DR. BALDEMAR GONZALEZ ALANIS MD
NPI 1043605835
Family Medicine in Mcallen, TX

Q: What is Baldemar Gonzalez Alanis's NPI number?

The NPI number for Baldemar Gonzalez Alanis is 1043605835. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Q: What is Baldemar Gonzalez Alanis's specialty?

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

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment

81.44/100

CMS Quality Rating

205 E TORONTO AVE, MCALLEN, TX 78503(956) 687-6155(956) 618-0451 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 2, 2019, Jan 4, 2019 (2 updates tracked since 2019).

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About Dr. Baldemar Gonzalez Alanis Md NPPES

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

DR. BALDEMAR GONZALEZ ALANIS MD (NPI 1043605835) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (R4552) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1043605835

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BALDEMAR GONZALEZ ALANISCredential: MD

Location Address205 E TORONTO AVEMcallen, TX 78503-1209

Mailing Address205 E Toronto AveMcallen, TX 78503-1209 · (956) 687-6155 · Fax (956) 994-9820

Phone(956) 687-6155

Fax(956) 618-0451

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 30, 2015

Last NPPES UpdateDecember 2, 20192 updates tracked since enumeration

✔ NPI 1043605835 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 · R4552

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

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Other Names 1

Other Name (5)Dr. Baldemar Gonzalez Md

Other Identifiers 2

Medicaid384588505TX

OtherH08LP43101TX · Bcbs

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

Dr. Baldemar Gonzalez Alanis Md 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 ID5395030720

PECOS Enrollment IDI20180611000846

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.

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.

50 services48 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.

22 services20 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.

12 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450119

Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County

Emergency services Birthing friendly

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.

81.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

65.83

Promoting Interoperability

Improvement Activities

Cost

49.23

Reported Quality Measures

Breast Cancer Screening

40%136 patients2/55-star benchmark: 93%

Cervical Cancer Screening

52%213 patients3/55-star benchmark: 98%

Colorectal Cancer Screening

39%335 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

62%284 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

17%194 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

58%194 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

85%1,158 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

95%167 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

67%603 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

64%468 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

37%516 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 572 patients

Patients screened: 98% · 572 patients

81%37 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

63%391 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

91%253 patients5/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 180 patients

Patients totalRate: 12% · 180 patients

11%180 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.

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.

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