Nestor Garcia, MD
Clinical Pathology/Laboratory Medicine Physician · Wilkes Barre, PA
Nestor Garcia, MD is a clinical pathology/laboratory medicine physician with a practice address in Wilkes Barre, Pennsylvania, and NPI 1114982329, issued on Apr 19, 2006. Check the license (Pennsylvania MD042111E, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Nestor Garcia
- Credential
- MD
- Primary taxonomy
- Clinical Pathology/Laboratory Medicine Physician 207ZP0105X
- License number
- MD042111E PA
Self-reported in NPPES; status is on the state search - Practice location
- 575 N River St, Wilkes Barre, PA 18764
- Phone
- (570) 829-8111
- Enumerated
- Apr 19, 2006
- Record last updated
- Jul 2, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicaid ID
- 0012072120005 PA
- Medicare enrollment
- Enrolled (PECOS I20110525000721); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical pathology/laboratory medicine physician records → All 86 in Pennsylvania → Look up another NPI →
Also registered at 575 N River St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Navid Ahmad, MDClinical Pathology/Laboratory Medicine Physician1265697718
- Guenadi Amoachi, MDDiagnostic Radiology Physician1407839814
- Anthony Ascione, DOEmergency Medicine Physician1063034304
- Molly Bieryla, R.PH.Pharmacist1487747598
- Lindsay Brown, PHARM.D.Pharmacist1427577816
- Robert Burry, CRNACertified Registered Nurse Anesthetist1801817655
Verify Nestor Garcia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD042111ECheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
53% fewer Medicare Part D claims than the average clinical pathology/laboratory medicine physician in 2024
16 Medicare Part D claims, against an average of 34 among the 37 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 100 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Wyoming Valley Pathology AssociatesWilkes Barre, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nestor Garcia among 86 clinical pathology/laboratory medicine physician records in Pennsylvania
Nestor Garcia, MD is one of 86 clinical pathology/laboratory medicine physician records with a practice address in Pennsylvania. 55% 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 16% of them.
- NPI issued2006 · 16% of these records are older, 38% newer
- In a Medicare fileYes · 55% of these records are
- In the CMS Doctors and Clinicians fileYes · 42% of these records are
- Graduated1973 · median 1989 among the 36 with a school on file
- Record last updated2020 · 87% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0105X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Clinical Pathology/Laboratory Medicine Physician providers in Pennsylvania
There are 86 clinical pathology/laboratory medicine physician records in Pennsylvania.
All 86 in Pennsylvania → Every provider in Wilkes Barre → Clinical Pathology/Laboratory Medicine Physician nationwide →
The 8 clinical pathology/laboratory medicine physician records with the nearest ZIP codes
- Navid Ahmad, MDWilkes Barre, PA 187641265697718
- Joseph Putprush, MDWilkes Barre, PA 187641750346029
- Shweta Uppal, M.D.Wilkes Barre, PA 187641528076080
- Rita Aneja, MDWilkes Barre, PA 187021114156965
- Yijun Guo, MDWilkes Barre, PA 187011215924170
- Andrea Kesack, M.D.Maple Glen, PA 190021033449681
- Annette IaconoAston, PA 190141881267110
- Daksha Shah, MDYardley, PA 190671437123544
Common questions
What is Nestor Garcia, MD's NPI number?
Nestor Garcia, MD's National Provider Identifier (NPI) is 1114982329, issued on Apr 19, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Nestor Garcia, MD located?
The NPPES record lists a practice address at 575 N River St, Wilkes Barre, PA, 18764. Phone: (570) 829-8111. Providers update this record themselves, so call before visiting.
How can I verify Nestor Garcia, MD's license?
NPPES lists Pennsylvania license number MD042111E, 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.
How much does Nestor Garcia, MD prescribe under Medicare Part D?
In 2024, Nestor Garcia, MD had 16 Medicare Part D claims; the average among clinical pathology/laboratory medicine physician prescribers was 34. Part D covers Medicare prescriptions only.
What is Nestor Garcia, MD's MIPS final score?
The 2023 MIPS final score is 100 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.