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JOSE R GARCIA M.D.
NPI 1922027838
Internal Medicine in Laredo, TX

Active since July 19, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0967931 · Waiver
6801 MCPHERSON RD, SUITE 327, LAREDO, TX 78041(956) 727-4337(956) 718-9759 Get Directions Write a Review

NPPES record last updated: January 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2018, Feb 16, 2016 (2 updates tracked since 2016).

About Jose R Garcia M.d. NPPES

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

JOSE R GARCIA M.D. (NPI 1922027838) is an individual internal medicine provider in Laredo, Texas, licensed in Texas (J9875) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 2, 2027, and is affiliated with Laredo Medical Center.

NPPES Registry Identity

NPI1922027838
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSE R GARCIACredential: M.D.
Location Address6801 MCPHERSON RD, SUITE 327Laredo, TX 78041-6402
Mailing Address6801 Mcpherson Rd, Suite 327Laredo, TX 78041-6402 · (956) 727-4337 · Fax (956) 718-9759
Phone(956) 727-4337
Fax(956) 718-9759
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1994
Enumeration DateJuly 19, 2006
Last NPPES UpdateJanuary 19, 20182 updates tracked since enumeration
✔ NPI 1922027838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · J9875
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6801 MCPHERSON RD, Laredo, TX 78041
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Other Identifiers 2

Medicaid092329401TX
Other0038DRTX · Bluecross

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

Jose R 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 ID1456481001
PECOS Enrollment IDI20100609000283
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0967931

Jose Ruben Garcia MD · Laredo, TX
Active · expires Mar 2, 2027
CLIA Number45D0967931
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorJose R. Garcia MD
Laboratory Phone(956) 727-4337
Laboratory LocationJose Ruben Garcia MD6801 Mcpherson Avenue Suite 327, Laredo, TX 78041
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.
446 services51 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.
390 services145 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
272 services111 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
143 services143 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
69 services48 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.
56 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Laredo Medical Center

Acute Care Hospitals · Laredo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450029
Location1700 East SaundersLaredo, TX 78044 · Webb County
Emergency services Birthing friendly

Doctors Hospital Of Laredo

Acute Care Hospitals · Laredo, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450643
Location10700 Mcpherson RoadLaredo, TX 78041 · Webb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78041 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 10

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
11 suppliers42 claims135 services$6.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers26 claims52 services$1.12 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,080 services$6.42 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers24 claims725 services$3.14 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$5.89 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
3 suppliers36 claims13,379 services$0.36 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.

RALPH NIMCHAN MD PA
Specialist
6801 MCPHERSON RD, SUITE 226
LAREDO, TX 78041
Webb County (956) 723-0462
GLADYS C. KEENE M.D.
Allergy & Immunology
6801 MCPHERSON RD, SUITE 331
LAREDO, TX 78041
Webb County (956) 722-9918
SOUTH TEXAS BARIATRIC AND METABOLIC INSTITUTE, PLLC
Surgery
6801 MCPHERSON RD, SUITE 332
LAREDO, TX 78041
Webb County (956) 795-1991
VIRGINIA LEAL CFTS, CFO
Specialist
6801 MCPHERSON RD, 222
LAREDO, TX 78041
Webb County (956) 722-6487
GLOBAL NURSING SERVICES INC.
Home Health
6801 MCPHERSON RD, SUITE 221
LAREDO, TX 78041
Webb County (956) 712-8147
DAVID E. GARZA, D.O, P.A.
Family Medicine
6801 MCPHERSON RD, 333
LAREDO, TX 78041
Webb County (956) 717-2971
DR. ELOY ZAMARRON M.D.
Family Medicine
6801 MCPHERSON RD, STE 109
LAREDO, TX 78041
Webb County (956) 728-0323
GASTROENTEROLOGY CENTER OF LAREDO, PA
Specialist
6801 MCPHERSON RD, SUITE 330
LAREDO, TX 78041
Webb County (956) 724-9219

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 Jose Garcia's NPI number?

The NPI number for Jose Garcia is 1922027838. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Jose Garcia located?

Jose Garcia practices at 6801 Mcpherson Rd Suite 327, Laredo, TX 78041. The listed phone number is (956) 727-4337.

What is Jose Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jose Garcia enrolled in Medicare?

Yes. Jose 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.

Does Jose Garcia hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0967931) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jose 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 Jose 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 Jose Garcia affiliated with any hospitals?

According to CMS data, Jose Garcia is affiliated with Laredo Medical Center and Doctors Hospital Of Laredo.

When was this NPI record last updated?

The NPPES record for Jose Garcia was last updated on January 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.