Philip Garcia, M.D.

Individual provider Active NPI Otolaryngology Physician · Springfield, IL

NPI 1831295815 · NPPES record last updated May 22, 2020

Key facts

NPI
1831295815
Entity type
Individual (NPI type 1)
Primary specialty
Otolaryngology Physician 207Y00000X
License
036-086164 (IL)
Practice address
1025 S 6TH St
Springfield, IL 62703-2403
Phone
(217) 528-7541
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Medicare Care Compare profile

Specialty
Otolaryngology
Education
University of Michigan Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Clinic, LLP (678 clinicians)

Practice addresses (Care Compare)

1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541

Hospital & facility affiliations

  • Memorial Medical Center Hospital · Springfield, IL · CCN 140148
  • St Johns Hospital Hospital · Springfield, IL · CCN 140053
  • Hillsboro Area Hospital Hospital · Hillsboro, IL · CCN 141332
  • Taylorville Memorial Hospital Hospital · Taylorville, IL · CCN 141339

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100 (apm)
Quality
75.65
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Springfield Clinic Lincoln Rural Health
Lincoln, IL · CCN 143925
Rural health clinic Limited Partnership Interest Jan 1, 1995
Springfield Clinic Nokomis Rural Health
Nokomis, IL · CCN 783814
Rural health clinic Limited Partnership Interest Jan 1, 1995
Springfield Clinic Raymond Rural Health
Raymond, IL · CCN 783829
Rural health clinic Limited Partnership Interest Jan 1, 1995
Springfield Clinic Neoga Rural Health
Neoga, IL · CCN 783812
Rural health clinic Limited Partnership Interest Jan 1, 1995
Springfield Clinic, LLP
Macomb, IL · CCN 783855
Rural health clinic Limited Partnership Interest Jan 1, 1995

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060109000611 IL Practitioner - Otolaryngology 1658277066 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-086164ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Clinic, LLP Current
since Jan 1, 1995
Accepting new patients
Springfield Clinic LLP Current
since May 1, 2003
Accepting new patients

Locations

300 N Broad St
Carlinville, IL 62626
Phone (217) 544-2020

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

1250 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-6911

1025 S 6th St
Springfield, IL 62703

775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300

1025 S 7th St
Springfield, IL 62703
Phone (217) 525-7541

600 N Main St
Taylorville, IL 62568
Phone (217) 287-8855

Interoperability endpoints

  • Direct secure messaging: philip.garcia.1@28977.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036-086164 IL Yes

Addresses

Primary practice location

1025 S 6TH St
Springfield, IL 62703-2403

Mailing address

1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541

Other identifiers

IdentifierTypeStateIssuer
036086164MedicaidIL

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address philipgarcia@sfc.allscriptsdirect.net

Other providers in Springfield, IL

All providers in Springfield, IL · Otolaryngology Physician in Illinois

Sources for this page

Verify at the official NPI Registry.