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MR. JOSE LUIS ALMEDA M.D.
NPI 1144438383
Surgery in Mcallen, TX

Active since May 20, 2007PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
1100 E DOVE AVE STE 201, MCALLEN, TX 78504(569) 362-5433(569) 362-2420 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 19, 2017, Jan 6, 2017, Nov 20, 2015 (3 updates tracked since 2015).

About Mr. Jose Luis Almeda M.d. NPPES

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

MR. JOSE LUIS ALMEDA M.D. (NPI 1144438383) is an individual surgery provider in Mcallen, Texas, licensed in Texas (N2911) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of University Of Texas Medical School At San Antonio (2002).

NPPES Registry Identity

NPI1144438383
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. JOSE LUIS ALMEDACredential: M.D.
Location Address1100 E DOVE AVE STE 201Mcallen, TX 78504-4681
Mailing AddressPo Box 749Pharr, TX 78577-1614 · (956) 362-2171 · Fax (956) 362-2214
Phone(569) 362-5433
Fax(569) 362-2420
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2002
Enumeration DateMay 20, 2007
Last NPPES UpdateApril 4, 20183 updates tracked since enumeration
✔ NPI 1144438383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · N2911
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1100 E DOVE AVE STE 201, Mcallen, TX 78504
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Other Identifiers 1

Medicaid203616203TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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. Jose Luis Almeda 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 ID7214038025
PECOS Enrollment IDI20090723000277
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 2

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 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.
16 services14 patients
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.
13 services13 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
$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
$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 5

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

EDUARDO FERNANDES MD
Transplant Surgery
1100 E DOVE AVE STE 201
MCALLEN, TX 78504
Hidalgo County (956) 362-8030
DR. ASHRAF IBRAHIM REYAD MD
Transplant Surgery
1100 E DOVE AVE STE 201
MCALLEN, TX 78504
Hidalgo County (956) 362-8030
HECTOR IVAN SAUCEDO CRESPO M.D.
Surgery
1100 E DOVE AVE STE 201
MCALLEN, TX 78504
Hidalgo County (956) 362-8030
PHILIP G THOMAS MD
Transplant Surgery
1100 E DOVE AVE STE 201
MCALLEN, TX 78504
Hidalgo County (956) 362-2200
MRS. CLAIRE GIVILANCZ FNP
Nurse Practitioner (Family)
1100 E DOVE AVE STE 201
MCALLEN, TX 78504
Hidalgo County (956) 362-8030

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 Almeda's NPI number?

The NPI number for Jose Almeda is 1144438383. It was assigned to this individual provider in the NPPES registry on May 20, 2007.

Where is Jose Almeda located?

Jose Almeda practices at 1100 E Dove Ave Ste 201, Mcallen, TX 78504. The listed phone number is (569) 362-5433.

What is Jose Almeda's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jose Almeda enrolled in Medicare?

Yes. Jose Almeda 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 Almeda accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Jose Almeda 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 Almeda affiliated with any hospitals?

According to CMS data, Jose Almeda is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Jose Almeda was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.