MR. PEDRO E MCDOUGAL M.D. F.A.C.P.
NPI 1144275355
Internal Medicine - Geriatric Medicine in Weslaco, TX

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
1010 JAMES ST, WESLACO, TX 78596(956) 968-1621(956) 447-8626 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Pedro E Mcdougal M.d. F.a.c.p. NPPES

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

MR. PEDRO E MCDOUGAL M.D. F.A.C.P. (NPI 1144275355) is an individual geriatric medicine provider in Weslaco, Texas, licensed in Texas (J9202) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1144275355
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameMR. PEDRO E MCDOUGALCredential: M.D. F.A.C.P.
Location Address1010 JAMES STWeslaco, TX 78596-6654
Mailing Address1010 S James St Suite BWeslaco, TX 78596 · (956) 968-1621 · Fax (956) 447-8626
Fax(956) 447-8626
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 24, 2006
Last NPPES UpdateMay 30, 2008
NPI 1144275355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in TX · J9202
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

1010 JAMES ST, Weslaco, TX 78596

Other Identifiers 3

Medicare UPING13959TX
Medicare PIN8A1243TX
Medicaid122375205TX

Accepted 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

Mr. Pedro E Mcdougal M.d. F.a.c.p. 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 ID8325943558
PECOS Enrollment IDI20051004000121
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 51

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
3,629 services1,188 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.
1,375 services768 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.
1,155 services658 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
953 services520 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
698 services262 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
623 services260 patients

Hospital Affiliations CMS Care Compare 4

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

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

Knapp Medical Center

Acute Care Hospitals · Weslaco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450128
Location1401 East Eight StreetWeslaco, TX 78596 · 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 78596 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
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 14

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

Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233
DME-Other DME · category DE017N
1 supplier11 claims22 services$0.44 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers91 claims231 services$6.11 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers19 claims19 services$2.93 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
5 suppliers18 claims18 services$1.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers91 claims115 services$1.05 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
4 suppliers18 claims36 services$54.64 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 14

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

Internal Medicine
1010 JAMES ST
WESLACO, TX 78596
Physician Assistant
1010 JAMES ST
WESLACO, TX 78596
Nurse Practitioner
1010 JAMES ST
WESLACO, TX 78596
Internal Medicine
1010 JAMES ST
WESLACO, TX 78596
Nurse Practitioner (Family)
1010 JAMES ST
WESLACO, TX 78596
Physician Assistant
1010 JAMES ST
WESLACO, TX 78596
Physician Assistant
1010 JAMES ST
WESLACO, TX 78596
Internal Medicine
1010 JAMES ST
WESLACO, TX 78596

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 Pedro Mcdougal's NPI number?

The NPI number for Pedro Mcdougal is 1144275355. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Pedro Mcdougal located?

Pedro Mcdougal practices at 1010 James St, Weslaco, TX 78596. The listed phone number is (956) 968-1621.

What is Pedro Mcdougal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Pedro Mcdougal enrolled in Medicare?

Yes. Pedro Mcdougal 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 Pedro Mcdougal accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, UnitedHealthcare and WellPoint list Pedro Mcdougal 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 Pedro Mcdougal affiliated with any hospitals?

According to CMS data, Pedro Mcdougal is affiliated with Vhs Harlingen Hospital Company LLC, South Texas Health System, Knapp Medical Center and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Pedro Mcdougal was last updated on May 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.