Active NPI 1669582755 Individual Practitioner Male Practitioner

Dr. Guillermo Garcia , MD

Surgery • Bethlehem, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Guillermo Garcia, MD is a certified Surgery practicing in Bethlehem, PA. With approximately 27 years of clinical experience since graduating from University Of Texas Medical School At Houston in 1999, Dr. Garcia delivers high-quality medical care to the local community at 2649 SCHOENERSVILLE RD.

Dr. Garcia is affiliated with Lehigh Valley Physician Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of large bowel using an endoscope, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2649 Schoenersville Rd
Suite202

Bethlehem, PA 180177326

Telephone 6106918074

Associated Practice Facility / Clinic

🏢 Ravindra R Kandula, M.d. Pc Facility NPI 1962463513

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bethlehem, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +3.6 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

50 Specialists

Practicing in Bethlehem, PA (1976 Statewide)

Telehealth Adoption Rate

14.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

76.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Garcia (27 Years) 27 Yrs

Bethlehem Specialty Average (23.4 Years) 23.4 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	69	49	$180.00	$85.95
45380 Biopsy of large bowel using an endoscope	43	42	$1129.53	$139.61
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$145.00	$66.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	14	$180.00	$74.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$901.21	$94.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	15	$155.00	$46.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	17	$1288.33	$237.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$395.00	$163.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$300.00	$123.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$110.00	$53.22
99238 Hospital discharge day management, 30 minutes or less	12	12	$185.00	$76.33
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$705.00	$152.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	43	$147.84	$86.30
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$141.51	$69.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	14	$173.08	$77.34
45380 Biopsy of large bowel using an endoscope	24	24	$930.00	$141.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$278.61	$127.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$675.00	$88.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	52	$170.00	$69.99
99213 Established patient office or other outpatient visit, typically 15 minutes	98	74	$140.00	$88.31
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$140.00	$71.52
45380 Biopsy of large bowel using an endoscope	33	31	$930.00	$136.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	31	$390.00	$194.64
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	31	$675.00	$109.48
99238 Hospital discharge day management, 30 minutes or less	21	21	$140.00	$70.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$265.00	$132.62
99442 Telephone medical discussion with physician, 11-20 minutes	17	15	$180.00	$80.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$200.00	$100.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$155.00	$38.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$86.58	$54.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	118	86	$140.00	$90.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	110	63	$170.00	$71.20
99202 New patient office or other outpatient visit, typically 20 minutes	54	54	$140.00	$72.08
45380 Biopsy of large bowel using an endoscope	37	35	$930.00	$160.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	33	$200.00	$102.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$390.00	$198.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	16	$155.00	$38.07
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$675.00	$102.79
99238 Hospital discharge day management, 30 minutes or less	23	23	$140.00	$71.32
99442 Telephone medical discussion with physician, 11-20 minutes	22	18	$180.00	$90.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$82.60	$53.43
47562 Removal of gallbladder using an endoscope	12	12	$1460.00	$620.07
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$195.00	$100.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	102	$140.00	$74.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	113	59	$159.38	$73.01
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$140.00	$74.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	46	$390.00	$202.72
45380 Biopsy of large bowel using an endoscope	36	33	$930.00	$163.76
99238 Hospital discharge day management, 30 minutes or less	20	19	$140.00	$73.57
99442 Telephone medical discussion with physician, 11-20 minutes	19	19	$180.00	$74.07
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$675.00	$115.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	18	$200.00	$104.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$85.00	$44.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	158	107	$140.00	$72.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	42	$140.00	$71.57
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$140.00	$74.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	45	$390.00	$200.44
45380 Biopsy of large bowel using an endoscope	33	32	$930.00	$166.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	30	$675.00	$124.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	18	$200.00	$103.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$205.00	$106.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1045.00	$263.55
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$195.00	$101.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	192	129	$140.00	$70.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	47	$140.00	$71.81
99202 New patient office or other outpatient visit, typically 20 minutes	54	54	$140.00	$72.86
45380 Biopsy of large bowel using an endoscope	32	32	$930.00	$193.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	31	$390.00	$200.07
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	28	$675.00	$116.97
99238 Hospital discharge day management, 30 minutes or less	24	23	$140.00	$71.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$205.00	$99.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$265.00	$131.15
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$195.00	$100.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$85.00	$42.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	237	156	$140.00	$69.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	130	59	$140.00	$70.50
99202 New patient office or other outpatient visit, typically 20 minutes	91	91	$140.00	$71.71
45380 Biopsy of large bowel using an endoscope	39	37	$930.00	$159.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$265.00	$134.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$85.00	$41.77
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$675.00	$115.54
99238 Hospital discharge day management, 30 minutes or less	22	22	$140.00	$70.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$390.00	$198.72
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$743.44	$164.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$205.00	$101.60
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$195.00	$99.62

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD430352

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

Lehigh Valley Physician Group

2649 Schoenersville Rd, Bethlehem, PA 180177316

Phone: 6106918074

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Pat Toselli , DO

Surgery

NPI 1184649279

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Diven , MD

Surgery

NPI 1245499946

Doctor of Medicine (M.D.)

Dr. Arjumand Ali , MD

Surgery

NPI 1356514202

Doctor of Medicine (M.D.)

Dr. David Grossman , MD

Surgery

NPI 1538361761

Doctor of Medicine (M.D.)

Dr. Joshua Nochumson , MD

Colon & Rectal Surgery

NPI 1740481407

Doctor of Medicine (M.D.)

Dr. Gregory Brusko , DO

Surgery

NPI 1942232426

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 30, 2015

Registered at 2649 SCHOENERSVILLE RD, SUITE202, BETHLEHEM, PA 180177326 (Tel: 6106918074)

📍

Updated Business Mailing Address November 30, 2015

Registered at PO BOX 783311, PHILADELPHIA, PA 191783311 (Tel: 4848844500)

👤

Provider Name / Credentials Updated November 30, 2015

Recorded as GUILLERMO GARCIA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2015

Surgery (License #MD430352 in PA)

🟢

Initial NPI Registration & Enumeration August 30, 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: 1669582755

Entity Type:

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

Enumeration Date: August 30, 2006

Last Update: November 30, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 783311

Philadelphia, PA 191783311

Phone: 4848844500

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.