Active NPI 1104844752 Individual Practitioner Male Practitioner

Dr. Luis A Garcia , MD

Surgery • Fargo, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Luis Garcia, MD is a certified Surgery practicing in Fargo, ND. With approximately 32 years of clinical experience since completing medical education in 1994, Dr. Garcia delivers high-quality medical care to the local community at 1717 UNIVERSITY DR S.

Dr. Garcia maintains professional affiliations with Sanford Medical Center Fargo, Rush University Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito, colorectal cancer screening; colonoscopy on individual at high risk, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1717 University Dr S

Fargo, ND 581034939

Telephone 7012342000

Fax 7012342345

Associated Practice Facility / Clinic

🏢 Sanford Medical Center Fargo Facility NPI 1689694317

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fargo, ND

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +6.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

32 Specialists

Practicing in Fargo, ND (148 Statewide)

Telehealth Adoption Rate

9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Garcia (32 Years) 32 Yrs

Fargo Specialty Average (25.5 Years) 25.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	31	31	$165.06	$5.09
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$1009.00	$176.69
45380 Biopsy of large bowel using an endoscope	12	12	$1297.58	$177.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	29	29	$162.76	$5.17
45380 Biopsy of large bowel using an endoscope	14	14	$1252.50	$144.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	26	26	$161.54	$5.24
45380 Biopsy of large bowel using an endoscope	16	16	$1199.44	$186.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	12	12	$160.25	$5.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	11	11	$155.27	$5.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	49	48	$145.80	$5.33
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$58.00	$45.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$87.00	$74.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$147.00	$120.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$90.00	$77.14
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$760.12	$114.70
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$946.00	$184.10
45380 Biopsy of large bowel using an endoscope	15	15	$1164.00	$176.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$127.00	$108.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$84.60	$74.47
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$56.80	$44.99
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	31	28	$145.00	$5.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$143.77	$121.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$87.89	$76.95
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	12	12	$145.00	$58.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$125.50	$108.49
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	11	11	$4324.00	$1394.21
45380 Biopsy of large bowel using an endoscope	11	11	$1157.45	$183.90

Medical Specialties & State Licenses

CMS Verified: 2024-05-20

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ND 8483

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Rush University Medical Group

1725 W Harrison St, Chicago, IL 606123817

Phone: 3129428905

Sanford Medical Center Fargo

1220 Sheyenne St, West Fargo, ND 580782637

Phone: 7012344445

Sanford Medical Center Fargo

5225 23rd Ave S, Fargo, ND 581047927

Phone: 7014172575

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Rachel Myers , RN

Registered Nurse

NPI 1003686486

Registered Nurse

Dr. Nicola Herting , PhD, LP

Psychologist - Clinical Child & Adolescent

NPI 1013542182

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Dr. Naomi Schuldt , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1013693837

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Emuejevoke Okoh , MD

Internal Medicine - Gastroenterology

NPI 1013970482

Doctor of Medicine (M.D.)

Dr. Zhanyong Bing , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1023051810

Doctor of Medicine (M.D.)

Dr. Harpreet Kohli , MD

Hospitalist

NPI 1023397221

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address May 20, 2024

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074 (Tel: 7012342000)

📍

Updated Practice Location May 04, 2020

Registered at 1717 UNIVERSITY DR S, FARGO, ND 581034939 (Tel: 7012342000)

📍

Updated Business Mailing Address May 04, 2020

Registered at 1717 UNIVERSITY DR S, FARGO, ND 581034939 (Tel: 7012342000)

✅

NPI Profile Active January 19, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 19, 2012

Registered at 801 BROADWAY N, FARGO, ND 581023641 (Tel: 7012342251)

📍

Updated Business Mailing Address January 19, 2012

Registered at 801 BROADWAY N, FARGO, ND 581023641 (Tel: 7012342251)

👤

Provider Name / Credentials Updated January 19, 2012

Recorded as LUIS GARCIA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2012

Surgery (License #8483 in ND)

🟢

Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104844752

Entity Type:

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

Enumeration Date: July 18, 2006

Last Update: May 20, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

Phone: 7012342000

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.