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MR. TOMAS JULIAN GARCIA PA
NPI 1851671564
Physician Assistant - Medical in Miami, FL

Active since August 25, 2011PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
971 NW 2ND ST, MIAMI, FL 33128(305) 585-2815 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tomas Julian Garcia Pa NPPES

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

MR. TOMAS JULIAN GARCIA PA (NPI 1851671564) is an individual medical provider in Miami, Florida, licensed in Florida (PA9106233) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1851671564
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. TOMAS JULIAN GARCIACredential: PA
Location Address971 NW 2ND STMiami, FL 33128-1205
Mailing Address971 Nw 2nd StMiami, FL 33128-1205 · (305) 585-2815
Phone(305) 585-2815
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 25, 2011
Last NPPES UpdateJuly 1, 2013
✔ NPI 1851671564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9106233
971 NW 2ND ST, Miami, FL 33128
Open in Google Maps ↗

Other Identifiers 1

Other1101555FL · Nccpa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed.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. Tomas Julian Garcia Pa 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 ID1759549306
PECOS Enrollment IDI20120228000553
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.
76 services35 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.
26 services16 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

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.

87.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost60.03

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
17%23 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims20 services$6.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

MS. MADELINE DE LOS MILAGROS CASTRO M.D.
Internal Medicine
971 NW 2ND ST
MIAMI, FL 33128
Miami-Dade County (305) 545-7737
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Clinic/Center (Multi-Specialty)
971 NW 2ND ST
MIAMI, FL 33128
Miami-Dade County (305) 585-5455
DR. ELIO ARMANDO CARDENAS DDS
Dentist (General Practice)
971 NW 2ND ST
MIAMI, FL 33128
Miami-Dade County (786) 466-2360
MS. DEBORAH SUSAN CARLONE M.D.
Internal Medicine
971 NW 2ND ST
MIAMI, FL 33128
Miami-Dade County (786) 446-2300
DR. ROBERTO F. GARCIA M.D.
Internal Medicine
971 NW 2ND ST
MIAMI, FL 33128
Miami-Dade County (305) 545-5180
DANIELLE NICOLE GUTIERREZ
Physician Assistant
971 NW 2ND ST
MIAMI, FL 33128
Miami-Dade County (305) 904-0560
MR. JORGE L. ZULOAGA R.PH.
Pharmacist
971 NW 2ND ST
MIAMI, FL 33128
Miami-Dade County (786) 466-2345
WELLNESS RX AT PENALVER LLC
Pharmacy (Community/Retail Pharmacy)
971 NW 2ND ST
MIAMI, FL 33128
Miami-Dade County (305) 545-4860

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 Tomas Garcia's NPI number?

The NPI number for Tomas Garcia is 1851671564. It was assigned to this individual provider in the NPPES registry on August 25, 2011.

Where is Tomas Garcia located?

Tomas Garcia practices at 971 NW 2nd St, Miami, FL 33128. The listed phone number is (305) 585-2815.

What is Tomas Garcia's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tomas Garcia enrolled in Medicare?

Yes. Tomas 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 Tomas Garcia accept?

Health plans from AmeriHealth Caritas Next and AvMed list Tomas 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.

Is Tomas Garcia affiliated with any hospitals?

According to CMS data, Tomas Garcia is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Tomas Garcia was last updated on July 1, 2013. 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.