MELECIA FUENTES M.D.
NPI 1083713952
Family Medicine in Weslaco, TX

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
1206 E 6TH ST, WESLACO, TX 78596(956) 447-8377(956) 973-8034 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melecia Fuentes M.d. NPPES

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

MELECIA FUENTES M.D. (NPI 1083713952) is an individual family medicine provider in Weslaco, Texas, licensed in Texas (K7156) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Ohio State University College Of Medicine (1996).

NPPES Registry Identity

NPI1083713952
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMELECIA FUENTESCredential: M.D.
Location Address1206 E 6TH STWeslaco, TX 78596-6420
Mailing Address1206 E 6th StWeslaco, TX 78596-6420 · (956) 447-8377 · Fax (956) 973-8034
Fax(956) 973-8034
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 1996
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 3, 2019
NPI 1083713952 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 · K7156
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.
1206 E 6TH ST, Weslaco, TX 78596

Other Identifiers 3

Medicaid163232502TX
Other0045MBTX · Blue Cross Blue Shield
OtherP00184355TX · Railroad Medicare

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

Melecia Fuentes 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 ID3870480221
PECOS Enrollment IDI20040302000096
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 8

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.
257 services89 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.
69 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
30 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services20 patients

Hospital Affiliations CMS Care Compare 3

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

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78596 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
3 suppliers13 claims27 services$4.64 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$12.56 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier19 claims19 services$5.04 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 6

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

Family Medicine
1206 E 6TH ST
WESLACO, TX 78596
Nurse Practitioner (Family)
1206 E 6TH ST
WESLACO, TX 78596
Internal Medicine
1206 E 6TH ST
WESLACO, TX 78596
Family Medicine
1206 E 6TH ST
WESLACO, TX 78596
Physician Assistant (Medical)
1206 E 6TH ST
WESLACO, TX 78596
Nurse Practitioner (Family)
1206 E 6TH ST
WESLACO, TX 78596

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 Melecia Fuentes's NPI number?

The NPI number for Melecia Fuentes is 1083713952. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Melecia Fuentes located?

Melecia Fuentes practices at 1206 E 6th St, Weslaco, TX 78596. The listed phone number is (956) 447-8377.

What is Melecia Fuentes's specialty?

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

Is Melecia Fuentes enrolled in Medicare?

Yes. Melecia Fuentes 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 Melecia Fuentes 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 Melecia Fuentes 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 Melecia Fuentes affiliated with any hospitals?

According to CMS data, Melecia Fuentes is affiliated with South Texas Health System, Knapp Medical Center and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Melecia Fuentes was last updated on July 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.