1. Home
  2. Directory
  3. Texas
  4. Edinburg
  5. Obstetrics Gynecology
  6. NPI Profile

EDUARDO JOSE HERRERA LIRIO M.D.
NPI 1114268513
Obstetrics & Gynecology in Edinburg, TX

Active since March 09, 2013PECOS Enrolled
4700 S MCCOLL RD STE 107, EDINBURG, TX 78539(956) 278-0816 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 20, 2026, Nov 20, 2025, Sep 4, 2025 and 3 more (6 updates tracked since 2017).

About Eduardo Jose Herrera Lirio M.d. NPPES

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

EDUARDO JOSE HERRERA LIRIO M.D. (NPI 1114268513) is an individual obstetrics & gynecology provider in Edinburg, Texas, licensed in Texas (U9952) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114268513
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameEDUARDO JOSE HERRERA LIRIOCredential: M.D.
Location Address4700 S MCCOLL RD STE 107Edinburg, TX 78539-8209
Mailing Address4700 S Mccoll Rd Ste 107Edinburg, TX 78539-8209 · (956) 322-5369 · Fax (866) 538-5850
Phone(956) 278-0816
Sole ProprietorNo
Enumeration DateMarch 9, 2013
Last NPPES UpdateJanuary 20, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1114268513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in TX · U9952✔ Licensed in NE · 30086
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4700 S MCCOLL RD STE 107, Edinburg, TX 78539
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Baylor Scott and White Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eduardo Jose Herrera Lirio M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Eduardo Herrera Lirio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alejandro A Tey MD PA
1.9 mi
Obstetrics & Gynecology
801 E NOLANA ST, STE 18
Mcallen, TX 78504
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Alejandro A. Tey M.D.,p.A.
  • 5 clinicians in this Medicare group
NPI 1215939236 (956) 683-8001
Shannon Clinic
357 mi
Rural Health
102 NORTH AVENUE H
Ozona, TX 76943
  • Reassigned Medicare billing, Texas enrollment
  • 671 clinicians in this Medicare group
NPI 1245230465 (325) 392-3788

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$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

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

ELITE OBSTETRICS & GYNECOLOGY OF SOUTH TEXAS PLLC
Obstetrics & Gynecology
4700 S MCCOLL RD STE 107
EDINBURG, TX 78539
Hidalgo County (956) 322-5369

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 Eduardo Herrera Lirio's NPI number?

The NPI number for Eduardo Herrera Lirio is 1114268513. It was assigned to this individual provider in the NPPES registry on March 9, 2013.

Where is Eduardo Herrera Lirio located?

Eduardo Herrera Lirio practices at 4700 S Mccoll Rd Ste 107, Edinburg, TX 78539. The listed phone number is (956) 278-0816.

What is Eduardo Herrera Lirio's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Eduardo Herrera Lirio enrolled in Medicare?

Yes. Eduardo Herrera Lirio is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eduardo Herrera Lirio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eduardo Herrera Lirio reassigns Medicare benefits to 2 organizations: Alejandro A Tey MD PA (Mcallen, TX) and Shannon Clinic (Ozona, 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 Eduardo Herrera Lirio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eduardo Herrera Lirio accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Eduardo Herrera Lirio 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 Eduardo Herrera Lirio was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.