ANA CAROLINA GARZA AVILA M.D., MSC
NPI 1871738385
Internal Medicine - Pulmonary Disease in San Antonio, TX

Active since December 11, 2008PECOS EnrolledAccepts Medicare Assignment
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229(210) 690-7400(210) 690-7405 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ana Carolina Garza Avila M.d., Msc NPPES

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

ANA CAROLINA GARZA AVILA M.D., MSC (NPI 1871738385) is an individual pulmonary disease provider in San Antonio, Texas, licensed in Texas (S1401) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1871738385
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameANA CAROLINA GARZA AVILACredential: M.D., MSC
Location Address4458 MEDICAL DR STE 505San Antonio, TX 78229-3748
Mailing Address4458 Medical Dr Ste 505San Antonio, TX 78229-3748 · (210) 690-7400 · Fax (210) 690-7405
Fax(210) 690-7405
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 11, 2008
Last NPPES UpdateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
NPI 1871738385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · S1401
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
4458 MEDICAL DR STE 505, San Antonio, TX 78229

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

Ana Carolina Garza Avila M.d., Msc 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 ID7113187600
PECOS Enrollment IDI20190916001712
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 13

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 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.
471 services199 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
414 services197 patients
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.
86 services49 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.
43 services34 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
41 services36 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.
39 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers16 claims31 services$1.22 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims63 services$1.62 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers24 claims24 services$3.59 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers28 claims28 services$28.56 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers34 claims34 services$63.66 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers31 claims31 services$30.52 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.

Internal Medicine (Pulmonary Disease)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Internal Medicine (Nephrology)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Nurse Practitioner (Acute Care)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Internal Medicine (Pulmonary Disease)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Psychiatry & Neurology (Neurocritical Care)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Internal Medicine (Pulmonary Disease)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Internal Medicine (Pulmonary Disease)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Nurse Practitioner (Acute Care)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229

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 Ana Garza Avila's NPI number?

The NPI number for Ana Garza Avila is 1871738385. It was assigned to this individual provider in the NPPES registry on December 11, 2008.

Where is Ana Garza Avila located?

Ana Garza Avila practices at 4458 Medical Dr Ste 505, San Antonio, TX 78229. The listed phone number is (210) 690-7400.

What is Ana Garza Avila's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ana Garza Avila enrolled in Medicare?

Yes. Ana Garza Avila 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 Ana Garza Avila accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Ana Garza Avila 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 Ana Garza Avila affiliated with any hospitals?

According to CMS data, Ana Garza Avila is affiliated with Methodist Hospital, Hill Country Memorial Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Ana Garza Avila was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.