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DR. ARNEL A GARCIA MD
NPI 1912973900
Family Medicine in Breese, IL

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
9401 HOLY CROSS LN, BREESE, IL 62230(618) 526-7271(618) 526-7313 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Arnel A Garcia Md NPPES

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

DR. ARNEL A GARCIA MD (NPI 1912973900) is an individual family medicine provider in Breese, Illinois, licensed in Illinois (036092839) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1912973900
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ARNEL A GARCIACredential: MD
Location Address9401 HOLY CROSS LNBreese, IL 62230-3510
Mailing Address9401 Holy Cross LnBreese, IL 62230-3510 · (618) 526-7271 · Fax (618) 526-7313
Phone(618) 526-7271
Fax(618) 526-7313
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateFebruary 28, 2006
Last NPPES UpdateDecember 17, 2021
NPPES CertifiedDecember 17, 2021
✔ NPI 1912973900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036092839
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.
9401 HOLY CROSS LN, Breese, IL 62230
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Other Identifiers 2

Other01407524IL · Blue Cross Blue Shield
Medicaid036092839IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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

Dr. Arnel 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 ID9537193792
PECOS Enrollment IDI20050927000263
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.

Hospital Affiliations CMS Care Compare 3

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62230 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 5

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
10 suppliers62 claims137 services$5.74 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers33 claims40 services$0.97 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$8.65 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims64 services$1.94 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,650 services$0.01 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 13

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

ROCH ANDRE LEFEBVRE M.D.
Family Medicine
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
DOUGLAS M. KUHL M.D.
Pediatrics
9401 HOLY CROSS LN, SUITE 112B
BREESE, IL 62230
Clinton County (618) 526-7271
AMY KATHLEEN KRAUSE PA
Physician Assistant
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
DR. BRETT LYNN HUTCHERSON D.O.
Family Medicine
9401 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-7271
JONATHAN VAUGHN OSBORN M.D.
Family Medicine
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
MRS. AMBER LEIGH POETTKER PA-C
Physician Assistant
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
KATLYN HILMES
Nurse Practitioner
9401 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-7271
FRED CHARLES BOCH LCSW
Social Worker (Clinical)
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271

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 Arnel Garcia's NPI number?

The NPI number for Arnel Garcia is 1912973900. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Arnel Garcia located?

Arnel Garcia practices at 9401 Holy Cross Ln, Breese, IL 62230. The listed phone number is (618) 526-7271.

What is Arnel Garcia's specialty?

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

Is Arnel Garcia enrolled in Medicare?

Yes. Arnel 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 Arnel Garcia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Arnel 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 Arnel Garcia affiliated with any hospitals?

According to CMS data, Arnel Garcia is affiliated with St Josephs Hospital, Hshs St Elizabeth's Hospital and St Joseph's Hospital.

When was this NPI record last updated?

The NPPES record for Arnel Garcia was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.