MARIE CARMEL GARCON FNP
NPI 1861427874
Nurse Practitioner - Family in New York, NY

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
516 W 168TH ST FL 1, NEW YORK, NY 10032(646) 599-6071(121) 342-0093 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marie Carmel Garcon Fnp NPPES

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

MARIE CARMEL GARCON FNP (NPI 1861427874) is an individual family provider in New York, New York, licensed in New York (333939) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1861427874
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIE CARMEL GARCONCredential: FNP
Location Address516 W 168TH ST FL 1New York, NY 10032-4103
Mailing Address147 Trails EndNew City, NY 10956 · (845) 638-1137
Fax(121) 342-0093
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 11, 2006
Last NPPES UpdateMarch 7, 2023
NPPES CertifiedFebruary 18, 2022
NPI 1861427874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 333939
Also ListedRegistered NurseTaxonomy 163W00000X · License 413582 (NY)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 333939 (NY)
516 W 168TH ST FL 1, New York, NY 10032

Other Identifiers 1

Medicaid02653785NY

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

Marie Carmel Garcon 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 ID2668415233
PECOS Enrollment IDI20050606000002
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
134 services68 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
97 services89 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims356 services$1.94 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$6.03 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier14 claims14 services$40.20 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier18 claims18 services$29.33 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier27 claims27 services$12.75 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 4

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

Nurse Practitioner (Psychiatric/Mental Health)
516 W 168TH ST FL 1
NEW YORK, NY 10032
Nurse Practitioner
516 W 168TH ST FL 1
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
516 W 168TH ST FL 1
NEW YORK, NY 10032
Nurse Practitioner (Family)
516 W 168TH ST FL 1
NEW YORK, NY 10032

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 Marie Garcon's NPI number?

The NPI number for Marie Garcon is 1861427874. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Marie Garcon located?

Marie Garcon practices at 516 W 168th St Fl 1, New York, NY 10032. The listed phone number is (646) 599-6071.

What is Marie Garcon's specialty?

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

Is Marie Garcon enrolled in Medicare?

Yes. Marie Garcon 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.

Is Marie Garcon affiliated with any hospitals?

According to CMS data, Marie Garcon is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Marie Garcon was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.