DR. ALEJANDRO GARCIA (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1073703153
Sports Medicine (Family Medicine) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
154 SPORTS MEDICINE in WI
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Provider Addresses for DR. ALEJANDRO GARCIA (M.D.)
1531, South Madison Street, Appleton, Outagamie County, Wisconsin, 54915, United States
APPLETON, WI 549151800
Phone: (920) 996-3700
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $165.
Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.
Last reported payment date: 2024-09-09 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($91).
Total Amount
$165
General + Research + Ownership
Payments
6
Total payment records
General Amount
$165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $91 |
| SPR Therapeutics, Inc | $51 |
| Bioventus LLC | $24 |
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: 2011-04-05
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110405000911 | I | Sports Medicine | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 4,352 | 43 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 893 | 101 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 242 | 113 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 238 | 101 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 122 | 72 | $0 |
Insurance plans in this area (ZIP 54915)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | WI | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 27 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | WI | |
| Orthopedic Surgery | WI | |
| Orthopedic Surgery | WI | |
| Pain Management | MN | |
| Orthopedic Surgery | WI | |
| Nurse Practitioner | WI | |
| Orthopedic Surgery | WI | |
| N E U R O S U R G E R Y | WI | |
| Orthopedic Surgery | PA | |
| R H E U M A T O L O G Y | WI |
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