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DR. VLADIMIR F SEMILLA M.D.
NPI 1104118447
Family Medicine in Mcallen, TX

Active since May 04, 2011PECOS EnrolledAccepts Medicare Assignment
82.04/100
CMS Quality Rating
301 W EXPRESSWAY 83, MCALLEN, TX 78503(956) 632-4000(956) 961-4286 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Feb 7, 2017, Mar 16, 2016 (3 updates tracked since 2016).

About Dr. Vladimir F Semilla M.d. NPPES

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

DR. VLADIMIR F SEMILLA M.D. (NPI 1104118447) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (Q1491) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1104118447
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VLADIMIR F SEMILLACredential: M.D.
Location Address301 W EXPRESSWAY 83Mcallen, TX 78503-3045
Mailing AddressPo Box 3046Malvern, PA 19355-0746 · (956) 632-4000 · Fax (956) 961-4286
Phone(956) 632-4000
Fax(956) 961-4286
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMay 4, 2011
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1104118447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · Q1491
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License Q1491 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License Q1491 (TX)
301 W EXPRESSWAY 83, Mcallen, TX 78503
Open in Google Maps ↗

Other Identifiers 1

Medicaid3405862-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company.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. Vladimir F Semilla 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 ID5698997609
PECOS Enrollment IDI20141106001589
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
143 services66 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
77 services72 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.
51 services34 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.
45 services43 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
41 services41 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.
19 services18 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.

82.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.1
Improvement Activities40

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.

ROAA AGGAD MD
Student in an Organized Health Care Education/Training Program
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Hidalgo County (956) 632-4205
CLAUDIA BARRIOS HERNANDEZ MD
Student in an Organized Health Care Education/Training Program
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Hidalgo County (956) 632-4205
JOSE CARLOS OSTAIZA CARDENAS MD
Student in an Organized Health Care Education/Training Program
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Hidalgo County (956) 632-4205
JAVIER MAURICIO JARAMILLO MD
Student in an Organized Health Care Education/Training Program
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Hidalgo County (956) 632-4205
PALMS EMERGENCY PHYSICIANS PLLC
Emergency Medicine
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Hidalgo County (956) 632-4100
BINDHU G GEORGE CRNA
Nurse Anesthetist, Certified Registered
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Hidalgo County (770) 643-5619
INGELA LIZ HELEN DANIELSSON-SANDEN MD
Hospitalist
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Hidalgo County (956) 632-4000
DR. ANNETTE KETALU MD
Student in an Organized Health Care Education/Training Program
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Hidalgo County (956) 632-4205

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 Vladimir Semilla's NPI number?

The NPI number for Vladimir Semilla is 1104118447. It was assigned to this individual provider in the NPPES registry on May 4, 2011.

Where is Vladimir Semilla located?

Vladimir Semilla practices at 301 W Expressway 83, Mcallen, TX 78503. The listed phone number is (956) 632-4000.

What is Vladimir Semilla's specialty?

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

Is Vladimir Semilla enrolled in Medicare?

Yes. Vladimir Semilla 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 Vladimir Semilla accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Vladimir Semilla 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 Vladimir Semilla affiliated with any hospitals?

According to CMS data, Vladimir Semilla is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Vladimir Semilla was last updated on July 21, 2022. 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.