DR. KRYSTAL V GARCIA (DO) – Emergency Medicine Physician, NPI 1104280668

DR. KRYSTAL V GARCIA (DO) is a healthcare provider. based in Marietta, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 4220 (TN). The NPI Number for DR. KRYSTAL V GARCIA (DO) is 1104280668

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRYSTAL V GARCIA (DO)
NPI
1104280668
Phone
(740) 568-5669
Address
401 Matthew St
Enumeration Date
11 April 2016
Last Update Date
10 January 2022

Doctor Profile

Medical School Name
EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Secondary Phone
9317626571
Graduation Year
2016 (10 years ago)
PAC ID
7719217090
Group Practice PAC ID
3072412592
Professional Enrollment ID
I20210922000358
Address ID
TN384644011LA1607X43XX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

2,674 EMERGENCY MEDICINE in OH

Provider Addresses for DR. KRYSTAL V GARCIA (DO)

  • 401 Matthew St

    Emergency Medicine Residency Program

    Marietta, OH 457501635

    Phone: (740) 568-5669

    Type: Location

  • 865 S 1st St

    Jesup, GA 315450210

    Phone: (912) 427-6811

    Fax: (912) 530-3180

    Type: Location

  • Marietta Memorial Hospital, 401, Matthew Street, Riverdale, Marietta, Washington County, Ohio, 45750, United States

    MARIETTA, OH 457501635

    Phone: (740) 568-5669

    Type: Mailing

  • 865, 1st Street, Jesup, Buchanan County, Iowa, 50648, United States

    JESUP, GA 315450210

    Phone: (912) 427-6811

    Fax: (912) 530-3180

    Type: Location

  • 215 COLUMNS WAY APT 115

    SPRING HILL, TN 371741399

    Phone:

    Type: Mailing

  • 1607 S LOCUST AVE

    LAWRENCEBURG, TN 384644011

    Phone: (912) 539-5587

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190930002195IEmergency MedicineGATBD
I20210922000358IEmergency MedicineTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making240231$0
99291Critical care, first 30-74 minutes8686$0
99284Emergency department visit with moderate level of medical decision making7472$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 45750)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072412592View full group profile
NameSpecialtyState
-NC
-VA
Emergency MedicineVA
Nurse PractitionerGA
Emergency MedicineNC
-TN
Emergency MedicineNC
Physician AssistantGA
Internal MedicineVA
Nurse PractitionerVA

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Frequently asked questions

What is DR. KRYSTAL V GARCIA (DO)'s NPI number?
DR. KRYSTAL V GARCIA (DO)'s NPI is 1104280668 — the number used across U.S. healthcare to identify this provider.
Is DR. KRYSTAL V GARCIA (DO) shown as active in public data?
Registry records indicate DR. KRYSTAL V GARCIA (DO) maintains an active NPI.
How would a patient describe DR. KRYSTAL V GARCIA (DO)'s focus?
For DR. KRYSTAL V GARCIA (DO), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is DR. KRYSTAL V GARCIA (DO) registered?
Use Marietta, Ohio as the headline location for DR. KRYSTAL V GARCIA (DO) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.