RISA A GARCIA MD
NPI 1912360264
Emergency Medicine in Albuquerque, NM

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
MSC 11 6025, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-5062 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Risa A Garcia Md NPPES

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

RISA A GARCIA MD (NPI 1912360264) is an individual emergency medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2019-0275) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Saint Louis University School Of Medicine (2016).

NPPES Registry Identity

NPI1912360264
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameRISA A GARCIACredential: MD
Location AddressMSC 11 6025, 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressPo Box 26666, Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateJune 25, 2019
✔ NPI 1912360264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NM · MD2019-0275
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
MSC 11 6025, Albuquerque, NM 87131

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

Risa A Garcia Md 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 ID8325331507
PECOS Enrollment IDI20190628001888
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 Risa Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
83 services83 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
51 services51 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Lincoln County Medical Center

Critical Access Hospitals · Ruidoso, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321306
Location211 Sudderth DriveRuidoso, NM 88345 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Other Providers at the Same Location NPPES 10

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

Emergency Medicine
MSC 11 6025, UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC 11 6025, UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC 11 6025, UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC 11 6025, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC 11 6025, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC 11 6025, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC 11 6025, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC 11 6025, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

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 Risa Garcia's NPI number?

The NPI number for Risa Garcia is 1912360264. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Risa Garcia located?

Risa Garcia practices at Msc 11 6025 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-5062.

What is Risa Garcia's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Risa Garcia enrolled in Medicare?

Yes. Risa 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 Risa Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Risa Garcia reassigns Medicare benefits to 2 organizations: Presbyterian Healthcare Services (Albuquerque, NM) and Unm Medical Group Inc (Albuquerque, NM). 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 Risa Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Risa Garcia affiliated with any hospitals?

According to CMS data, Risa Garcia is affiliated with Presbyterian Hospital and Lincoln County Medical Center.

When was this NPI record last updated?

The NPPES record for Risa Garcia was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.