RICARDO CORTEZ
NPI 1154340958
Neurological Surgery in Mcallen, TX

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
1801 S 5TH ST STE 122, MCALLEN, TX 78503(956) 762-5500(956) 229-6191 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2026, Nov 5, 2025, Oct 27, 2023 and 1 more (4 updates tracked since 2021).

About Ricardo Cortez NPPES

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

RICARDO CORTEZ (NPI 1154340958) is an individual neurological surgery provider in Mcallen, Texas, licensed in Texas (N-8000) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1154340958
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameRICARDO CORTEZ
Location Address1801 S 5TH ST STE 122Mcallen, TX 78503-2915
Mailing Address1801 S 5th St Ste 122Mcallen, TX 78503-2915 · (956) 762-5500 · Fax (956) 229-6191
Fax(956) 229-6191
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 19, 2006
Last NPPES UpdateApril 22, 20264 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1154340958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in TX · N-8000
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1801 S 5TH ST STE 122, Mcallen, TX 78503

Secondary Practice Locations 6

Location 1800 E Dawson StTyler, TX 75701-2036 · Phone (903) 593-8441
Location 2910 E Houston St Ste 330Tyler, TX 75702-8368 · Phone (903) 606-7995
Location 32602 Saint Michael Dr Ste 302BTexarkana, TX 75503-5228 · Phone (903) 614-5180
Location 42604 Saint Michael Dr Ste 237Texarkana, TX 75503-2378 · Phone (903) 614-5180
Location 52602 Saint Michael DrTexarkana, TX 75503-2387 · Phone (903) 794-4196
Location 611914 Astoria Blvd, Suite 300Houston, TX 77089-6064 · Phone (281) 922-5099

Other Identifiers 1

Medicaid329394603TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ricardo Cortez 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 ID4385713544
PECOS Enrollment IDI20130625000643
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.

Medicare Billing Reassignments

14

Medicare enrollment records show Ricardo Cortez reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1400 W TRENTON RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group
Surgery
600 ELIZABETH ST
Corpus Christi, TX 78404
  • Reassigned Medicare billing, Texas enrollment
  • 130 clinicians in this Medicare group
Neurological Surgery
613 ELIZABETH ST STE 200
Corpus Christi, TX 78404
  • Reassigned Medicare billing, Texas enrollment
  • 27 clinicians in this Medicare group
Family Medicine
502 MADISON OAK DR STE 310
San Antonio, TX 78258
  • Reassigned Medicare billing, Texas enrollment
  • 964 clinicians in this Medicare group
General Acute Care Hospital
800 E DAWSON ST
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 547 clinicians in this Medicare group
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
General Practice
5325 FARAON ST
Saint Joseph, MO 64506
  • Reassigned Medicare billing, Missouri enrollment
  • 471 clinicians in this Medicare group
Internal Medicine
653 W 8TH ST, UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
Family Medicine
303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 786 clinicians in this Medicare group
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
1801 S 5TH ST STE 122
MCALLEN, TX 78503

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 Ricardo Cortez's NPI number?

The NPI number for Ricardo Cortez is 1154340958. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Ricardo Cortez located?

Ricardo Cortez practices at 1801 S 5th St Ste 122, Mcallen, TX 78503. The listed phone number is (956) 762-5500.

What is Ricardo Cortez's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Ricardo Cortez enrolled in Medicare?

Yes. Ricardo Cortez 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.

Which organizations bill Medicare for Ricardo Cortez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Cortez reassigns Medicare benefits to 14 organizations: Mcallen Hospitalist Group, PLLC (Edinburg, TX), Acute Care Surgical Affiliates Of Texas PA (Corpus Christi, TX), Neurosurgical Affiliates Of Texas, PA (Corpus Christi, TX), Bhs Physicians Network, Inc (San Antonio, TX), Mother Frances Hospital Regional Health Care Center (Tyler, TX) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ricardo Cortez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ricardo Cortez accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas, Health Advantage and Octave and 1 other insurer list Ricardo Cortez 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 Ricardo Cortez affiliated with any hospitals?

According to CMS data, Ricardo Cortez is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Ricardo Cortez was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.