DR. AGUSTIN A GARCIA CABALLERO MONGE M.D.
NPI 1942258116
Internal Medicine - Medical Oncology in Independence, LA

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
92.8/100
CMS Quality Rating
52579 HIGHWAY 51 S, INDEPENDENCE, LA 70443(985) 878-9421(985) 878-1306 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Agustin A Garcia Caballero Monge M.d. NPPES

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

DR. AGUSTIN A GARCIA CABALLERO MONGE M.D. (NPI 1942258116) is an individual medical oncology provider in Independence, Louisiana, licensed in Louisiana (MD.207740) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1942258116
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. AGUSTIN A GARCIA CABALLERO MONGECredential: M.D.
Location Address52579 HIGHWAY 51 SIndependence, LA 70443-2231
Mailing AddressPo Box 919313Dallas, TX 75391-9313 · (855) 707-1542 · Fax (337) 237-5102
Fax(985) 878-1306
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 4, 2006
Last NPPES UpdateJanuary 4, 2023
NPPES CertifiedJanuary 4, 2023
NPI 1942258116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses Licensed in LA · MD.207740 Licensed in CA · A52720
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

52579 HIGHWAY 51 S, Independence, LA 70443

Accepted 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. Agustin A Garcia Caballero Monge 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 ID9335030568
PECOS Enrollment IDI20150610002549
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 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.

Established patient office or other outpatient visit, 20-29 minutes 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.
83 services57 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
81 services42 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
70 services36 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
49 services17 patients
Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services20 patients
Follow-up hospital inpatient care per day, typically 25 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.
23 services14 patients

Hospital Affiliations CMS Care Compare 4

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Lallie Kemp Medical Center

Critical Access Hospitals · Independence, LA
OwnershipGovernment - State
CMS Certification Number191321
Location52579 Highway 51 SouthIndependence, LA 70443 · Tangipahoa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70443 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
$164.73 typical visit price
range $53.43 – $164.73
Typical copayment $41.18 (range $13.35 – $41.18)
Most-billed visit code 99205
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

92.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.92
Promoting Interoperability100
Improvement Activities40
Cost78.43

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.

Internal Medicine
52579 HIGHWAY 51 S
INDEPENDENCE, LA 70443
Surgery (Vascular Surgery)
52579 HIGHWAY 51 S
INDEPENDENCE, LA 70443
Emergency Medicine
52579 HIGHWAY 51 S
INDEPENDENCE, LA 70443
Emergency Medicine
52579 HIGHWAY 51 S
INDEPENDENCE, LA 70443
Nurse Anesthetist, Certified Registered
52579 HIGHWAY 51 S
INDEPENDENCE, LA 70443
General Acute Care Hospital (Critical Access)
52579 HIGHWAY 51 S
INDEPENDENCE, LA 70443
Internal Medicine
52579 HIGHWAY 51 S
INDEPENDENCE, LA 70443
General Acute Care Hospital (Critical Access)
52579 HIGHWAY 51 S
INDEPENDENCE, LA 70443

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 Agustin Garcia Caballero Monge's NPI number?

The NPI number for Agustin Garcia Caballero Monge is 1942258116. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Agustin Garcia Caballero Monge located?

Agustin Garcia Caballero Monge practices at 52579 Highway 51 S, Independence, LA 70443. The listed phone number is (985) 878-9421.

What is Agustin Garcia Caballero Monge's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Agustin Garcia Caballero Monge enrolled in Medicare?

Yes. Agustin Garcia Caballero Monge 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 Agustin Garcia Caballero Monge accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Agustin Garcia Caballero Monge 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 Agustin Garcia Caballero Monge affiliated with any hospitals?

According to CMS data, Agustin Garcia Caballero Monge is affiliated with University Medical Center New Orleans, West Jefferson Medical Center, East Jefferson General Hospital and Lallie Kemp Medical Center.

When was this NPI record last updated?

The NPPES record for Agustin Garcia Caballero Monge was last updated on January 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.