DR. RICHARD SANCHEZ D.O.
NPI 1144666207
Internal Medicine - Cardiovascular Disease in Edinburg, TX

Active since May 16, 2013PECOS EnrolledAccepts Medicare Assignment
87.68/100
CMS Quality Rating
5525 DOCTORS DR, EDINBURG, TX 78539(956) 362-8740(956) 362-8795 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2023, Mar 30, 2021, Sep 23, 2019 and 3 more (6 updates tracked since 2016).

About Dr. Richard Sanchez D.o. NPPES

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

DR. RICHARD SANCHEZ D.O. (NPI 1144666207) is an individual cardiovascular disease provider in Edinburg, Texas, licensed in Texas (Q8629) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and maintains a secondary practice location in Mission.

NPPES Registry Identity

NPI1144666207
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. RICHARD SANCHEZCredential: D.O.
Location Address5525 DOCTORS DREdinburg, TX 78539-5520
Mailing AddressPo Box 4449Mcallen, TX 78502-4449 · (956) 362-8740 · Fax (956) 362-8796
Fax(956) 362-8795
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 16, 2013
Last NPPES UpdateMarch 28, 20236 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
NPI 1144666207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · Q8629
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedGeneral PracticeTaxonomy 208D00000X · License OS12844 (FL)
5525 DOCTORS DR, Edinburg, TX 78539

Secondary Practice Location 1

Location 12121 E Griffin Pkwy Ste 16Mission, TX 78572-3072 · Phone (956) 362-8740 · Fax (956) 362-8796

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

Dr. Richard Sanchez D.o. 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 ID5496819864
PECOS Enrollment IDI20161018001650
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 26

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.
414 services298 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
247 services224 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
190 services184 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
158 services71 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.
111 services78 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
79 services79 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

Starr County Memorial Hospital

Acute Care Hospitals · Rio Grande City, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450654
Location128 N Fm Rd 3167Rio Grande City, TX 78582 · Starr 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 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
$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.

87.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.74
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%24 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
5525 DOCTORS DR
EDINBURG, TX 78539
Dietitian, Registered
5525 DOCTORS DR
EDINBURG, TX 78539
Internal Medicine (Cardiovascular Disease)
5525 DOCTORS DR
EDINBURG, TX 78539
Dietitian, Registered
5525 DOCTORS DR
EDINBURG, TX 78539
Nurse Practitioner (Family)
5525 DOCTORS DR
EDINBURG, TX 78539
Internal Medicine (Cardiovascular Disease)
5525 DOCTORS DR
EDINBURG, TX 78539
Physician Assistant
5525 DOCTORS DR
EDINBURG, TX 78539
Internal Medicine (Interventional Cardiology)
5525 DOCTORS DR
EDINBURG, TX 78539

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 Richard Sanchez's NPI number?

The NPI number for Richard Sanchez is 1144666207. It was assigned to this individual provider in the NPPES registry on May 16, 2013.

Where is Richard Sanchez located?

Richard Sanchez practices at 5525 Doctors Dr, Edinburg, TX 78539. The listed phone number is (956) 362-8740.

What is Richard Sanchez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Richard Sanchez enrolled in Medicare?

Yes. Richard Sanchez 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 Richard Sanchez 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 Richard Sanchez 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 Richard Sanchez affiliated with any hospitals?

According to CMS data, Richard Sanchez is affiliated with South Texas Health System, Starr County Memorial Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Richard Sanchez was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.