ANDREW DELA GARZA M.D.
NPI 1043265671
Family Medicine in Mcallen, TX

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
81.96/100
CMS Quality Rating
205 E TORONTO AVE, MCALLEN, TX 78503(956) 687-6155 Get Directions Write a Review

NPPES record last updated: February 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew Dela Garza M.d. NPPES

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

ANDREW DELA GARZA M.D. (NPI 1043265671) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (G3278) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1982).

NPPES Registry Identity

NPI1043265671
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW DELA GARZACredential: M.D.
Location Address205 E TORONTO AVEMcallen, TX 78503-1209
Mailing Address205 E Toronto AveMcallen, TX 78503-1209 · (956) 687-6155
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1982
Enumeration DateMay 23, 2006
Last NPPES UpdateFebruary 20, 2014
NPI 1043265671 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 · G3278
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.

205 E TORONTO AVE, Mcallen, TX 78503

Other Names 1

Other Name (5)Philip Andrew De La Garza M.d.

Other Identifiers 5

Other0100764TX · United Health Care
Medicare UPIND48202TX
Medicaid104557701TX
Other080116526TN · Railroad Soc. Security
Medicare ID-Type Unspecified853307TX

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

Andrew Dela Garza 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 ID8527154368
PECOS Enrollment IDI20110817000648
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 14

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.

Imaging for evaluation of swallowing function 74230
This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.
423 services384 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
406 services369 patients
Single contrast x-ray of upper digestive tract 74240
A single contrast x-ray of the upper digestive tract is a diagnostic procedure that uses a special dye and x-rays to see how your digestive system is functioning. It helps in detecting abnormalities or diseases in your esophagus, stomach, and the first part of your small intestine.
403 services366 patients
X-ray of part of lower jaw, 1-4 views 70100
An X-ray of the lower jaw, with 1-4 views, is a non-invasive imaging procedure. It helps visualize the jaw structure, checking for issues like fractures, infections, or dental problems. It's quick, painless, and provides valuable information for your treatment plan.
324 services323 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
255 services255 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.
167 services147 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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.

81.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.52
Promoting Interoperability100
Improvement Activities40
Cost16.02

Reported Quality Measures

Breast Cancer Screening
7%129 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%970 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
84%507 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%1,151 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%961 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%1,056 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%970 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
100%402 patients5/55-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.

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
205 E TORONTO AVE
MCALLEN, TX 78503
Internal Medicine (Medical Oncology)
205 E TORONTO AVE
MCALLEN, TX 78503
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
MCALLEN, TX 78503
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
MCALLEN, TX 78503
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
MCALLEN, TX 78503
Emergency Medicine
205 E TORONTO AVE
MCALLEN, TX 78503

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 Andrew Dela Garza's NPI number?

The NPI number for Andrew Dela Garza is 1043265671. It was assigned to this individual provider in the NPPES registry on May 23, 2006. The provider is also known as Philip Andrew De La Garza M.D..

Where is Andrew Dela Garza located?

Andrew Dela Garza practices at 205 E Toronto Ave, Mcallen, TX 78503. The listed phone number is (956) 687-6155.

What is Andrew Dela Garza's specialty?

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

Is Andrew Dela Garza enrolled in Medicare?

Yes. Andrew Dela Garza 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 Andrew Dela Garza accept?

Health plans from Blue Cross and Blue Shield of Texas list Andrew Dela Garza 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.

When was this NPI record last updated?

The NPPES record for Andrew Dela Garza was last updated on February 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.