Active NPI 1881698876 Individual Practitioner Male Practitioner

Dr. Peter M. Garcia , MD

Orthopaedic Surgery • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Garcia, MD is a certified Orthopaedic Surgery practicing in Austin, TX. With approximately 46 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 1980, Dr. Garcia delivers high-quality medical care to the local community at 4700 SETON CENTER PKWY.

Dr. Garcia is affiliated with Ortholonestar Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, durolane, for intra-articular injection, 1 mg, aspiration and/or injection of fluid from large joint, established 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

4700 Seton Center Pkwy
Ste 200

Austin, TX 787594107

Telephone 5124391000

Fax 5124391081

Associated Practice Facility / Clinic

🏢 Texas Orthopedics Sports & Rehabilitation Associates Pa Facility NPI 1346244688

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +22.7 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

90 Specialists

Practicing in Austin, TX (1627 Statewide)

Telehealth Adoption Rate

12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Garcia (46 Years) 46 Yrs

Austin Specialty Average (23.3 Years) 23.3 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
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	8,100	57	$40.00	$6.40
20610 Aspiration and/or injection of fluid from large joint	251	149	$291.99	$77.20
99213 Established patient office or other outpatient visit, typically 15 minutes	238	171	$233.00	$89.91
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	211	78	$15.00	$6.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	159	$338.00	$123.75
73562 X-ray of knee, 3 views	177	117	$120.50	$41.70
73721 Mri scan of leg joint without contrast	65	59	$711.00	$140.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$334.00	$111.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	55	$510.00	$166.74
73030 X-ray of shoulder, minimum of 2 views	48	45	$102.88	$33.12
73630 X-ray of foot, minimum of 3 views	46	30	$100.83	$34.84
73502 X-ray of hip, 2-3 views	44	43	$140.00	$48.47
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	37	22	$1525.00	$516.00
73221 Mri scan of arm joint without contrast	29	29	$714.00	$142.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	9,780	82	$40.00	$6.50
99213 Established patient office or other outpatient visit, typically 15 minutes	273	183	$233.00	$89.71
20610 Aspiration and/or injection of fluid from large joint	267	151	$299.66	$78.42
73562 X-ray of knee, 3 views	180	132	$120.60	$42.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	122	$338.00	$125.72
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	145	100	$15.00	$6.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$510.00	$166.64
73721 Mri scan of leg joint without contrast	60	55	$711.00	$145.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$334.00	$109.47
73502 X-ray of hip, 2-3 views	39	36	$140.00	$48.94
73030 X-ray of shoulder, minimum of 2 views	32	29	$102.81	$36.00
73630 X-ray of foot, minimum of 3 views	25	16	$101.00	$35.67
73130 X-ray of hand, minimum of 3 views	23	18	$108.70	$38.46
73110 X-ray of wrist, minimum of 3 views	21	12	$120.00	$41.04
73221 Mri scan of arm joint without contrast	14	14	$714.00	$154.51
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$118.00	$41.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	10,620	82	$40.00	$13.80
20610 Aspiration and/or injection of fluid from large joint	329	174	$296.81	$79.43
99213 Established patient office or other outpatient visit, typically 15 minutes	291	183	$234.04	$87.87
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	258	115	$15.00	$6.66
73562 X-ray of knee, 3 views	176	119	$120.50	$43.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	121	$338.00	$125.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$334.00	$110.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$510.00	$168.82
73030 X-ray of shoulder, minimum of 2 views	55	46	$102.67	$36.87
73721 Mri scan of leg joint without contrast	52	43	$711.00	$148.47
73502 X-ray of hip, 2-3 views	38	38	$140.00	$50.19
73630 X-ray of foot, minimum of 3 views	32	22	$100.75	$33.01
73221 Mri scan of arm joint without contrast	30	28	$714.00	$160.10
73610 X-ray of ankle, minimum of 3 views	26	18	$108.15	$35.87
72100 X-ray of lower and sacral spine, 2-3 views	18	18	$118.00	$42.55
73080 X-ray of elbow, minimum of 3 views	12	11	$96.67	$34.65
72148 MRI scan of lower spinal canal	11	11	$676.00	$128.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	10,800	88	$40.00	$17.06
99213 Established patient office or other outpatient visit, typically 15 minutes	387	228	$232.29	$93.31
20610 Aspiration and/or injection of fluid from large joint	299	148	$290.57	$76.62
73562 X-ray of knee, 3 views	203	147	$120.53	$43.19
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	133	64	$15.00	$7.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$333.00	$114.91
73721 Mri scan of leg joint without contrast	66	60	$798.14	$165.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	57	$338.34	$130.01
73030 X-ray of shoulder, minimum of 2 views	55	43	$102.13	$36.16
73502 X-ray of hip, 2-3 views	37	35	$140.00	$49.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$510.00	$172.26
73610 X-ray of ankle, minimum of 3 views	31	22	$108.58	$39.28
73630 X-ray of foot, minimum of 3 views	30	22	$100.60	$36.65
73221 Mri scan of arm joint without contrast	20	20	$873.00	$179.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	5,400	56	$40.51	$17.22
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,656	35	$25.00	$10.90
99213 Established patient office or other outpatient visit, typically 15 minutes	338	194	$197.81	$76.73
20610 Aspiration and/or injection of fluid from large joint	195	106	$277.85	$74.14
73562 X-ray of knee, 3 views	103	79	$118.64	$41.16
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	83	34	$43.92	$7.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$286.50	$108.51
73721 Mri scan of leg joint without contrast	46	40	$1350.00	$173.81
73630 X-ray of foot, minimum of 3 views	35	23	$103.86	$34.36
73502 X-ray of hip, 2-3 views	29	29	$128.28	$47.34
73030 X-ray of shoulder, minimum of 2 views	28	25	$94.64	$33.52
73221 Mri scan of arm joint without contrast	25	25	$1350.00	$189.84
73610 X-ray of ankle, minimum of 3 views	21	15	$98.57	$36.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$113.81	$47.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$292.73	$111.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	6,112	71	$25.00	$11.10
99213 Established patient office or other outpatient visit, typically 15 minutes	388	216	$145.00	$73.65
20610 Aspiration and/or injection of fluid from large joint	369	158	$282.28	$69.53
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	306	101	$32.89	$6.63
73562 X-ray of knee, 3 views	113	88	$115.00	$37.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$210.00	$107.00
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	55	11	$250.00	$141.95
73721 Mri scan of leg joint without contrast	54	48	$1350.00	$158.11
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	41	24	$1726.83	$1113.40
73030 X-ray of shoulder, minimum of 2 views	40	34	$85.00	$30.45
73630 X-ray of foot, minimum of 3 views	40	21	$115.00	$29.20
73564 X-ray of knee, 4 or more views	27	21	$140.00	$42.16
73221 Mri scan of arm joint without contrast	20	18	$1350.00	$166.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$90.00	$45.23
73502 X-ray of hip, 2-3 views	17	16	$106.00	$41.27
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$80.00	$36.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	7,552	94	$25.00	$11.66
99213 Established patient office or other outpatient visit, typically 15 minutes	456	253	$145.00	$72.60
20610 Aspiration and/or injection of fluid from large joint	414	165	$272.90	$68.90
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	297	108	$15.00	$6.98
73562 X-ray of knee, 3 views	124	85	$115.00	$36.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$210.00	$107.47
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	54	11	$250.00	$144.92
73721 Mri scan of leg joint without contrast	49	43	$1350.00	$163.79
73564 X-ray of knee, 4 or more views	42	29	$140.00	$38.52
73030 X-ray of shoulder, minimum of 2 views	40	35	$85.00	$29.70
73630 X-ray of foot, minimum of 3 views	37	24	$115.00	$28.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	31	$90.00	$44.12
73502 X-ray of hip, 2-3 views	24	22	$106.00	$42.02
73221 Mri scan of arm joint without contrast	21	20	$1350.00	$173.24
73610 X-ray of ankle, minimum of 3 views	17	15	$80.00	$31.87
73130 X-ray of hand, minimum of 3 views	15	11	$110.00	$32.23
27447 Replacement of knee joint, both sides of knee	13	13	$5884.62	$1570.30
72148 MRI scan of lower spinal canal	12	12	$1450.00	$134.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$100.00	$53.99
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$80.00	$35.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	6,384	93	$25.00	$12.30
99213 Established patient office or other outpatient visit, typically 15 minutes	488	286	$145.00	$72.30
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	465	103	$13.52	$6.55
20610 Aspiration and/or injection of fluid from large joint	394	158	$273.43	$68.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$210.00	$107.18
73562 X-ray of knee, 3 views	88	68	$115.00	$36.09
73564 X-ray of knee, 4 or more views	68	53	$140.00	$39.61
73030 X-ray of shoulder, minimum of 2 views	59	50	$85.00	$28.91
73721 Mri scan of leg joint without contrast	57	51	$1350.00	$166.75
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	46	11	$250.00	$152.29
73630 X-ray of foot, minimum of 3 views	29	24	$115.00	$28.27
73221 Mri scan of arm joint without contrast	28	27	$1350.00	$171.04
73610 X-ray of ankle, minimum of 3 views	25	19	$80.00	$29.98
73502 X-ray of hip, 2-3 views	22	22	$106.00	$40.41
73110 X-ray of wrist, minimum of 3 views	22	14	$110.00	$35.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$90.00	$42.10
72148 MRI scan of lower spinal canal	15	15	$1450.00	$122.45
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$80.00	$35.32
27447 Replacement of knee joint, both sides of knee	12	11	$5250.00	$1469.09
73565 X-ray of both knees while standing	11	11	$125.00	$30.17

Medical Specialties & State Licenses

CMS Verified: 2022-10-19

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX F8119

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1319840-02 (TX)

Medicaid State Provider ID

1319840-07 (TX)

Commercial Insurance / Payer ID Cshcn

1319840-02 (TX)

Commercial Insurance / Payer ID Bc/bs

GA082C503 (TX)

Hospital & Practice Group Affiliations

Ortholonestar Pllc

4700 Seton Ctr Pkwy, Austin, TX 787594107

Phone: 5124391000

Secondary Practice Locations

3755 S Capital Of Texas Hwy Ste 160

Austin, TX 787046645

Phone: 5124391000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Christopher Dickerson , DPT

Physical Therapist - Orthopedic

NPI 1003164831

Doctor of Physical Therapy

Dr. William Abblitt , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1003235078

Doctor of Medicine (M.D.)

Dr. Katie O'sullivan , DPT

Physical Therapist

NPI 1003247347

Doctor of Physical Therapy

Dr. Joseph Owens , MD

Physical Medicine & Rehabilitation

NPI 1003494436

Doctor of Medicine (M.D.)

Bethany Thoresen

Physical Therapist

NPI 1013027747

Jenny Park , LPT

Physical Therapist

NPI 1013039205

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 12, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 12, 2007

Registered at 4700 SETON CENTER PKWY, STE 200, AUSTIN, TX 787594107 (Tel: 5124391000)

📍

Updated Business Mailing Address July 12, 2007

Registered at 4700 SETON CENTER PKWY, STE 200, AUSTIN, TX 787594107 (Tel: 5124391000)

👤

Provider Name / Credentials Updated July 12, 2007

Recorded as PETER GARCIA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2007

Orthopaedic Surgery (License #F8119 in TX)

🟢

Initial NPI Registration & Enumeration June 08, 2005

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: 1881698876

Entity Type:

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

Enumeration Date: June 08, 2005

Last Update: October 19, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4700 Seton Center Pkwy, Ste 200

Austin, TX 787594107

Phone: 5124391000

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.