MARIA DE JESUS MUNOZ M.D.
NPI 1013917228
Family Medicine in Mcallen, TX

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
81.44/100
CMS Quality Rating
1000 E DOVE AVE, MCALLEN, TX 78504(956) 362-3520(956) 362-3529 Get Directions Write a Review

NPPES record last updated: May 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maria De Jesus Munoz M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA DE JESUS MUNOZ M.D. (NPI 1013917228) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (M1251) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and is a graduate of University Of Texas Medical Branch At Galveston (2002).

NPPES Registry Identity

NPI1013917228
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARIA DE JESUS MUNOZCredential: M.D.
Location Address1000 E DOVE AVEMcallen, TX 78504-3974
Mailing Address2102 Treasure Hills Blvd # 3.14405Harlingen, TX 78550-8736 · (956) 296-1437 · Fax (956) 296-1326
Fax(956) 362-3529
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2002
Enumeration DateJuly 29, 2005
Last NPPES UpdateMay 20, 2016
NPI 1013917228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · M1251
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1000 E DOVE AVE, Mcallen, TX 78504

Other Names 1

Professional Name (2)Maria De Jesus Munoz M.d.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Maria De Jesus Munoz M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436180254
PECOS Enrollment IDI20050822001015
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
87%47 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
57%28 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers23 claims44 services$5.60 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers22 claims28 services$1.00 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier12 claims360 services$2.39 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers20 claims20 services$17.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1000 E DOVE AVE
MCALLEN, TX 78504
Student in an Organized Health Care Education/Training Program
1000 E DOVE AVE
MCALLEN, TX 78504
Student in an Organized Health Care Education/Training Program
1000 E DOVE AVE
MCALLEN, TX 78504
Family Medicine
1000 E DOVE AVE
MCALLEN, TX 78504
Family Medicine
1000 E DOVE AVE
MCALLEN, TX 78504
Student in an Organized Health Care Education/Training Program
1000 E DOVE AVE
MCALLEN, TX 78504
Internal Medicine
1000 E DOVE AVE
MCALLEN, TX 78504
Family Medicine
1000 E DOVE AVE
MCALLEN, TX 78504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria De Jesus Munoz's NPI number?

The NPI number for Maria De Jesus Munoz is 1013917228. It was assigned to this individual provider in the NPPES registry on July 29, 2005. The provider is also known as Maria De Jesus Munoz M.D..

Where is Maria De Jesus Munoz located?

Maria De Jesus Munoz practices at 1000 E Dove Ave, Mcallen, TX 78504. The listed phone number is (956) 362-3520.

What is Maria De Jesus Munoz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maria De Jesus Munoz enrolled in Medicare?

Yes. Maria De Jesus Munoz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maria De Jesus Munoz accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Maria De Jesus Munoz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Maria De Jesus Munoz affiliated with any hospitals?

According to CMS data, Maria De Jesus Munoz is affiliated with Vhs Harlingen Hospital Company LLC.

When was this NPI record last updated?

The NPPES record for Maria De Jesus Munoz was last updated on May 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.