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MELECIO JESUS MEDINA MD
NPI 1114347606
Otolaryngology in Mcallen, TX

Active since April 23, 2014PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
1100 E DOVE AVE STE 402, MCALLEN, TX 78504(956) 362-8125(956) 362-8135 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2019, May 22, 2019 (2 updates tracked since 2019).

About Melecio Jesus Medina Md NPPES

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

MELECIO JESUS MEDINA MD (NPI 1114347606) is an individual otolaryngology provider in Mcallen, Texas, licensed in Texas (R5774) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1114347606
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMELECIO JESUS MEDINACredential: MD
Location Address1100 E DOVE AVE STE 402Mcallen, TX 78504
Mailing AddressPo Box 749Pharr, TX 78577-1614 · (956) 362-2171 · Fax (956) 362-3614
Phone(956) 362-8125
Fax(956) 362-8135
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 23, 2014
Last NPPES UpdateAugust 15, 20192 updates tracked since enumeration
✔ NPI 1114347606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TX · R5774
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1100 E DOVE AVE STE 402, Mcallen, TX 78504
Open in Google Maps ↗

Secondary Practice Location 1

Location 15201 Harry Hines BlvdDallas, TX 75235-7708 · Phone (214) 590-8058

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Melecio Jesus Medina 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 ID3072856491
PECOS Enrollment IDI20190528000565
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 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.
134 services101 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
95 services91 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
88 services84 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.
82 services82 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.
47 services38 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
44 services39 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

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 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
$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.

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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

SARAH CHANCE RODRIGUEZ M.D.
Otolaryngology
1100 E DOVE AVE STE 402
MCALLEN, TX 78504
Hidalgo County (956) 362-8125
GRACIE ADAMS APRN-CNP
Nurse Practitioner (Family)
1100 E DOVE AVE STE 402
MCALLEN, TX 78504
Hidalgo County (956) 362-8125
THALIA LOPEZ PACHECO
Nurse Practitioner (Family)
1100 E DOVE AVE STE 402
MCALLEN, TX 78504
Hidalgo County (956) 362-8125
MR. BRIAN PHILLIP PERRY M.D.
Otolaryngology
1100 E DOVE AVE STE 402
MCALLEN, TX 78504
Hidalgo County (956) 362-8125
DR. TAN DUONG NGUYEN MD
Otolaryngology
1100 E DOVE AVE STE 402
MCALLEN, TX 78504
Hidalgo County (956) 362-8125
DR. SIMON MILOV M.D.
Otolaryngology (Plastic Surgery within the Head & Neck)
1100 E DOVE AVE STE 402
MCALLEN, TX 78504
Hidalgo County (956) 362-8125

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 Melecio Medina's NPI number?

The NPI number for Melecio Medina is 1114347606. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Where is Melecio Medina located?

Melecio Medina practices at 1100 E Dove Ave Ste 402, Mcallen, TX 78504. The listed phone number is (956) 362-8125.

What is Melecio Medina's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Melecio Medina enrolled in Medicare?

Yes. Melecio Medina 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 Melecio Medina 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 3 other insurers list Melecio Medina 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 Melecio Medina affiliated with any hospitals?

According to CMS data, Melecio Medina is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Melecio Medina was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.