Active NPI 1639105331 Individual Practitioner Female Practitioner

Dr. Carmen J Garcia , MD

Dermatology • Paramus, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carmen Garcia, MD is a certified Dermatology practicing in Paramus, NJ. With approximately 49 years of clinical experience since graduating from Columbia University College Of Physicians And Surgeons in 1977, Dr. Garcia delivers high-quality medical care to the local community at 326 FRANKLIN PL.

Dr. Garcia is affiliated with Center For Dermatology And Skin Surgery Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, tangential biopsy of single skin lesion, destruction of precancer skin growth, 2-14 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

326 Franklin Pl

Paramus, NJ 076524912

Telephone 2012621725

Medicare Profile & Education

Medical School

Columbia University College Of Physicians And Surgeons

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Paramus, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +24.2 yrs vs City Avg

City Avg: 24.8 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

7 Specialists

Practicing in Paramus, NJ (444 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Garcia (49 Years) 49 Yrs

Paramus Specialty Average (24.8 Years) 24.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	725	540	$233.46	$100.49
11102 Tangential biopsy of single skin lesion	237	203	$269.54	$113.77
17003 Destruction of precancer skin growth, 2-14 growths	123	29	$18.00	$7.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$285.76	$123.70
11103 Biopsy of related skin growth, each additional growth	78	50	$129.31	$54.27
17000 Destruction of skin growth	73	64	$182.41	$69.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	55	$156.27	$64.03
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$202.17	$81.91
17110 Destruction of up to 14 skin growths	14	13	$326.67	$133.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	933	637	$158.64	$99.85
11102 Tangential biopsy of single skin lesion	311	266	$328.15	$117.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	189	189	$229.81	$123.79
11103 Biopsy of related skin growth, each additional growth	127	79	$121.89	$57.97
17003 Destruction of precancer skin growth, 2-14 growths	125	32	$15.60	$7.76
17000 Destruction of skin growth	79	70	$146.84	$69.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$193.80	$141.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$278.18	$183.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	958	626	$144.95	$101.94
11102 Tangential biopsy of single skin lesion	328	296	$335.38	$121.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	230	230	$222.26	$125.65
11103 Biopsy of related skin growth, each additional growth	181	104	$150.69	$60.27
17003 Destruction of precancer skin growth, 2-14 growths	109	31	$18.30	$8.02
17000 Destruction of skin growth	62	54	$169.03	$70.49
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	13	$345.71	$192.84
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$687.27	$355.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	786	529	$150.65	$103.67
11102 Tangential biopsy of single skin lesion	282	252	$330.34	$124.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	178	178	$239.83	$127.38
17003 Destruction of precancer skin growth, 2-14 growths	112	26	$19.02	$7.80
11103 Biopsy of related skin growth, each additional growth	99	51	$167.37	$62.79
17000 Destruction of skin growth	71	63	$175.49	$72.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$247.42	$146.61
96573 Application of light by qualified health care professional to destroy precancer skin growth	17	14	$400.00	$285.99
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	14	13	$500.00	$392.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$107.69	$62.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	512	379	$148.52	$85.29
11102 Tangential biopsy of single skin lesion	249	225	$333.33	$117.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	135	135	$223.85	$122.42
11103 Biopsy of related skin growth, each additional growth	111	45	$169.86	$62.42
17003 Destruction of precancer skin growth, 2-14 growths	58	18	$21.98	$7.14
17000 Destruction of skin growth	48	44	$173.75	$66.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$108.33	$52.14
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	15	$326.11	$207.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	780	520	$152.53	$82.63
11102 Tangential biopsy of single skin lesion	406	315	$324.52	$113.60
11103 Biopsy of related skin growth, each additional growth	240	118	$150.96	$61.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	227	227	$241.87	$120.54
17003 Destruction of precancer skin growth, 2-14 growths	79	26	$25.25	$6.29
17000 Destruction of skin growth	69	61	$181.74	$65.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	59	$111.64	$50.82
11104 Punch biopsy, first skin growth	20	19	$471.00	$143.59
96573 Application of light by qualified health care professional to destroy precancer skin growth	13	12	$400.00	$236.43
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	13	12	$500.00	$391.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	728	522	$156.35	$78.06
11100 Biopsy of single growth of skin and/or tissue	358	297	$223.77	$115.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	177	177	$235.79	$114.35
11101 Biopsy of each additional growth of skin and/or tissue	168	98	$81.61	$35.04
17003 Destruction of precancer skin growth, 2-14 growths	101	24	$24.36	$5.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	72	$111.36	$47.44
17000 Destruction of skin growth	62	46	$196.61	$62.75
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	20	$641.59	$334.12
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	14	12	$500.00	$369.74
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$458.57	$136.90
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	13	11	$378.08	$178.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	678	483	$154.63	$80.38
11100 Biopsy of single growth of skin and/or tissue	265	230	$221.42	$116.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	173	173	$232.25	$117.92
17003 Destruction of precancer skin growth, 2-14 growths	127	37	$24.33	$6.42
11101 Biopsy of each additional growth of skin and/or tissue	107	73	$77.34	$35.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	82	$111.40	$48.26
17000 Destruction of skin growth	76	63	$189.74	$68.33
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	25	23	$600.00	$153.33
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	16	$562.11	$184.74
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	15	$739.72	$344.39
J3490 Unclassified drugs	13	13	$350.00	$303.28
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	12	12	$500.00	$323.27

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NJ 25MA04038300

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Center For Dermatology And Skin Surgery Llc

1 W Ridgewood Ave, Paramus, NJ 076522361

Phone: 2018574200

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 06, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 06, 2010

Registered at 326 FRANKLIN PL, PARAMUS, NJ 076524912 (Tel: 2012621725)

📍

Updated Business Mailing Address July 06, 2010

Registered at 326 FRANKLIN PLACE, PARAMUS, NJ 076524912 (Tel: 2012621725)

👤

Provider Name / Credentials Updated July 06, 2010

Recorded as CARMEN GARCIA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2010

Dermatology (License #25MA04038300 in NJ)

🟢

Initial NPI Registration & Enumeration June 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1639105331

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 24, 2006

Last Update: July 06, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

326 Franklin Place

Paramus, NJ 076524912

Phone: 2012621725

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.