DR. HERNANDO GARCIA M.D.
NPI 1922000314
Internal Medicine - Pulmonary Disease in Miami Beach, FL

Q: What is Hernando Garcia's NPI number?

The NPI number for Hernando Garcia is 1922000314. It was assigned to this individual provider in the NPPES registry on August 15, 2005. The provider is also known as Mr. Hernando Garcia M.D..

Q: What is Hernando Garcia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hernando Garcia was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 15, 2005PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

4302 ALTON RD, MIAMI BEACH, FL 33140(305) 674-2055(305) 674-2075 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Hernando Garcia M.d. NPPES

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

DR. HERNANDO GARCIA M.D. (NPI 1922000314) is an individual pulmonary disease provider in Miami Beach, Florida, licensed in Florida (ME0063669) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1922000314

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. HERNANDO GARCIACredential: M.D.

Location Address4302 ALTON RDMiami Beach, FL 33140-2891

Mailing Address4302 Alton RdMiami Beach, FL 33140-2891 · (305) 674-2055 · Fax (305) 675-2075

Phone(305) 674-2055

Fax(305) 674-2075

Sole ProprietorNo

Medical School CMSOtherGraduated 1979

Enumeration DateAugust 15, 2005

Last NPPES UpdateMay 4, 2021

NPPES CertifiedMay 4, 2021

✔ NPI 1922000314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in FL · ME0063669✔ Licensed in TX · N1642

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.

4302 ALTON RD, Miami Beach, FL 33140

Open in Google Maps ↗

Other Names 1

Professional Name (2)Mr. Hernando Garcia M.d.

Other Identifiers 2

Medicaid198425401TX

Medicaid372858700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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. Hernando Garcia 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 ID5092741652

PECOS Enrollment IDI20050714000591

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 12

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.

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.

261 services87 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.

234 services126 patients

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.

183 services87 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

80 services47 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

54 services49 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.

53 services48 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

46 services43 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.

45 services45 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

40 services36 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.

29 services26 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

15 services13 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.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100034

Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

97.58/100

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

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

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

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers13 claims74 services$1.82 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers40 claims40 services$15.13 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$924.12 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers18 claims20 services$30.97 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

11 suppliers78 claims78 services$72.36 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers27 claims27 services$30.79 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.

OUELLETTE GROUP PHYSICIANS FOR THE HAND

Orthopaedic Surgery (Hand Surgery)

4302 ALTON RD, SUITE 710
MIAMI BEACH, FL 33140

Miami-Dade County (786) 261-0222

DAVID COHN MD PA

Internal Medicine

4302 ALTON RD, SUITE 300
MIAMI BEACH, FL 33140

Miami-Dade County (305) 531-6600

DR. JOSE R TOLEDO M.D.

Physical Medicine & Rehabilitation

4302 ALTON RD, SUITE 420
MIAMI BEACH, FL 33140

Miami-Dade County (305) 672-1256

INIEDDY RODRIGUEZ BORNOT

Nurse Practitioner (Acute Care)

4302 ALTON RD
MIAMI BEACH, FL 33140

Miami-Dade County (786) 584-5560

DR. DAVID L LIPKIN M.D.

Physical Medicine & Rehabilitation

4302 ALTON RD, SUITE 420
MIAMI BEACH, FL 33140

Miami-Dade County (305) 672-1256

COMPREHENSIVE PRIMARY CARE

Internal Medicine

4302 ALTON RD, SUITE 900
MIAMI BEACH, FL 33140

Miami-Dade County (305) 534-4888

MEDICAL CENTER OF WINSTON TOWERS INC

Internal Medicine

4302 ALTON RD, SUITE 320
MIAMI BEACH, FL 33140

Miami-Dade County (305) 538-7344

IRVING JORGE MD

Surgery

4302 ALTON RD, SUITE 540
MIAMI BEACH, FL 33140

Miami-Dade County (305) 674-2151

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 Hernando Garcia's NPI number?

The NPI number for Hernando Garcia is 1922000314. It was assigned to this individual provider in the NPPES registry on August 15, 2005. The provider is also known as Mr. Hernando Garcia M.D..

Where is Hernando Garcia located?

Hernando Garcia practices at 4302 Alton Rd, Miami Beach, FL 33140. The listed phone number is (305) 674-2055.

What is Hernando Garcia's specialty?

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

Is Hernando Garcia enrolled in Medicare?

Yes. Hernando 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 Hernando Garcia accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Oscar Insurance Company and 1 other insurer list Hernando 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 Hernando Garcia affiliated with any hospitals?

According to CMS data, Hernando Garcia is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Hernando Garcia was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.