MR. ELVIN R. GARCIA M.D.
NPI 1871547596
Internal Medicine - Rheumatology in Mcallen, TX

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
75.36/100
CMS Quality Rating
811 E FERN AVE STE 1, MCALLEN, TX 78501(956) 630-2114(956) 630-2155 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Elvin R. Garcia M.d. NPPES

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

MR. ELVIN R. GARCIA M.D. (NPI 1871547596) is an individual rheumatology provider in Mcallen, Texas, licensed in Texas (K9538) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1871547596
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMR. ELVIN R. GARCIACredential: M.D.
Location Address811 E FERN AVE STE 1Mcallen, TX 78501-1401
Mailing AddressPo Box 4484Mcallen, TX 78502-4484 · (956) 630-2114 · Fax (956) 630-2155
Fax(956) 630-2155
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 19, 2006
Last NPPES UpdateDecember 21, 2020
NPPES CertifiedDecember 21, 2020
NPI 1871547596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TX · K9538
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
811 E FERN AVE STE 1, Mcallen, TX 78501

Other Identifiers 2

Medicaid0966582/02TX
OtherP00348769TX · Railroad Medicare

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

Mr. Elvin R. Garcia M.d. 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 ID5395783666
PECOS Enrollment IDI20050419000401
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 46

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.

Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
33,200 services11 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
29,516 services341 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
7,675 services15 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
5,926 services23 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
5,100 services57 patients
Injection, rituximab, 10 mg J9312
Rituximab is a medication given via injection. It's used to treat certain types of cancer and autoimmune diseases. The 10 mg dosage refers to the amount of the drug in the injection. It works by targeting and destroying specific cells, helping your body's immune system.
4,757 services17 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78501 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

75.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality45.29
Promoting Interoperability100
Improvement Activities40
Cost40.01

Reported Quality Measures

Controlling High Blood Pressure
54%589 patients3/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
95%4,909 patients3/55-star benchmark: 100%
e-Prescribing
98%10,900 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%3,833 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%1,045 patients4/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Glucocorticoid Management
0%1,143 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
25%715 patients2/55-star benchmark: 98%
Tuberculosis Screening Prior to First Course of Biologic and/or Immune Response Modifier Therapy
59%188 patients3/55-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 2

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

Physician Assistant
811 E FERN AVE STE 1
MCALLEN, TX 78501
Internal Medicine (Rheumatology)
811 E FERN AVE STE 1
MCALLEN, TX 78501

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 Elvin Garcia's NPI number?

The NPI number for Elvin Garcia is 1871547596. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Elvin Garcia located?

Elvin Garcia practices at 811 E Fern Ave Ste 1, Mcallen, TX 78501. The listed phone number is (956) 630-2114.

What is Elvin Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Elvin Garcia enrolled in Medicare?

Yes. Elvin 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 Elvin Garcia accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Elvin 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 Elvin Garcia affiliated with any hospitals?

According to CMS data, Elvin Garcia is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Elvin Garcia was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.