DR. CHARLES A GARCIA MD
NPI 1821093626
Ophthalmology in Houston, TX

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
4704 MONTROSE BLVD, HOUSTON, TX 77006(713) 333-0151(832) 485-5080 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 8, 2025, Jan 4, 2021, Mar 14, 2017 (3 updates tracked since 2017).

About Dr. Charles A Garcia Md NPPES

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

DR. CHARLES A GARCIA MD (NPI 1821093626) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (D6429) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Tulane University School Of Medicine (1969).

NPPES Registry Identity

NPI1821093626
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. CHARLES A GARCIACredential: MD
Location Address4704 MONTROSE BLVDHouston, TX 77006-6122
Mailing Address12970 East FwyHouston, TX 77015-5710 · (281) 332-1559 · Fax (281) 332-3394
Fax(832) 485-5080
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 1969
Enumeration DateJune 17, 2005
Last NPPES UpdateJanuary 8, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
NPI 1821093626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · D6429
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License D6429 (TX)
4704 MONTROSE BLVD, Houston, TX 77006

Secondary Practice Locations 3

Location 11315 St Joseph Pkwy, Ste 1205Houston, TX 77002-8235 · Phone (713) 659-3937 · Fax (713) 659-2553
Location 216001 Park Ten Pl Ste 215Houston, TX 77084-5156 · Phone (713) 929-3555 · Fax (713) 929-3586
Location 312970 East FwyHouston, TX 77015-5710 · Phone (281) 332-1559 · Fax (281) 332-3394

Other Identifiers 10

Other121118TX · Cole Vision
Other0683377TX · Aetna
Medicaid1401028-05TX
Medicaid1401028-07TX
Medicaid1401028-03TX
Other84E730TX · Bcbs
Other85X310TX · Bcbs
OtherAMERIGROUPTX · 25344
Other8157K0TX · Bcbs
Other11123TX · Coordinated Vision Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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

Dr. Charles A 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 ID143120451
PECOS Enrollment IDI20101203000315
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 10

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.
223 services156 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
126 services83 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
83 services73 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
44 services40 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
29 services27 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
27 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77006 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%151 patients5/55-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 5

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

Ophthalmology
4704 MONTROSE BLVD
HOUSTON, TX 77006
Ophthalmology
4704 MONTROSE BLVD
HOUSTON, TX 77006
Anesthesiology
4704 MONTROSE BLVD
HOUSTON, TX 77006
Ophthalmology
4704 MONTROSE BLVD
HOUSTON, TX 77006
Eyewear Supplier
4704 MONTROSE BLVD
HOUSTON, TX 77006

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 Charles Garcia's NPI number?

The NPI number for Charles Garcia is 1821093626. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Charles Garcia located?

Charles Garcia practices at 4704 Montrose Blvd, Houston, TX 77006. The listed phone number is (713) 333-0151.

What is Charles Garcia's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Charles Garcia enrolled in Medicare?

Yes. Charles 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 Charles Garcia accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 13 other insurers list Charles 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 Charles Garcia was last updated on January 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.