DR. ELY J GARCIA
NPI 1871722165
Family Medicine in Indianapolis, IN

Active since July 08, 2009PECOS EnrolledAccepts Medicare Assignment
91.49/100
CMS Quality Rating
1520 N SENATE AVE, INDIANAPOLIS, IN 46202(317) 962-8893(317) 962-5479 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Ely J Garcia NPPES

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

DR. ELY J GARCIA (NPI 1871722165) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (11014769A) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1871722165
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELY J GARCIA
Location Address1520 N SENATE AVEIndianapolis, IN 46202-2213
Mailing Address1520 N Senate AveIndianapolis, IN 46202-2213 · (317) 962-8893 · Fax (317) 962-5479
Fax(317) 962-5479
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 8, 2009
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1871722165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 11014769A
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.
1520 N SENATE AVE, Indianapolis, IN 46202

Secondary Practice Location 1

Location 15515 W 38th StIndianapolis, IN 46254-2919 · Phone (317) 880-3838

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ely J Garcia 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 ID4082862628
PECOS Enrollment IDI20120924000532
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ely Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1660 N ILLINOIS ST
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 564 clinicians in this Medicare group
Adult Medicine
720 ESKENAZI AVE
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 386 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
27 services21 patients

Hospital Affiliations CMS Care Compare

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

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150024
Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

91.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.84
Promoting Interoperability97
Improvement Activities40
Cost46.2

Referred Medical Equipment & Supplies CMS DME claims 2

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
9 suppliers35 claims86 services$5.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims18 services$0.88 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 20

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

Clinic/Center (Health Service)
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1520 N SENATE AVE
INDIANAPOLIS, IN 46202

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 Ely Garcia's NPI number?

The NPI number for Ely Garcia is 1871722165. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Ely Garcia located?

Ely Garcia practices at 1520 N Senate Ave, Indianapolis, IN 46202. The listed phone number is (317) 962-8893.

What is Ely Garcia's specialty?

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

Is Ely Garcia enrolled in Medicare?

Yes. Ely 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.

Which organizations bill Medicare for Ely Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ely Garcia reassigns Medicare benefits to 2 organizations: The Health And Hospital Corporation Of Marion County (Indianapolis, IN) and Eskenazi Medical Group Inc (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ely Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ely Garcia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Ely 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 Ely Garcia affiliated with any hospitals?

According to CMS data, Ely Garcia is affiliated with Eskenazi Health.

When was this NPI record last updated?

The NPPES record for Ely Garcia was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.