Doctor profile · Federal record
Dr. Philip Garcia, M.D.
Otolaryngology Physician (CMS: Otolaryngology) · Springfield, IL
- NPI 1831295815
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 39 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1025 S 6Th St
Springfield, IL 627032403
(217) 528-7541
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- May 22, 2020
- Year of graduation
- 1987 — 39 yrs since
- Specialty taxonomy
- 207Y00000X — NUCC code
- State license (1)
- Illinois #036-086164
- Medicaid
- IL #036086164
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1831295815. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,158
Distinct HCPCS
10
Medicare allowed
$111,370
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 454 | 342 | $87 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 163 | 141 | $123 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 128 | 128 | $109 | |
92504 |
Exam of ear using a microscope | 106 | 84 | $27 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 80 | 80 | $163 | |
69210 |
Removal of impacted ear wax | 67 | 60 | $45 | |
31575 |
Diagnostic exam of voice box using a flexible endoscope | 47 | 36 | $123 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 37 | 34 | $55 | |
31231 |
Diagnostic exam of nasal passages using an endoscope | 20 | 20 | $172 | |
69220 |
Simple removal of skin debris and drainage of mastoid cavity | 18 | 12 | $87 |
In context: peer comparison
Among 2 peers in Springfield Otolaryngology Physician, average services per provider: 80. This provider delivers 14× the peer median.Open Payments
Industry payments received
All-time total
$333
Transactions
24
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inspire Medical Systems, INC. | 24 | $332.54 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
912
Patients
482
Total drug cost
$17,750
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 123 | 33 | $2,022 |
| Ciprofloxacin Hcl | Generic | 118 | 68 | $1,677 |
| Famotidine | Generic | 118 | 35 | $1,388 |
| Omeprazole | Generic | 95 | 25 | $1,098 |
| Prednisone | Generic | 67 | 56 | $191 |
| Cefuroxime (Cefuroxime Axetil) | Brand | 65 | 55 | $1,101 |
| Fluticasone Propionate | Generic | 56 | 33 | $1,323 |
| Triamcinolone Acetonide | Generic | 54 | 44 | $701 |
| Ipratropium Bromide | Generic | 39 | 12 | $915 |
| Fluconazole | Generic | 37 | 27 | $272 |
Hospital affiliations
Frequently asked questions
What is Dr. Philip Garcia's medical specialty?
Dr. Philip Garcia practices Otolaryngology Physician in Springfield, IL.
Where does Dr. Philip Garcia practice?
Dr. Philip Garcia practices at 1025 S 6Th St, Springfield, IL 627032403. Office phone: 2175287541.
What is Dr. Philip Garcia's NPI?
Dr. Philip Garcia's National Provider Identifier (NPI) is 1831295815, issued by NPPES.
Does Dr. Philip Garcia accept Medicare assignment?
Yes. Dr. Philip Garcia accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Philip Garcia commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.