DR. MARIO ANTONIO GARCIA DO
NPI 1871174896
Family Medicine in Memphis, TN

Q: What is Mario Garcia's NPI number?

The NPI number for Mario Garcia is 1871174896. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Q: What is Mario Garcia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mario Garcia was last updated on January 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment

6401 POPLAR AVE STE 610, MEMPHIS, TN 38119(901) 227-5045(901) 224-5043 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2026, May 1, 2024, Apr 10, 2024 and 1 more (4 updates tracked since 2021).

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About Dr. Mario Antonio Garcia Do NPPES

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

DR. MARIO ANTONIO GARCIA DO (NPI 1871174896) is an individual family medicine provider in Memphis, Tennessee, licensed in Tennessee (5692) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1871174896

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARIO ANTONIO GARCIACredential: DO

Location Address6401 POPLAR AVE STE 610Memphis, TN 38119-4806

Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401 · (901) 227-8693 · Fax (901) 226-1351

Phone(901) 227-5045

Fax(901) 224-5043

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 20, 2021

Last NPPES UpdateJanuary 9, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2026

✔ NPI 1871174896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TN · 5692✔ Licensed in MS · T-4850

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 5692 (TN)

6401 POPLAR AVE STE 610, Memphis, TN 38119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc., Oscar Insurance Company.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. Mario Antonio Garcia Do 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 ID547667990

PECOS Enrollment IDI20240724001095

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 4

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 moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

59 services22 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

31 services12 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

14 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440048

Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38119 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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Other Providers at the Same Location NPPES 18

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

ANUPAMA GUPTA

Student in an Organized Health Care Education/Training Program