NPPES file of Aug 9, 2026

Fernando U. Garcia, MD

Anatomic Pathology & Clinical Pathology Physician · Philadelphia, PA

Fernando U. Garcia, MD is an anatomic pathology & clinical pathology physician with a practice address in Philadelphia, Pennsylvania, and NPI 1316993652, issued on May 26, 2006. Check the license (Pennsylvania MD054895L, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1316993652
Name
Fernando U. Garcia
Credential
MD
Primary taxonomy
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
License number
MD054895L PA
Self-reported in NPPES; status is on the state search
Practice location
245 N 15TH St, Philadelphia, PA 19102
Phone
(215) 762-8873
Enumerated
May 26, 2006
Record last updated
Jul 23, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(215) 762-3274
Medicaid ID
001535895 PA
Medicare enrollment
Enrolled (PECOS I20060308000489); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 245 N 15TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Muhammad Ahmad, M.DInternal Medicine Physician1760835169
  2. Jacob Anderson, M.D.Internal Medicine Physician1467801266
  3. Nikesh AnumulaInternal Medicine Physician1134482128
  4. Umair Ashraf, M.D.Internal Medicine Physician1255773396
  5. Khin Moe Aye, M.D.Anatomic Pathology & Clinical Pathology Physician1235360157
  6. Shraddha Babariya, M.D.Anatomic Pathology & Clinical Pathology Physician1730561648

Verify Fernando U. Garcia in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD054895L
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

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The practice group's MIPS final score for 2023 (Medicare payment program): 81.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score74.6
  2. Costout of 100 · 30%65.2
  3. Promoting interoperabilityout of 100 · 25%97.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 3 group practices

  1. Phoenixville Clinic Company LLCPhoenixville, PA
  2. Pottstown Clinic Company LLCPottstown, PA
  3. Tower Health Medical GroupWest Reading, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Fernando U. Garcia among 716 anatomic pathology & clinical pathology physician records in Pennsylvania

Fernando U. Garcia, MD is one of 716 anatomic pathology & clinical pathology physician records with a practice address in Pennsylvania. 62% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 59% newer
  • In a Medicare fileYes · 62% of these records are
  • In the CMS Doctors and Clinicians fileYes · 54% of these records are
  • Graduated1981 · median 2001 among the 388 with a school on file
  • Record last updated2021 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Anatomic Pathology & Clinical Pathology Physician providers in Pennsylvania

There are 716 anatomic pathology & clinical pathology physician records in Pennsylvania.

The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes

  1. Khin Moe Aye, M.D.Philadelphia, PA 191021235360157
  2. Manjula Balasubramanian, MDPhiladelphia, PA 191021336191683
  3. Shefali Ballal, M.D.Philadelphia, PA 191021356786727
  4. Rekha Bhat, M.DPhiladelphia, PA 191021679735286
  5. Bela DalwadiPhiladelphia, PA 191021790946606
  6. Christopher Emery, MDPhiladelphia, PA 191021316999329
  7. Violeta Gamarra, MDPhiladelphia, PA 191021053324699
  8. Cheryl Hanau, MDPhiladelphia, PA 191021134172174

Common questions

What is Fernando U. Garcia, MD's NPI number?

Fernando U. Garcia, MD's National Provider Identifier (NPI) is 1316993652, issued on May 26, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Fernando U. Garcia, MD located?

The NPPES record lists a practice address at 245 N 15TH St, Philadelphia, PA, 19102. Phone: (215) 762-8873. Providers update this record themselves, so call before visiting.

How can I verify Fernando U. Garcia, MD's license?

NPPES lists Pennsylvania license number MD054895L, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Fernando U. Garcia, MD's MIPS final score?

The 2023 MIPS final score is 81.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.