Dr. Jorge Luis Garcia , MD
General Practice โข Hialeah, FL
4445 W 16th Ave Ste 100
Hialeah, FL 330127192
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 30, 2007; this date does not establish years in practice.
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Published CMS data list 1,091 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- K1034 โ Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count: 794 service units.
- 99285 โ Emergency department visit with high level of medical decision making: 264 service units.
- 99284 โ Emergency department visit with moderate level of medical decision making: 33 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 4,008 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 335 prescription fills, including refills.
- Metformin Hcl โ 180 prescription fills, including refills.
- Losartan Potassium โ 179 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 87 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Part D prescriptions among clinicians listed under General Practice in Hialeah, FL (2024, 59 clinicians with data). Median for this group: 3,427. Middle half: 913 to 9,749.
Close to the middle for Part D prescriptions among clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,006 in 2019 to 1,091 in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019โ2023.
Practice Location & Contact Primary Location
4445 W 16th Ave Ste 100
Hialeah, FL 330127192
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Tamarac, FL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Small Hospital Innovations Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1986
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $65,209 in 2023
The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023.
Paid by Medicare
About $51,704 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023.
30-day fills
9,225 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$324,182 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $4,306.88 across 12 records.
By nature of payment
- Consulting Fee: $3,060.00 across 1 record.
- Travel and Lodging: $985.48 across 6 records.
- Food and Beverage: $261.40 across 5 records.
Reporting-company totals
- Alnylam Pharmaceuticals Inc.: $4,140.37 across 10 records.
- Coherus Biosciences Inc.: $142.27 across 1 record.
- Novo Nordisk Inc: $24.24 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
Years since graduation
40 years (graduated 1986)
CMS Doctors and Clinicians data list 1986 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Garcia has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Garcia as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Hialeah and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Close to the middle for clinicians listed under General Practice in Hialeah, FL (2024, 59 clinicians with data). Median for this group: 3,427. Middle half: 913 to 9,749.
Close to the middle for clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under General Practice in Hialeah, FL (2024, 59 clinicians with data). Median for this group: $150,319. Middle half: $46,481 to $583,399.
A higher Part D drug cost than 65% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: $166,180. Middle half: $16,824 to $452,832.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Garcia are from 2023.
99 active clinicians are listed under General Practice with a practice address in Hialeah, FL (2,293 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Hialeah
14.1% of these 99 clinicians have the CMS telehealth indicator.
46.5% of these 99 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services varied from year to year: 1,006 in 2019 and 1,091 in 2023.
- 2019: 1,006
- 2020: 707
- 2021: 333
- 2022: 408
- 2023: 1,091
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Medicare-allowed amount
Medicare-allowed amount decreased 34% from $99,009 in 2019 to $65,209 in 2023.
- 2019: $99,009
- 2020: $77,527
- 2021: $60,687
- 2022: $77,398
- 2023: $65,209
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Paid by Medicare
Paid by Medicare decreased 34% from $78,530 in 2019 to $51,704 in 2023.
- 2019: $78,530
- 2020: $57,981
- 2021: $47,048
- 2022: $61,347
- 2023: $51,704
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 4973% from 79 in 2020 to 4,008 in 2024.
- 2020: 79
- 2021: 41
- 2022: 28
- 2023: 606
- 2024: 4,008
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30-day fills
30-day fills increased 9927% from 92 in 2020 to 9,225 in 2024.
- 2020: 92
- 2021: 41
- 2022: 30
- 2023: 1,133
- 2024: 9,225
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Part D drug cost
Part D drug cost went from $761 in 2020 to $324,182 in 2024.
- 2020: $761
- 2021: $35
- 2022: $219
- 2023: $5,609
- 2024: $324,182
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $28.56 in 2019 to $4,306.88 in 2024.
- 2019: $28.56
- 2024: $4,306.88
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 โ December 31, 2024): 12 records totaling $4,306.88.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Alnylam Pharmaceuticals Inc. |
Consulting Fee
Cash or cash equivalent
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โ | General | $3,060.00 |
| Alnylam Pharmaceuticals Inc. |
Travel and Lodging
In-kind items and services
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โ | General | $403.96 |
| Alnylam Pharmaceuticals Inc. |
Travel and Lodging
In-kind items and services
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โ | General | $387.65 |
| Coherus Biosciences Inc. |
Food and Beverage
In-kind items and services
|
Udenyca | General | $142.27 |
| Alnylam Pharmaceuticals Inc. |
Travel and Lodging
Cash or cash equivalent
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โ | General | $74.80 |
| Alnylam Pharmaceuticals Inc. |
Travel and Lodging
Cash or cash equivalent
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โ | General | $63.51 |
| Alnylam Pharmaceuticals Inc. |
Travel and Lodging
Cash or cash equivalent
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โ | General | $49.00 |
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
Cash or cash equivalent
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โ | General | $44.15 |
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
Cash or cash equivalent
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โ | General | $29.30 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Rybelsus | General | $24.24 |
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
Cash or cash equivalent
|
โ | General | $21.44 |
| Alnylam Pharmaceuticals Inc. |
Travel and Lodging
Cash or cash equivalent
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โ | General | $6.56 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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K1034
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count
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794 | 52 | $14.47 | $11.26 |
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99285
Emergency department visit with high level of medical decision making
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264 | 231 | $674.80 | $196.44 |
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99284
Emergency department visit with moderate level of medical decision making
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33 | 31 | $214.96 | $133.59 |
Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 335 | 29,746 | $2,100.34 | 152 |
| Metformin Hcl | Metformin Hcl | 180 | 15,576 | $736.40 | 80 |
| Losartan Potassium | Losartan Potassium | 179 | 14,784 | $1,491.31 | 76 |
| Levothyroxine Sodium | Levothyroxine Sodium | 160 | 13,295 | $1,307.44 | 66 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 144 | 12,598 | $1,067.39 | 66 |
| Alendronate Sodium | Alendronate Sodium | 129 | 9,921 | $862.47 | 49 |
| Pantoprazole Sodium | Pantoprazole Sodium | 121 | 8,466 | $671.79 | 47 |
| Amlodipine Besylate | Amlodipine Besylate | 108 | 9,148 | $361.09 | 50 |
| Hydrochlorothiazide | Hydrochlorothiazide | 102 | 8,768 | $450.21 | 47 |
| Gabapentin | Gabapentin | 100 | 5,709 | $1,254.54 | 51 |
| Eliquis | Apixaban | 97 | 4,487 | $85,425.57 | 25 |
| Lisinopril | Lisinopril | 94 | 8,400 | $445.64 | 52 |
| Omeprazole | Omeprazole | 94 | 6,720 | $892.41 | 45 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 78 | 2,113 | $2,010.09 | 28 |
| Montelukast Sodium | Montelukast Sodium | 76 | 5,580 | $463.33 | 35 |
| Metoprolol Succinate | Metoprolol Succinate | 68 | 5,622 | $521.42 | 27 |
| Carvedilol | Carvedilol | 66 | 4,989 | $366.98 | 23 |
| Simvastatin | Simvastatin | 63 | 4,479 | $305.75 | 25 |
| Clopidogrel | Clopidogrel Bisulfate | 63 | 4,944 | $483.37 | 25 |
| Glimepiride | Glimepiride | 62 | 5,063 | $285.58 | 23 |
| Diclofenac Sodium | Diclofenac Sodium | 60 | 1,334 | $1,026.01 | 32 |
| Tamsulosin Hcl | Tamsulosin Hcl | 59 | 4,170 | $324.87 | 26 |
| Meloxicam | Meloxicam | 58 | 1,505 | $91.34 | 25 |
| Famotidine | Famotidine | 57 | 3,952 | $444.00 | 21 |
| Trazodone Hcl | Trazodone Hcl | 47 | 2,847 | $209.84 | 21 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-11-28NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 207P00000X
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
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20120127000393
FL
4082881354
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Small Hospital Innovations Llc
1475 W 49th Pl, Hialeah, FL 330123113
Phone: 3052049318
Secondary Practice Locations
8229 Nw 88th Ave
Tamarac, FL 333211541
Phone: 7542228232
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
General Practice (license number reported to NPPES: FL ACN394)
Registered at 4445 W 16TH AVE STE 100, HIALEAH, FL 330127192 (Tel: 3055588687)
Registered at 2500 SW 75TH AVE, MIAMI, FL 331552805 (Tel: 3052645252)
Emergency Medicine (license number reported to NPPES: FL ME133231)
Emergency Medicine (license number reported to NPPES: FL ME133231)
NPI status registered as active in NPPES database
Registered at 13950 SW 47TH ST, MIAMI, FL 331754404 (Tel: 3055048822)
Registered at 1442 SW 118TH CT, MIAMI, FL 33184 (Tel: (305) 282-6035)
Recorded as JORGE GARCIA, M.D.
General Practice (license number reported to NPPES: FL ME133231)
Registered at 1442 SW 118TH CT, MIAMI, FL 33184 (Tel: 3052826035)
NPI status registered as active in NPPES database
Registered at 7031 SW 62ND AVE, LARKIN HOSPITAL, SOUTH MIAMI, FL 331434701 (Tel: 3052847655)
Registered at 515 W PARK DR, #15, MIAMI, FL 331725347 (Tel: 3052826035)
Recorded as JORGE GARCIA, M.D.
General Practice (license number reported to NPPES: FL ACN394)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Hialeah
- Dr. Alfonso Ramirez, MD
- Dr. Heliodoro Ruiz, MD
- Dr. Estilita Pascual, MD
- Dr. Omar Suarez, MD
- Dr. Gladys Alonso, MD
- Dr. Carlos Delgado, MD
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Mailing Address
1442 Sw 118th Ct
Miami, FL 33184
Phone: 3052826035