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DR. JOSHUA ABRAHAM BETANCOURT M.D.
NPI 1083147938
Family Medicine in Mcallen, TX

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
1801 S 5TH ST STE 101, MCALLEN, TX 78503(956) 683-7959(956) 683-7983 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Joshua Abraham Betancourt M.d. NPPES

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

DR. JOSHUA ABRAHAM BETANCOURT M.D. (NPI 1083147938) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (S8276) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1083147938
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSHUA ABRAHAM BETANCOURTCredential: M.D.
Location Address1801 S 5TH ST STE 101Mcallen, TX 78503-2919
Mailing Address1801 S 5th St Ste 101Mcallen, TX 78503-2919 · (956) 683-7959 · Fax (956) 683-7983
Phone(956) 683-7959
Fax(956) 683-7983
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 7, 2017
Last NPPES UpdateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1083147938 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 · S8276
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.
1801 S 5TH ST STE 101, Mcallen, TX 78503
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joshua Abraham Betancourt 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 ID7416228994
PECOS Enrollment IDI20201117002195
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Joshua Betancourt reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcallen Emergency Medicine Associates PA
0.2 mi
Emergency Medicine
301 W EXPY 83
Mcallen, TX 78503
  • Reassigned Medicare billing, Texas enrollment
  • 170 clinicians in this Medicare group
NPI 1336543636 (956) 632-4100
Oak Creek Emergency Medicine Associates, PA
4.3 mi
Emergency Medicine
3700 WEST NOLANA AVENUE
Mcallen, TX 78504
  • Reassigned Medicare billing, Texas enrollment
  • 150 clinicians in this Medicare group
NPI 1629576632 (956) 213-2700
Shavano Emergency Medicine Associates, PA
5.4 mi
Emergency Medicine
4702 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 136 clinicians in this Medicare group
NPI 1255820775 (956) 213-2600
Edinburg Emergency Medicine Associates PA
5.9 mi
Emergency Medicine
1102 W TRENTON RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 257 clinicians in this Medicare group
NPI 1942467113 (956) 388-6600
Canyon Springs Emergency Medicine Associates, PA
8.1 mi
Emergency Medicine
140 FRONTAGE RD
Alamo, TX 78516
  • Reassigned Medicare billing, Texas enrollment
  • 145 clinicians in this Medicare group
NPI 1154825412 (956) 403-5100
Municipal Emergency Medicine Associates, PA
11 mi
Emergency Medicine
3615 N. INTERSTATE 69C
Edinburg, TX 78541
  • Reassigned Medicare billing, Texas enrollment
  • 154 clinicians in this Medicare group
NPI 1396250650 (956) 259-2100
Concord Medical Group PLLC
554 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
21 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 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.

Other Providers at the Same Location NPPES 5

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

BEATRICE MACIAS FNP-BC
Nurse Practitioner (Family)
1801 S 5TH ST STE 101
MCALLEN, TX 78503
Hidalgo County (956) 683-7959
MS. GLENNA GILLES APRN
Nurse Practitioner (Family)
1801 S 5TH ST STE 101
MCALLEN, TX 78503
Hidalgo County (956) 683-7959
YAZMIN GARZA FNP-C
Nurse Practitioner (Family)
1801 S 5TH ST STE 101
MCALLEN, TX 78503
Hidalgo County (956) 683-7959
ROMAN E TAVAREZ MD
Family Medicine
1801 S 5TH ST STE 101
MCALLEN, TX 78503
Hidalgo County (956) 683-7959
VICTTORIA TURNER FNP
Nurse Practitioner (Family)
1801 S 5TH ST STE 101
MCALLEN, TX 78503
Hidalgo County (956) 683-7959

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 Joshua Betancourt's NPI number?

The NPI number for Joshua Betancourt is 1083147938. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Joshua Betancourt located?

Joshua Betancourt practices at 1801 S 5th St Ste 101, Mcallen, TX 78503. The listed phone number is (956) 683-7959.

What is Joshua Betancourt's specialty?

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

Is Joshua Betancourt enrolled in Medicare?

Yes. Joshua Betancourt 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.

Which organizations bill Medicare for Joshua Betancourt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Betancourt reassigns Medicare benefits to 7 organizations: Mcallen Emergency Medicine Associates PA (Mcallen, TX), Oak Creek Emergency Medicine Associates, PA (Mcallen, TX), Shavano Emergency Medicine Associates, PA (Edinburg, TX), Edinburg Emergency Medicine Associates PA (Edinburg, TX), Canyon Springs Emergency Medicine Associates, PA (Alamo, TX) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joshua Betancourt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Betancourt 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 4 other insurers list Joshua Betancourt 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 Joshua Betancourt affiliated with any hospitals?

According to CMS data, Joshua Betancourt is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Joshua Betancourt was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.