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DR. JOSE FERNANDO ESCOBAR MD
NPI 1144424920
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Edinburg, TX

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
5513 DOCTORS DR, EDINBURG, TX 78539(956) 362-8570(956) 362-8572 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2024, Jun 1, 2021, Sep 20, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Jose Fernando Escobar Md NPPES

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

DR. JOSE FERNANDO ESCOBAR MD (NPI 1144424920) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Edinburg, Texas, licensed in Texas (M5150) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Dallas, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2000).

NPPES Registry Identity

NPI1144424920
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. JOSE FERNANDO ESCOBARCredential: MD
Location Address5513 DOCTORS DREdinburg, TX 78539-5563
Mailing AddressPo Box 4449Mcallen, TX 78502-4449 · (956) 362-8570 · Fax (956) 362-8575
Phone(956) 362-8570
Fax(956) 362-8572
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2000
Enumeration DateJune 13, 2007
Last NPPES UpdateNovember 13, 20244 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1144424920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in TX · M5150
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
5513 DOCTORS DR, Edinburg, TX 78539
Open in Google Maps ↗

Other Identifiers 2

Medicaid194031404TX
Medicaid194031403TX

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. Jose Fernando Escobar 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 ID3971676800
PECOS Enrollment IDI20080724000733
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 4

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
25 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services18 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450462
Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County
Emergency services Birthing friendly

Texas Health Harris Methodist Hurst-Euless-Bedford

Acute Care Hospitals · Bedford, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450639
Location1600 Hospital ParkwayBedford, TX 76022 · Tarrant County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450743
Location3000 N I-35Denton, TX 76201 · Denton County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Flower Mound

Acute Care Hospitals · Flower Mound, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670068
Location4400 Long Prairie RoadFlower Mound, TX 75028 · Denton County
Emergency services Birthing friendly

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
$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
$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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Other Providers at the Same Location NPPES 10

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

ZEUS GONZALES DELEON
Nurse Anesthetist, Certified Registered
5513 DOCTORS DR
EDINBURG, TX 78539
Hidalgo County (832) 367-8454
VERONICA DELEON RD,LD
Dietitian, Registered
5513 DOCTORS DR
EDINBURG, TX 78539
Hidalgo County (956) 682-6900
DR. ROBERT B. FRASER DC
Chiropractor (Occupational Health)
5513 DOCTORS DR
EDINBURG, TX 78539
Hidalgo County (956) 682-6900
MRS. DARLENE BRADFORD MARTINEZ RN, MSN, ACNS-BC
Clinical Nurse Specialist (Adult Health)
5513 DOCTORS DR
EDINBURG, TX 78539
Hidalgo County (956) 994-1025
MOHAMMAD AHMAD AZZAM
Nurse Practitioner (Gerontology)
5513 DOCTORS DR
EDINBURG, TX 78539
Hidalgo County (956) 362-8570
JUAN JOYA GOMEZ APRN
Nurse Practitioner (Family)
5513 DOCTORS DR
EDINBURG, TX 78539
Hidalgo County (956) 362-8590
CARLOS E MORALES MD
Internal Medicine (Cardiovascular Disease)
5513 DOCTORS DR
EDINBURG, TX 78539
Hidalgo County (956) 362-8340
DR. VICTOR SARDINHA REIS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5513 DOCTORS DR
EDINBURG, TX 78539
Hidalgo County (956) 362-8570

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 Jose Escobar's NPI number?

The NPI number for Jose Escobar is 1144424920. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Jose Escobar located?

Jose Escobar practices at 5513 Doctors Dr, Edinburg, TX 78539. The listed phone number is (956) 362-8570.

What is Jose Escobar's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Jose Escobar enrolled in Medicare?

Yes. Jose Escobar 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 Jose Escobar 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 2 other insurers list Jose Escobar 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 Jose Escobar affiliated with any hospitals?

According to CMS data, Jose Escobar is affiliated with Texas Health Presbyterian Hospital Dallas, Texas Health Harris Methodist Hurst-Euless-Bedford, Texas Health Presbyterian Hospital Denton and Texas Health Presbyterian Hospital Flower Mound.

When was this NPI record last updated?

The NPPES record for Jose Escobar was last updated on November 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.