DR. LUIS JR DELGADO M.D.
NPI 1114922499
Family Medicine in Mcallen, TX

Q: What is Luis Jr Delgado's NPI number?

The NPI number for Luis Jr Delgado is 1114922499. It was assigned to this individual provider in the NPPES registry on June 14, 2005. The provider is also known as Dr. Luis Delgado M.D..

Q: What is Luis Jr Delgado's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Luis Jr Delgado was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment

5128 N 10TH ST, MCALLEN, TX 78504(956) 631-3831(956) 618-5140 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2016, Nov 17, 2015 (2 updates tracked since 2015).

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About Dr. Luis Jr Delgado M.d. NPPES

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

DR. LUIS JR DELGADO M.D. (NPI 1114922499) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (H4279) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of University Of Texas Medical School At San Antonio (1987).

NPPES Registry Identity

NPI1114922499

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LUIS JR DELGADOCredential: M.D.

Location Address5128 N 10TH STMcallen, TX 78504-2834

Mailing Address5128 N 10th StMcallen, TX 78504-2834 · (956) 631-3831 · Fax (956) 618-5140

Phone(956) 631-3831

Fax(956) 618-5140

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1987

Enumeration DateJune 14, 2005

Last NPPES UpdateFebruary 17, 20162 updates tracked since enumeration

✔ NPI 1114922499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · H4279

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.

5128 N 10TH ST, Mcallen, TX 78504

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Other Names 1

Other Name (5)Dr. Luis Delgado M.d.

Other Identifiers 8

Other111744203TX · Epsdt

Medicaid111744204TX

Medicare PINTXB101360TX

Other080080135TX · Medicare, Rr

Medicaid111744202TX

Medicare UPINE45816TX

Medicaid111744203TX

Medicare PIN00F05HTX

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

Dr. Luis Jr Delgado 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 ID9638087760

PECOS Enrollment IDI20070223000082

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 6

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 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.

148 services96 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

84 services66 patients

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.

62 services41 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

44 services44 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

24 services24 patients

Manual urinalysis test with examination using microscope, non-automated 81000

A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.

13 services13 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

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450711

Location101 E Ridge RdMcallen, TX 78503 · 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 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

$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.

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

16 suppliers41 claims112 services$5.73 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

12 suppliers32 claims46 services$1.01 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers13 claims2,040 services$1.66 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

1 supplier29 claims47 services$12.84 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

2 suppliers17 claims18 services$42.35 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers11 claims11 services$14.75 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers22 claims23 services$8.61 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers35 claims101 services$1.69 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers12 claims12 services$7.20 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers20 claims20 services$20.41 avg. paid by Medicare

Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair E1010

DME-Wheelchairs · category DD021N

1 supplier26 claims26 services$933.72 avg. paid by Medicare

Shock absorber for power wheelchair, each E1016

DME-Wheelchairs · category DD021N

1 supplier15 claims30 services$92.26 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$65.69 avg. paid by Medicare

Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) E2363

DME-Wheelchairs · category DD009N

1 supplier24 claims48 services$113.22 avg. paid by Medicare

Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only E2370

DME-Wheelchairs · category DD009N

1 supplier31 claims62 services$484.94 avg. paid by Medicare

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only E2376

DME-Wheelchairs · category DD009N

1 supplier39 claims39 services$1,057.08 avg. paid by Medicare

Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each E2392

DME-Wheelchairs · category DD009N

1 supplier14 claims28 services$33.39 avg. paid by Medicare

Power wheelchair accessory, caster fork, any size, replacement only, each E2396

DME-Wheelchairs · category DD009N

1 supplier13 claims26 services$41.40 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers12 claims12 services$6.18 avg. paid by Medicare

Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes K0739

DME-Other DME · category DE000N

1 supplier11 claims41 services$13.36 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 7

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

MR. RAMIRO DE LEON APRN, FNP-BC

Nurse Practitioner (Family)