21216 NORTHWEST FWY STE 570 CYPRESS, TX 77429 (281) 469-4377 |
Frequently Asked Questions
What is Mrs. Melissa Garcia PA NPI number?
The NPI number assigned to Mrs. Melissa Garcia PA is 1821083213, registered as an "individual" on September 13, 2005
Where is Mrs. Melissa Garcia PA located?
The provider is located at 21216 Northwest Fwy Suite 620 Cypress, Tx 77429 and the phone number is (281) 469-7704
Which is Mrs. Melissa Garcia PA specialty?
The provider's speciality is Physician Assistant with a focus in Medical
How many years of experience does Mrs. Melissa Garcia PA have?
The provider has more than 23 years of experience. She graduated from Baylor College Of Medicine in 2000.
What insurance does Mrs. Melissa Garcia PA accept?
The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.
Is Mrs. Melissa Garcia PA registered in PECOS?
Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Mrs. Melissa Garcia PA Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
What are some of the services provided by Mrs. Melissa Garcia PA?
The most common procedures or services performed by this practitioner are: Urinalysis, manual test, Hemoglobin A1C level, Administration of influenza virus vaccine and Routine EKG using at least 12 leads including interpretation and report.
How do I update my NPI information?
The NPI record of Mrs. Melissa Garcia PA was last updated on September 13, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]