PETER M. GARCIA JR. M.D.
NPI 1881698876
Orthopaedic Surgery in Austin, TX

Q: What is Peter Garcia's NPI number?

The NPI number for Peter Garcia is 1881698876. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Q: What is Peter Garcia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Garcia was last updated on October 19, 2022. 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.

Active since June 08, 2005PECOS EnrolledAccepts Medicare Assignment

83.66/100

CMS Quality Rating

4700 SETON CENTER PKWY, STE 200, AUSTIN, TX 78759(512) 439-1000(512) 439-1081 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2022, Nov 20, 2019 (2 updates tracked since 2019).

On this page

About Peter M. Garcia Jr. M.d. NPPES

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

PETER M. GARCIA JR. M.D. (NPI 1881698876) is an individual orthopaedic surgery provider in Austin, Texas, licensed in Texas (F8119) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1980).

NPPES Registry Identity

NPI1881698876

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NamePETER M. GARCIA JR.Credential: M.D.

Location Address4700 SETON CENTER PKWY, STE 200Austin, TX 78759-4107

Mailing Address4700 Seton Center Pkwy, Ste 200Austin, TX 78759-4107 · (512) 439-1000 · Fax (512) 439-1081

Phone(512) 439-1000

Fax(512) 439-1081

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1980

Enumeration DateJune 8, 2005

Last NPPES UpdateOctober 19, 20222 updates tracked since enumeration

NPPES CertifiedOctober 19, 2022

✔ NPI 1881698876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · F8119

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

4700 SETON CENTER PKWY, Austin, TX 78759

Open in Google Maps ↗

Secondary Practice Location 1

Location 13755 S Capital Of Texas Hwy Ste 160Austin, TX 78704-6645 · Phone (512) 439-1000

Other Identifiers 4

Medicaid1319840-02TX

Other1319840-02TX · Cshcn

OtherGA082C503TX · Bc/bs

Medicaid1319840-07TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Peter M. Garcia Jr. 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 ID4486555679

PECOS Enrollment IDI20050523001326

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 14

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318

Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.

8,100 services57 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

251 services149 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.

238 services171 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

211 services78 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.

196 services159 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

177 services117 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

65 services59 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

63 services63 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

56 services55 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

48 services45 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

46 services30 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

44 services43 patients

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose J7326

Hyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.

37 services22 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78759 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

Most-billed visit code 99213

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.

83.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

70.84

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

69%729 patients3/55-star benchmark: 100%

Breast Cancer Screening

58%546 patients3/55-star benchmark: 93%

Cervical Cancer Screening

51%578 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

27%914 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

37%1,071 patients2/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

92%3,374 patients4/55-star benchmark: 100%

e-Prescribing

100%302 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

91%701 patients4/55-star benchmark: 100%

Osteoporosis Management in Women Who Had a Fracture

10%161 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

18%1,894 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%3,071 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 52% · 1,498 patients

Patients screened: 53% · 1,498 patients

26%27 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

88%1,234 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

57%434 patients3/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

78%40 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 750 patients

Patients totalRate: 1% · 750 patients

1%750 patients4/55-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 20

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

DR. KATIE LAURA O'SULLIVAN DPT

Physical Therapist

4700 SETON CENTER PKWY, SUITE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

BETHANY THORESEN

Physical Therapist

4700 SETON CENTER PKWY, SUITE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

JENNY M. PARK L.P.T.

Physical Therapist

4700 SETON CENTER PKWY, SUITE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

RYAN MICHAEL TIBBETTS MD

Orthopaedic Surgery

4700 SETON CENTER PKWY, STE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

DR. DONALD ROBERT DAVIS M.D.

Orthopaedic Surgery

4700 SETON CENTER PKWY, STE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

ANNALISA S FISH PT, DPT

Physical Therapist

4700 SETON CENTER PKWY, SUITE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

MR. JOHN WILLIAM KEY IV PT

Physical Therapist

4700 SETON CENTER PKWY, SUITE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

MS. LAURA VIELMA PT

Physical Therapist

4700 SETON CENTER PKWY, SUITE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

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 Peter Garcia's NPI number?

The NPI number for Peter Garcia is 1881698876. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Peter Garcia located?

Peter Garcia practices at 4700 Seton Center Pkwy Ste 200, Austin, TX 78759. The listed phone number is (512) 439-1000.

What is Peter Garcia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Peter Garcia enrolled in Medicare?

Yes. Peter 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 Peter 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 3 other insurers list Peter 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.

When was this NPI record last updated?

The NPPES record for Peter Garcia was last updated on October 19, 2022. 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.