Potenciano Garcia, M.D.
NPI 1649281072 · Pulmonary Disease Physician · Mcallen, TX
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Potenciano Garcia, M.D. is a Pulmonary Disease Physician provider in Mcallen, TX (NPI 1649281072).
Provider details
- NPI number
- 1649281072
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G7214 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
756 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 216 | $120 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 216 | $106 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 53 | $36 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 53 | $157 |
| Test to Determine Lung Volumes Using Sensors94726 | 52 | $52 |
| Test to Examine How Well the Lungs Exchange Gases94729 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 424 | 106 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 225 | 85 |
| Montelukast Sodium | 121 | 28 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 115 | 41 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 81 | 15 |
| Ipratropium Bromide | 77 | 32 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,548 across 134 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2021-10-07
- Certified
- 2021-10-07
Frequently asked questions
- What is Potenciano Garcia's NPI number?
- Potenciano Garcia's National Provider Identifier (NPI) is 1649281072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Potenciano Garcia's specialty?
- Potenciano Garcia is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Potenciano Garcia located?
- Potenciano Garcia's practice location on file with NPPES is 1200 E Savannah Ave Ste 16, Mcallen, TX 78503-1728.
- What is Potenciano Garcia's phone number?
- The practice phone number listed in the NPPES registry for Potenciano Garcia is (956) 631-3344.
- Does Potenciano Garcia accept Medicare?
- Potenciano Garcia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Potenciano Garcia's NPI active?
- Yes — Potenciano Garcia's NPI (1649281072) is active in the NPPES registry as of the last update on 2021-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.