FRED GARNICA – Medical Physician Assistant, NPI 1578933123

FRED GARNICA is a healthcare provider. based in Medford, Oregon. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA186717 (OR). The NPI Number for FRED GARNICA is 1578933123

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
FRED GARNICA
NPI
1578933123
Phone
(541) 858-8170
Address
3587 HEATHROW WAY
Enumeration Date
25 September 2015
Last Update Date
29 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5418588170
Graduation Year
2016 (10 years ago)
PAC ID
0345526463
Group Practice PAC ID
6901182229
Professional Enrollment ID
I20180410002818
Address ID
OR975044159ME503XXRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for FRED GARNICA

  • 3587 HEATHROW WAY

    MEDFORD, OR 975044004

    Phone: (541) 858-8170

    Type: Mailing

  • 503 AIRPORT RD STE 101

    MEDFORD, OR 975044159

    Phone: (541) 200-2900

    Fax: (541) 200-2948

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($60).

Total Amount

$100

General + Research + Ownership

Payments

5

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20180410002818IPhysician AssistantORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes11222$0
99212Established patient office or other outpatient visit, 10-19 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 97504)

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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: 6901182229View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Physician AssistantOR
-OR
Physician AssistantOR
Physician AssistantOR
Clinical Social WorkerOR
Mental Health CounselorOK
Mental Health CounselorOR

Reviews

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Frequently asked questions

What is the registry number for FRED GARNICA?
The registry entry for FRED GARNICA shows NPI 1578933123.
Should I treat FRED GARNICA as an active provider?
Patients and plans typically see FRED GARNICA as active in the national extract.
What does the directory say FRED GARNICA does?
Insurance directories may phrase it differently, but here FRED GARNICA maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to FRED GARNICA?
The directory associates FRED GARNICA with Medford, Oregon. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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