Active NPI 1952326043 Individual Practitioner Male Practitioner

Dr. Gerardo Garcia , MD

Surgery • Bethlehem, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gerardo Garcia, MD is a certified Surgery practicing in Bethlehem, PA. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Garcia delivers high-quality medical care to the local community at 801 OSTRUM ST.

Dr. Garcia is affiliated with St Lukes Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

801 Ostrum St

Bethlehem, PA 180151000

Telephone 4845262200

Fax 8332147527

Associated Practice Facility / Clinic

🏢 Homestar Medical Equipment & Infusion Services Facility NPI 1134197874

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bethlehem, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +14.6 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

In-Person Office Visits Only

Medicare Pricing Discount

56.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Garcia (38 Years) 38 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$219.40	$107.39
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$148.54	$89.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	25	$143.83	$77.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$334.55	$165.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$405.42	$170.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$294.63	$129.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$219.71	$126.45
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1968.15	$714.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$205.85	$116.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	35	$144.58	$87.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	27	$139.21	$77.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$214.00	$108.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	32	$284.29	$127.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$323.19	$156.22
49650 Repair of groin hernia using an endoscope	18	18	$1556.94	$534.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$213.38	$123.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$393.80	$169.62

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	58	30	$136.90	$69.83
99213 Established patient office or other outpatient visit, typically 15 minutes	47	33	$140.62	$89.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$206.74	$110.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$276.88	$132.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$313.33	$164.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$385.86	$194.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$206.00	$121.59
49650 Repair of groin hernia using an endoscope	13	13	$1611.69	$565.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	42	$137.59	$87.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	33	$132.14	$71.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$271.10	$134.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$202.57	$108.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$374.50	$198.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$201.68	$128.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$306.67	$166.53
47562 Removal of gallbladder using an endoscope	13	13	$1678.85	$640.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	51	$134.29	$71.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	41	$129.31	$73.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$197.67	$104.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$264.24	$139.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$196.36	$106.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	20	$184.67	$104.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$298.88	$163.82
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1769.00	$741.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$366.42	$203.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	88	$130.23	$70.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	53	$125.60	$71.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	47	$256.96	$136.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$190.59	$104.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	29	$181.50	$104.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$353.33	$202.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$287.93	$162.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$188.94	$103.19
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1702.23	$688.90
47562 Removal of gallbladder using an endoscope	12	12	$1581.00	$675.18
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$182.17	$97.47

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	123	70	$117.73	$69.64
99213 Established patient office or other outpatient visit, typically 15 minutes	104	66	$124.15	$68.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	50	$243.88	$128.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$274.67	$153.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$180.00	$101.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	36	$180.56	$101.42
99221 Initial hospital inpatient care per day, typically 30 minutes	39	39	$170.54	$97.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$339.10	$190.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	15	$76.32	$37.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	15	$174.00	$92.24
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$1620.13	$698.97
49650 Repair of groin hernia using an endoscope	14	14	$1515.86	$566.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$265.00	$159.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	37	$175.00	$103.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	27	$115.00	$70.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	19	$75.00	$38.53
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$120.00	$70.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$235.00	$134.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$175.00	$104.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$325.00	$198.72
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$165.00	$99.62
99238 Hospital discharge day management, 30 minutes or less	11	11	$115.00	$70.79
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1562.00	$715.55

Medical Specialties & State Licenses

CMS Verified: 2025-08-12

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD063715L

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0018181930003 (PA)

Hospital & Practice Group Affiliations

St Lukes Physician Group Inc

701 Ostrum St, Fountain Hill, PA 180151152

St Lukes Physician Group Inc

801 Ostrm St, Bethlehem, PA 180151000

St Lukes Physician Group Inc

100 St Lukes Way, Stroudsburg, PA 183606217

Phone: 2722121000

St Lukes Physician Group Inc

3565 Route 611, Bartonsville, PA 183217800

Phone: 4845262200

St Lukes Physician Group Inc

100 St Lukes Ln, Stroudsburg, PA 183606217

Phone: 2722123872

St Lukes Physician Group Inc

100 St Lukes Ln, Stroudsburg, PA 183606217

Phone: 4845262200

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kristen Scholz , CRNP

Nurse Practitioner - Acute Care

NPI 1003287418

Certified Registered Nurse Practitioner

Dr. Jennifer To , DO

Surgery - Trauma Surgery

NPI 1053675546

Doctor of Osteopathic Medicine (D.O.)

Angela Pistoria , PA

Physician Assistant - Medical

NPI 1063522415

Physician Assistant

Kara Lindenmoyer , PA-C

Physician Assistant - Medical

NPI 1063765204

Physician Assistant (Certified)

Dr. Nicholas Coan , DO

Internal Medicine - Critical Care Medicine

NPI 1104355197

Doctor of Osteopathic Medicine (D.O.)

Kyle Saylor , PA-C

Physician Assistant

NPI 1104644525

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 18, 2025

Registered at 801 OSTRUM ST, BETHLEHEM, PA 180151000 (Tel: 4845262200)

📍

Updated Business Mailing Address August 18, 2025

Registered at 801 OSTRUM ST, BETHLEHEM, PA 180151000 (Tel: 4845262200)

✅

NPI Profile Active June 05, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2012

Registered at 2649 SCHOENERSVILLE RD, SUITE 202, BETHLEHEM, PA 180177326 (Tel: 6106918074)

📍

Updated Business Mailing Address June 05, 2012

Registered at PO BOX 1754, ALLENTOWN, PA 181051754 (Tel: 4848844500)

👤

Provider Name / Credentials Updated June 05, 2012

Recorded as GERARDO GARCIA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2012

Surgery (License #MD063715L in PA)

🟢

Initial NPI Registration & Enumeration July 12, 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: 1952326043

Entity Type:

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

Enumeration Date: July 12, 2006

Last Update: August 18, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 Ostrum St

Bethlehem, PA 180151000

Phone: 4845262200

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.