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GERARDO MIGUEL MUNOZ-MONACO M.D
NPI 1023336211
Family Medicine in Edinburg, TX

Active since May 12, 2010PECOS EnrolledAccepts Medicare Assignment
92.12/100
CMS Quality Rating
2533 W TRENTON RD, EDINBURG, TX 78539(956) 609-7662(956) 474-9968 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2018, Oct 19, 2017 (2 updates tracked since 2017).

About Gerardo Miguel Munoz-monaco M.d NPPES

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

GERARDO MIGUEL MUNOZ-MONACO M.D (NPI 1023336211) is an individual family medicine provider in Edinburg, Texas, licensed in Texas (R4881) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Knapp Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1023336211
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGERARDO MIGUEL MUNOZ-MONACOCredential: M.D
Location Address2533 W TRENTON RDEdinburg, TX 78539-5070
Mailing Address2533 W Trenton RdEdinburg, TX 78539-5070 · (956) 609-7662 · Fax (956) 474-9968
Phone(956) 609-7662
Fax(956) 474-9968
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 12, 2010
Last NPPES UpdateAugust 28, 20252 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
✔ NPI 1023336211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · R4881✔ Licensed in IN · 01072353A
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.
Also ListedHospitalistTaxonomy 208M00000X · License R4881 (TX)
2533 W TRENTON RD, Edinburg, TX 78539
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Other Identifiers 1

Medicaid3771016-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Gerardo Miguel Munoz-monaco 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 ID5294972170
PECOS Enrollment IDI20171102000403
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 4

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 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.
30 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services15 patients
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.
25 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Knapp Medical Center

Acute Care Hospitals · Weslaco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450128
Location1401 East Eight StreetWeslaco, TX 78596 · Hidalgo County
Emergency services Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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.

92.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.38
Promoting Interoperability100
Improvement Activities40
Cost59.02

Reported Quality Measures

Breast Cancer Screening
54%127 patients3/55-star benchmark: 93%
Cervical Cancer Screening
66%240 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
41%295 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
62%210 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
15%186 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
61%186 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
72%987 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
50%128 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
53%543 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
68%419 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%444 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 73% · 521 patients
Patients screened: 75% · 521 patients
74%42 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
79%89 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
93%188 patients5/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 137 patients
Patients totalRate: 7% · 138 patients
6%138 patients4/55-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

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
4 suppliers17 claims45 services$6.70 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

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

CELIA OJEAGA
Durable Medical Equipment & Medical Supplies
2533 W TRENTON RD
EDINBURG, TX 78539
Hidalgo County (956) 971-0092

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 Gerardo Munoz-monaco's NPI number?

The NPI number for Gerardo Munoz-monaco is 1023336211. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Where is Gerardo Munoz-monaco located?

Gerardo Munoz-monaco practices at 2533 W Trenton Rd, Edinburg, TX 78539. The listed phone number is (956) 609-7662.

What is Gerardo Munoz-monaco's specialty?

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

Is Gerardo Munoz-monaco enrolled in Medicare?

Yes. Gerardo Munoz-monaco 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 Gerardo Munoz-monaco accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Gerardo Munoz-monaco 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 Gerardo Munoz-monaco affiliated with any hospitals?

According to CMS data, Gerardo Munoz-monaco is affiliated with Knapp Medical Center and Rio Grande Regional Hospital.

When was this NPI record last updated?

The NPPES record for Gerardo Munoz-monaco was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.