Active NPI 1336160852 Individual Practitioner Male Practitioner

Dr. Rafael F Garcia , MD

General Practice • Corpus Christi, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Garcia, MD is a certified General Practice practicing in Corpus Christi, TX. With approximately 34 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1992, Dr. Garcia delivers high-quality medical care to the local community at 5440 OLD BROWNSVILLE RD.

Dr. Garcia is affiliated with Here Or There Healthcare Pllc 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, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5440 Old Brownsville Rd

Corpus Christi, TX 784179765

Telephone 3612267419

Fax 3612017479

Associated Practice Facility / Clinic

🏢 M Hernandez Md Pllc Facility NPI 1194984856

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Corpus Christi, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +6.5 yrs vs City Avg

City Avg: 27.5 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

16 Specialists

Practicing in Corpus Christi, TX (1183 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

55.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Garcia (34 Years) 34 Yrs

Corpus Christi Specialty Average (27.5 Years) 27.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	78	$272.00	$121.13
99213 Established patient office or other outpatient visit, typically 15 minutes	95	64	$192.00	$85.75
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	65	50	$33.00	$15.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$276.00	$123.71
83036 Hemoglobin A1C level	26	17	$25.77	$9.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	12	$31.00	$13.59
99441 Telephone medical discussion with physician, 5-10 minutes	17	13	$119.00	$49.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0179 Physician re-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 to affirm the initial imp	591	205	$80.01	$39.51
99213 Established patient office or other outpatient visit, typically 15 minutes	112	65	$192.00	$85.56
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	82	76	$103.10	$49.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	24	$272.00	$122.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0179 Physician re-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 to affirm the initial imp	283	183	$80.00	$39.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	127	$219.73	$123.98
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	56	55	$103.00	$50.83
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$135.37	$87.83
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	18	13	$205.00	$100.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$245.00	$161.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	29	$150.87	$125.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	70	62	$225.00	$60.69
99284 Emergency department visit with moderate level of medical decision making	54	50	$394.67	$115.12
99285 Emergency department visit for life threatening or functioning severity	17	17	$636.12	$169.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	82	78	$1662.37	$167.84
99284 Emergency department visit with moderate level of medical decision making	58	58	$1129.00	$114.87
99283 Emergency department visit with low level of medical decision making	45	43	$605.20	$60.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	69	67	$1119.81	$114.38
99285 Emergency department visit for life threatening or functioning severity	54	51	$1659.22	$168.80
99283 Emergency department visit with low level of medical decision making	34	31	$600.24	$60.26

Medical Specialties & State Licenses

CMS Verified: 2026-04-14

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX J3700

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License TX J3700

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

138031308 (TX)

Medicaid State Provider ID

138031318 (TX)

Commercial Insurance / Payer ID Bcbstx Pin

8X7032 (TX)

Hospital & Practice Group Affiliations

Here Or There Healthcare Pllc

1015 Santa Fe St, Corpus Christi, TX 784042334

Phone: 3618069222

Practice Associates & Co-Workers

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

6 Associated Practitioners

Divina Lewis , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033851373

Nurse Practitioner

Joseph Whitfield , PA

Physician Assistant

NPI 1265495683

Physician Assistant

Debra Lazarte , LCSW

Social Worker - Clinical

NPI 1316931827

Licensed Clinical Social Worker

Norami Ortiz , RD, LD

Dietitian, Registered

NPI 1427608850

Registered Dietitian, Licensed Dietitian

Kenda Dietrich , LPC, LPA

Counselor

NPI 1538286414

Licensed Professional Counselor, LPA

Dr. Michael Hernandez , MD

Psychiatry & Neurology - Psychiatry

NPI 1851380885

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location April 14, 2026

Registered at 5440 OLD BROWNSVILLE RD, CORPUS CHRISTI, TX 784179765 (Tel: 3612267419)

📍

Updated Business Mailing Address April 14, 2026

Registered at PO BOX 6950, CORPUS CHRISTI, TX 784666950 (Tel: 3612267419)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2026

General Practice (License #J3700 in TX)

📍

Updated Practice Location February 09, 2025

Registered at 1015 SANTA FE ST, CORPUS CHRISTI, TX 784042334 (Tel: 3618069222)

📍

Updated Business Mailing Address February 09, 2025

Registered at 1015 SANTA FE ST, CORPUS CHRISTI, TX 784042334 (Tel: 3618069222)

📍

Updated Practice Location April 19, 2023

Registered at 3945 IH 69 ACCESS RD, CORPUS CHRISTI, TX 784104531 (Tel: 3617678332)

📍

Updated Business Mailing Address April 19, 2023

Registered at 3945 IH 69 ACCESS RD, CORPUS CHRISTI, TX 784104531 (Tel: 3617678332)

📍

Updated Practice Location August 03, 2021

Registered at 6182 DUNBARTON OAK ST STE B, CORPUS CHRISTI, TX 784144276 (Tel: 3614529320)

📍

Updated Business Mailing Address August 03, 2021

Registered at 6182 DUNBARTON OAK ST STE B, CORPUS CHRISTI, TX 784144276 (Tel: 3614529320)

✅

NPI Profile Active June 08, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 08, 2010

Registered at 1100 E LOOP 304, CROCKETT, TX 758351810 (Tel: 9366396492)

📍

Updated Business Mailing Address June 08, 2010

Registered at 200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 705083870 (Tel: 8008939698)

👤

Provider Name / Credentials Updated June 08, 2010

Recorded as RAFAEL GARCIA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2010

Emergency Medicine (License #J3700 in TX)

🟢

Initial NPI Registration & Enumeration July 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Rafael Garcia. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1336160852

Entity Type:

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

Enumeration Date: July 21, 2006

Last Update: April 14, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6950

Corpus Christi, TX 784666950

Phone: 3612267419

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.