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DR. NELSON ALBENIO GARAY M.D.
NPI 1154795284
Family Medicine in Laredo, TX

Active since December 01, 2015PECOS EnrolledAccepts Medicare Assignment
6801 MCPHERSON RD STE 111, LAREDO, TX 78041(956) 516-7968(956) 516-7968 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2024, Dec 1, 2015 (2 updates tracked since 2015).

About Dr. Nelson Albenio Garay M.d. NPPES

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

DR. NELSON ALBENIO GARAY M.D. (NPI 1154795284) is an individual family medicine provider in Laredo, Texas, licensed in Texas (BP10057521) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, is affiliated with Laredo Medical Center, and maintains a secondary practice location in Laredo.

NPPES Registry Identity

NPI1154795284
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NELSON ALBENIO GARAYCredential: M.D.
Location Address6801 MCPHERSON RD STE 111Laredo, TX 78041-6403
Mailing Address6801 Mcpherson Rd Ste 111Laredo, TX 78041-6403 · (956) 516-7968 · Fax (956) 516-7964
Phone(956) 516-7968
Fax(956) 516-7968
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 1, 2015
Last NPPES UpdateJune 11, 20262 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1154795284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · BP10057521
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6801 MCPHERSON RD STE 111, Laredo, TX 78041
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Secondary Practice Location 1

Location 11701 IslandLaredo, TX 78041-3054 · Phone (956) 625-1729

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nelson Albenio Garay 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 ID7810283520
PECOS Enrollment IDI20190806000505
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

6

Medicare enrollment records show Nelson Garay reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Lone Star Physician Services, PLLC
2.3 mi
Family Medicine
2005 E BUSTAMANTE ST
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
NPI 1265075618 (956) 753-5353
Hcc Of Laredo LLC
4.0 mi
Internal Medicine
1700 E SAUNDERS ST
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
  • 94 clinicians in this Medicare group
NPI 1942712252 (866) 931-8882
Ess Of Port Lavaca LLC
188 mi
Emergency Medicine
815 N VIRGINIA ST
Port Lavaca, TX 77979
  • Reassigned Medicare billing, Texas enrollment
  • 109 clinicians in this Medicare group
NPI 1922546936 (361) 552-6713
Ess Of Fairfield LLC
349 mi
Emergency Medicine
125 NEWMAN ST
Fairfield, TX 75840
  • Reassigned Medicare billing, Texas enrollment
  • 76 clinicians in this Medicare group
NPI 1588132856 (866) 931-8882
Hcc Of Fairfield LLC
349 mi
Internal Medicine
125 NEWMAN ST
Fairfield, TX 75840
  • Reassigned Medicare billing, Texas enrollment
  • 68 clinicians in this Medicare group
NPI 1487122750 (866) 931-8882
Seminole Hospital District Of Gaines County Texas
403 mi
Critical Access
209 NW 8TH ST
Seminole, TX 79360
  • Reassigned Medicare billing, Texas enrollment
  • 115 clinicians in this Medicare group
NPI 1821025990 (432) 758-5811

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 7

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
1,608 services123 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.
235 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
116 services31 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
30 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
22 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Laredo Medical Center

Acute Care Hospitals · Laredo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450029
Location1700 East SaundersLaredo, TX 78044 · Webb County
Emergency services Birthing friendly

Doctors Hospital Of Laredo

Acute Care Hospitals · Laredo, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450643
Location10700 Mcpherson RoadLaredo, TX 78041 · Webb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78041 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
$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 6

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers21 claims21 services$44.98 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$54.99 avg. paid by Medicare
Powered pressure-reducing air mattress E0277
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$224.72 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$21.28 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$116.92 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 3

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

NOAH CURTIS GODWIN M.D.
Anesthesiology (Pain Medicine)
6801 MCPHERSON RD STE 111
LAREDO, TX 78041
Webb County (956) 462-1696
DYNAMIC PAIN MANAGEMENT, PLLC
Clinic/Center (Pain)
6801 MCPHERSON RD STE 111
LAREDO, TX 78041
Webb County (956) 462-1696
FLORES EYE CARE CLINIC, PC
Optometrist
6801 MCPHERSON RD STE 111
LAREDO, TX 78041
Webb County (956) 753-7373

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 Nelson Garay's NPI number?

The NPI number for Nelson Garay is 1154795284. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Where is Nelson Garay located?

Nelson Garay practices at 6801 Mcpherson Rd Ste 111, Laredo, TX 78041. The listed phone number is (956) 516-7968.

What is Nelson Garay's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nelson Garay enrolled in Medicare?

Yes. Nelson Garay 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 Nelson Garay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nelson Garay reassigns Medicare benefits to 6 organizations: Texas Lone Star Physician Services, PLLC (Laredo, TX), Hcc Of Laredo LLC (Laredo, TX), Ess Of Port Lavaca LLC (Port Lavaca, TX), Ess Of Fairfield LLC (Fairfield, TX), Hcc Of Fairfield LLC (Fairfield, TX) and 1 more organization, 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 Nelson Garay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nelson Garay 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 Nelson Garay 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 Nelson Garay affiliated with any hospitals?

According to CMS data, Nelson Garay is affiliated with Laredo Medical Center and Doctors Hospital Of Laredo.

When was this NPI record last updated?

The NPPES record for Nelson Garay was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.