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FRANZ E VELARDE MD
NPI 1093795494
Radiology - Diagnostic Radiology in Harlingen, TX

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
88.16/100
CMS Quality Rating
1620 N ED CAREY DR, HARLINGEN, TX 78550(956) 421-3041 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Feb 4, 2020 (2 updates tracked since 2020).

About Franz E Velarde Md NPPES

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

FRANZ E VELARDE MD (NPI 1093795494) is an individual diagnostic radiology provider in Harlingen, Texas, licensed in Texas (L4781) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1093795494
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameFRANZ E VELARDECredential: MD
Location Address1620 N ED CAREY DRHarlingen, TX 78550-8286
Mailing AddressPo Box 9705Mcallen, TX 78502-9705 · (866) 287-3198
Phone(956) 421-3041
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 20, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2020
✔ NPI 1093795494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · L4781
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1620 N ED CAREY DR, Harlingen, TX 78550
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Franz E Velarde 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 ID7911997465
PECOS Enrollment IDI20040515000576
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

6

Medicare enrollment records show Franz Velarde reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Radiologists & Associates
0.3 mi
Diagnostic Radiology
1717 TREASURE HILLS BLVD
Harlingen, TX 78550
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group
NPI 1609866003 (956) 421-3041
Renaissance Medical Foundation
33 mi
Internal Medicine
5501 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 219 clinicians in this Medicare group
NPI 1467633867 (956) 362-3300
Gmg Health Systems Associates PA
226 mi
Family Medicine
720 PLEASANTON RD
San Antonio, TX 78214
  • Reassigned Medicare billing, Texas enrollment
  • 125 clinicians in this Medicare group
NPI 1023030160 (210) 921-3800
Professional Radiology PLLC
651 mi
Radiology
10501 GATEWAY BLVD W STE 101
El Paso, TX 79925
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1861918815 (915) 225-2480
Advanced Imaging LLC
814 mi
Diagnostic Radiology
4411 THE 25 WAY NE, SUITE 150
Albuquerque, NM 87109
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1558416974 (505) 332-6919
Radiology Associates Of Albuquerque, PA
814 mi
Diagnostic Radiology
4411 THE 25 WAY NE, SUITE 150
Albuquerque, NM 87109
  • Reassigned Medicare billing, Texas enrollment
  • 13 clinicians in this Medicare group
NPI 1881666998 (505) 332-6900

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 12

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.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
91 services82 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
62 services36 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
40 services30 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
23 services19 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
18 services18 patients
X-ray of abdomen, 2 views 74019
An X-ray of the abdomen, 2 views, is a non-invasive imaging test. It uses a small amount of radiation to capture pictures of the structures inside your belly. The two views provide different angles, helping doctors see your organs clearly and detect any issues.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78550 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

88.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.03
Improvement Activities40

Reported Quality Measures

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
100%48 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
0%1,237 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
1%113 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
50%20 patients
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

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

MALUHIA HOSPICE CARE, PLLC
Hospice Care, Community Based
1620 N ED CAREY DR
HARLINGEN, TX 78550
Cameron County (956) 620-2273

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 Franz Velarde's NPI number?

The NPI number for Franz Velarde is 1093795494. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Franz Velarde located?

Franz Velarde practices at 1620 N Ed Carey Dr, Harlingen, TX 78550. The listed phone number is (956) 421-3041.

What is Franz Velarde's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Franz Velarde enrolled in Medicare?

Yes. Franz Velarde 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 Franz Velarde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Franz Velarde reassigns Medicare benefits to 6 organizations: Valley Radiologists & Associates (Harlingen, TX), Renaissance Medical Foundation (Edinburg, TX), Gmg Health Systems Associates PA (San Antonio, TX), Professional Radiology PLLC (El Paso, TX), Advanced Imaging LLC (Albuquerque, NM) and 1 more organization, 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 Franz Velarde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Franz Velarde accept?

Health plans from Blue Cross and Blue Shield of Texas list Franz Velarde 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 Franz Velarde was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.