MARIO GOMEZ DELGADO DE LA FLOR MD
NPI 1093804189
Internal Medicine - Pulmonary Disease in Weslaco, TX

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
90.63/100
CMS Quality Rating
1604 E 8TH ST STE A, WESLACO, TX 78596(956) 447-5557(956) 447-5747 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2021, Oct 2, 2018 (2 updates tracked since 2018).

About Mario Gomez Delgado De La Flor Md NPPES

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

MARIO GOMEZ DELGADO DE LA FLOR MD (NPI 1093804189) is an individual pulmonary disease provider in Weslaco, Texas, licensed in Texas (N2090) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and maintains a secondary practice location in Mcallen.

NPPES Registry Identity

NPI1093804189
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMARIO GOMEZ DELGADO DE LA FLORCredential: MD
Location Address1604 E 8TH ST STE AWeslaco, TX 78596-5587
Mailing Address1604 E 8th St, Suite AWeslaco, TX 78596-5587 · (956) 447-5557 · Fax (956) 447-5747
Fax(956) 447-5747
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 12, 2006
Last NPPES UpdateOctober 12, 20212 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
NPI 1093804189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · N2090
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License N2090 (TX)
1604 E 8TH ST STE A, Weslaco, TX 78596

Secondary Practice Location 1

Location 15300 N McColl Rd Ste 100McAllen, TX 78504-3969 · Phone (956) 630-1000 · Fax (956) 447-5747

Other Identifiers 2

OtherN2090TX · Texas License
Medicaid211302901TX

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

Mario Gomez Delgado De La Flor 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 ID2163557711
PECOS Enrollment IDI20100322000116
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 19

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 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.
304 services225 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.
248 services179 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
208 services90 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
162 services73 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
111 services93 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
50 services46 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

90.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality64.66
Promoting Interoperability94
Improvement Activities40
Cost75.8

Reported Quality Measures

Advance Care Plan
73%2,218 patients3/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
24%67 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
3%2,181 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
55%433 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
2%256 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%256 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%6,285 patients4/55-star benchmark: 100%
e-Prescribing
96%853 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
8%1,613 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
67%3,499 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%4,443 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 2,681 patients
Patients screened: 98% · 2,681 patients
53%190 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
57%1,700 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
89%711 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,693 patients
Patients totalRate: 1% · 1,697 patients
1%1,697 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers173 claims174 services$31.28 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
16 suppliers190 claims190 services$72.59 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers172 claims462 services$27.93 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers98 claims474 services$15.00 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers39 claims198 services$12.13 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers124 claims124 services$45.89 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 10

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

Physician Assistant
1604 E 8TH ST STE A
WESLACO, TX 78596
Physician Assistant
1604 E 8TH ST STE A
WESLACO, TX 78596
Nurse Practitioner (Acute Care)
1604 E 8TH ST STE A
WESLACO, TX 78596
Physician Assistant
1604 E 8TH ST STE A
WESLACO, TX 78596
Internal Medicine (Critical Care Medicine)
1604 E 8TH ST STE A
WESLACO, TX 78596
Internal Medicine (Critical Care Medicine)
1604 E 8TH ST STE A
WESLACO, TX 78596
Internal Medicine (Pulmonary Disease)
1604 E 8TH ST STE A
WESLACO, TX 78596
Internal Medicine (Pulmonary Disease)
1604 E 8TH ST STE A
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 Mario Gomez Delgado De La Flor's NPI number?

The NPI number for Mario Gomez Delgado De La Flor is 1093804189. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Mario Gomez Delgado De La Flor located?

Mario Gomez Delgado De La Flor practices at 1604 E 8th St Ste A, Weslaco, TX 78596. The listed phone number is (956) 447-5557.

What is Mario Gomez Delgado De La Flor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mario Gomez Delgado De La Flor enrolled in Medicare?

Yes. Mario Gomez Delgado De La Flor 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 Mario Gomez Delgado De La Flor 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 2 other insurers list Mario Gomez Delgado De La Flor 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 Mario Gomez Delgado De La Flor affiliated with any hospitals?

According to CMS data, Mario Gomez Delgado De La Flor 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 Mario Gomez Delgado De La Flor was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.