Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Christopher Alan Garces , MD

Surgery • Saginaw, MI

Active NPI 1285703744 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4599 Towne Centre Rd Fl 2
Saginaw, MI 486042804

Call 9894973226 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4599 Towne Centre Rd Fl 2

Saginaw, MI 486042804

Telephone 9894973226
Fax 9894973146
Organization at the Same NPPES Address or Phone
Mymichigan Medical Center Saginaw Facility NPI 1972232098

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 3 distinct group names: Mymichigan Medical Center Midland; Mymichigan Medical Center Saginaw; Mymichigan Medical Center West Branch. 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

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2001

Medicare patients

91 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $26,630 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

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 – by Provider and Service, 2024.

Paid by Medicare

About $19,605 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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 – by Provider and Service, 2024.

30-day fills

17 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

$326 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $2,388.73 across 16 records.

By nature of payment

  • Food and Beverage: $1,227.23 across 13 records.
  • Travel and Lodging: $1,161.50 across 3 records.

Reporting-company totals (3 largest of 4)

  • AXOGEN: $2,098.15 across 9 records.
  • Tactile Systems Technology Inc: $248.62 across 5 records.
  • Davol Inc.: $27.20 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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

25 years (graduated 2001)

CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional 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

2006

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.

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, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Garces 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Garces 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Saginaw and Michigan

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Surgery in Saginaw, MI (2024, 17 clinicians with data). Median for this group: 168. Middle half: 104 to 231.

Close to the middle for clinicians listed under Surgery in Michigan (2024, 608 clinicians with data). Median for this group: 144. Middle half: 68 to 296.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Surgery in Saginaw, MI (2024, 17 clinicians with data). Median for this group: $25,180. Middle half: $11,312 to $31,310.

A higher Medicare-allowed amount than 60% of clinicians listed under Surgery in Michigan (2024, 608 clinicians with data). Median for this group: $17,612. Middle half: $7,252 to $35,970.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Surgery in Saginaw, MI (2024, 17 clinicians with data). Median for this group: $18,587. Middle half: $8,382 to $24,417.

A higher Medicare payment amount than 60% of clinicians listed under Surgery in Michigan (2024, 608 clinicians with data). Median for this group: $13,542. Middle half: $5,545 to $28,363.

Medicare Part D prescriptions

Fewer Part D prescriptions than 80% of clinicians listed under Surgery in Saginaw, MI (2024, 22 clinicians with data). Median for this group: 55. Middle half: 20 to 98.

Fewer Part D prescriptions than 80% of clinicians listed under Surgery in Michigan (2024, 639 clinicians with data). Median for this group: 47. Middle half: 22 to 106.

Part D drug cost

Close to the middle for clinicians listed under Surgery in Saginaw, MI (2024, 22 clinicians with data). Median for this group: $321. Middle half: $135 to $1,154.

Close to the middle for clinicians listed under Surgery in Michigan (2024, 639 clinicians with data). Median for this group: $224. Middle half: $58 to $1,388.

43 active clinicians are listed under Surgery with a practice address in Saginaw, MI (1,378 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saginaw

7% of these 43 clinicians have the CMS telehealth indicator.

41.9% of these 43 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · 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

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 16 records totaling $2,388.73.

Manufacturer Payment Nature Product Type Amount ($)
AXOGEN
Travel and Lodging
In-kind items and services
— General $558.90
AXOGEN
Travel and Lodging
In-kind items and services
— General $537.70
AXOGEN
Food and Beverage
In-kind items and services
— General $459.01
AXOGEN
Food and Beverage
In-kind items and services
— General $155.27
AXOGEN
Food and Beverage
In-kind items and services
— General $153.85
AXOGEN
Food and Beverage
In-kind items and services
— General $129.30
Tactile Systems Technology Inc
Food and Beverage
In-kind items and services
Flexitouch Plus General $120.46
AXOGEN
Travel and Lodging
In-kind items and services
— General $64.90
Tactile Systems Technology Inc
Food and Beverage
In-kind items and services
Flexitouch Plus General $36.22
Tactile Systems Technology Inc
Food and Beverage
In-kind items and services
Flexitouch Plus General $34.20
Tactile Systems Technology Inc
Food and Beverage
In-kind items and services
Flexitouch Plus General $31.42
Davol Inc.
Food and Beverage
In-kind items and services
ARISTA General $27.20
Tactile Systems Technology Inc
Food and Beverage
In-kind items and services
Flexitouch Plus General $26.32
AXOGEN
Food and Beverage
In-kind items and services
— General $23.59
AXOGEN
Food and Beverage
In-kind items and services
— General $15.63
HOLOGIC INC
Food and Beverage
In-kind items and services
Magseed General $14.76

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
54 44 $160.00 $121.33
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
28 24 $22.00 $15.71
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
24 20 $110.00 $85.96
19301 Partial removal of breast
19 18 $1385.53 $659.42
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
17 17 $290.00 $209.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
14 14 $152.00 $105.63

Source: CMS Part B by Provider and Service, 2024; 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.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 17 251 $326.43 —

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: 2023-02-27
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES WI 52732-020

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20220630001487

Enrollment State Jurisdiction

MI

PECOS Control ID

9335297753

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Mymichigan Medical Center Midland

4201 Campus Ridge Dr, Midland, MI 486704200

Phone: 9897940320

Mymichigan Medical Center West Branch

2431 S M, West Branch, MI 486619388

Phone: 9893431130

Mymichigan Medical Center Saginaw

4599 Towne Centre Rd, Saginaw, MI 486042804

Phone: 9894973226

Mymichigan Medical Center Saginaw

295 Maple St, Tawas City, MI 487639352

Phone: 9899077636

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Ernie Balcueva , MD

Internal Medicine - Hematology & Oncology

NPI 1154365252

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location February 27, 2023

Registered at 4599 TOWNE CENTRE RD FL 2, SAGINAW, MI 486042804 (Tel: 9894973226)

📍
Updated Business Mailing Address February 27, 2023

Registered at PO BOX 779, TAWAS CITY, MI 487640779 (Tel: 9894973226)

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NPI Profile Active March 17, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) March 17, 2015

Registered at 2920 SUPERIOR AVE, SHEBOYGAN, WI 530811944 (Tel: 9204524911)

📍
Business Mailing Address (Initial Record) March 17, 2015

Registered at 2920 SUPERIOR AVE, SHEBOYGAN, WI 530811944 (Tel: 9204964700)

👤
Provider Name / Credentials (Initial Record) March 17, 2015

Recorded as CHRISTOPHER GARCES, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2015

Surgery (license number reported to NPPES: WI 52732-020)

🟢
Initial NPI Registration & Enumeration November 07, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285703744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2006
Last Update: February 27, 2023
Sole Proprietor: Yes

Other Surgery Specialists in Saginaw

All Surgery Specialists in Saginaw

Mailing Address

Po Box 779

Tawas City, MI 487640779

Phone: 9894973226

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.