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KELLY MAEDO M.D.
NPI 1104838887
Dermatology in Mcallen, TX

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
3100 BUDDY OWENS AVE, MCALLEN, TX 78504(956) 971-0404(956) 971-0408 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2024, Nov 7, 2024 (2 updates tracked since 2024).

About Kelly Maedo M.d. NPPES

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

KELLY MAEDO M.D. (NPI 1104838887) is an individual dermatology provider in Mcallen, Texas, licensed in Texas (L5032) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in College Station, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (1999).

NPPES Registry Identity

NPI1104838887
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKELLY MAEDOCredential: M.D.
Location Address3100 BUDDY OWENS AVEMcallen, TX 78504-6464
Mailing Address818 Royal Adelade DrCollege Station, TX 77845-4444 · (979) 757-1103
Phone(956) 971-0404
Fax(956) 971-0408
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 1999
Enumeration DateAugust 12, 2006
Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1104838887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · L5032
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedFamily MedicineTaxonomy 207Q00000X · License L5032 (TX)
3100 BUDDY OWENS AVE, Mcallen, TX 78504
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Secondary Practice Location 1

Location 12911 Texas Ave S, Suite 103College Station, TX 77845-5387 · Phone (979) 764-2882 ext. 151 · Fax (979) 764-2828

Other Identifiers 2

Medicaid157550803TX
Other8S6084TX · Bcbs

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

Kelly Maedo 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 ID8628032554
PECOS Enrollment IDI20240501002379
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

5

Medicare enrollment records show Kelly Maedo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oasis Dermatology Group, PLLC
Same address
Dermatology
3100 BUDDY OWENS BLVD, SUITE 101
Mcallen, TX 78504
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
NPI 1619099124 (956) 971-0404
Tk Emergency Physicians Group PLLC
296 mi
Emergency Medicine
1535 WEST LOOP S
Houston, TX 77027
  • Reassigned Medicare billing, Texas enrollment
  • 82 clinicians in this Medicare group
NPI 1942728019 (832) 219-3833
Emergency Hospital Systems LLC
340 mi
General Acute Care Hospital
1017 S TRAVIS AVE
Cleveland, TX 77327
  • Reassigned Medicare billing, Texas enrollment
  • 124 clinicians in this Medicare group
NPI 1992172019 (281) 592-5400
Texas ER Group PLLC
370 mi
Emergency Medicine
220 BLANCO ST STE 2
Lumberton, TX 77657
  • Reassigned Medicare billing, Texas enrollment
  • 113 clinicians in this Medicare group
NPI 1235829359 (409) 755-2273
Altus Exceptional Physician Group PLLC
382 mi
Emergency Medicine
1321 N 16TH ST
Orange, TX 77630
  • Reassigned Medicare billing, Texas enrollment
  • 115 clinicians in this Medicare group
NPI 1730869207 (409) 403-3309

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 9

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.
150 services134 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
104 services26 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
66 services38 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
63 services63 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
38 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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.

Other Providers at the Same Location NPPES 4

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

JAMIE HEDRICK DO
Dermatology
3100 BUDDY OWENS AVE
MCALLEN, TX 78504
Hidalgo County (956) 971-0404
MISS GABRIELA SUSANA RAMIREZ PA-C
Physician Assistant
3100 BUDDY OWENS AVE
MCALLEN, TX 78504
Hidalgo County (956) 971-0404
MRS. DAISY ELIZONDO
Physician Assistant
3100 BUDDY OWENS AVE, SUITE 101
MCALLEN, TX 78504
Hidalgo County (956) 971-0404
DR. ERIC SANDROCK DO
Dermatology
3100 BUDDY OWENS AVE
MCALLEN, TX 78504
Hidalgo County (956) 971-0404

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 Kelly Maedo's NPI number?

The NPI number for Kelly Maedo is 1104838887. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Kelly Maedo located?

Kelly Maedo practices at 3100 Buddy Owens Ave, Mcallen, TX 78504. The listed phone number is (956) 971-0404.

What is Kelly Maedo's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kelly Maedo enrolled in Medicare?

Yes. Kelly Maedo 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 Kelly Maedo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Maedo reassigns Medicare benefits to 5 organizations: Oasis Dermatology Group, PLLC (Mcallen, TX), Tk Emergency Physicians Group PLLC (Houston, TX), Emergency Hospital Systems LLC (Cleveland, TX), Texas ER Group PLLC (Lumberton, TX) and Altus Exceptional Physician Group PLLC (Orange, TX). 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 Kelly Maedo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Maedo accept?

Health plans from Blue Cross and Blue Shield of Texas list Kelly Maedo 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 Kelly Maedo was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.