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CONCEPCION DELOS REYES
NPI 1154854214
Nurse Practitioner - Family in Plano, TX

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
92.41/100
CMS Quality Rating
3108 MIDWAY RD STE 104, PLANO, TX 75093(972) 398-0393(972) 398-0499 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Concepcion Delos Reyes NPPES

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

CONCEPCION DELOS REYES (NPI 1154854214) is an individual family provider in Plano, Texas, licensed in Texas (AP133466) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Northeast Hospital, and maintains a secondary practice location in Chantilly.

NPPES Registry Identity

NPI1154854214
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCONCEPCION DELOS REYES
Location Address3108 MIDWAY RD STE 104Plano, TX 75093-8485
Mailing AddressPo Box 35629Dallas, TX 75235-0629 · (214) 424-2200 · Fax (214) 231-2159
Phone(972) 398-0393
Fax(972) 398-0499
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 6, 2017
Last NPPES UpdateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
✔ NPI 1154854214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP133466
3108 MIDWAY RD STE 104, Plano, TX 75093
Open in Google Maps ↗

Secondary Practice Location 1

Location 114121 Parke Long Ct, Suite 201Chantilly, VA 20151-1647 · Phone (832) 760-8068

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

Concepcion Delos Reyes 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 ID8224302419
PECOS Enrollment IDI20170927001639
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

3

Medicare enrollment records show Concepcion Delos Reyes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Digestive Disease Consultants, PLLC
12 mi
Gastroenterology
701 TUSCAN DR, STE 110
Irving, TX 75039
  • Reassigned Medicare billing, Texas enrollment
  • 575 clinicians in this Medicare group
NPI 1053397331 (214) 496-1100
Digestive & Liver Disease Consultants, P.A.
224 mi
Gastroenterology
275 LANTERN BEND DR, STE. 200
Houston, TX 77090
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Digestive & Liver Disease Consultants, PA
  • 7 clinicians in this Medicare group
NPI 1164469631 (281) 440-0101
Houston Regional Gastroenterology Institute PLLC
247 mi
Gastroenterology
15555 CREEK BEND DR STE 200
Sugar Land, TX 77478
  • Reassigned Medicare billing, Texas enrollment
  • 42 clinicians in this Medicare group
NPI 1326587643 (832) 707-5011

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 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
187 services146 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.
64 services51 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
51 services51 patients
Telephone medical discussion provided by nonphysician professional, 21-30 minutes 98968
This service involves a nonphysician professional, such as a nurse or medical assistant, discussing your health concerns over the phone for 21-30 minutes. It's a convenient way to address questions or concerns without needing to visit a clinic.
34 services31 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.
18 services18 patients
Ultrasound scan of organ tissue for measuring elasticity 76981
An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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.

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.

92.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.94
Promoting Interoperability95
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

SOUTHWEST PODIATRY, LLP
Podiatrist
3108 MIDWAY RD STE 104
PLANO, TX 75093
Collin County (972) 318-0740
DR. CANDICE PIMLAPAH JANTZ MD
Internal Medicine (Gastroenterology)
3108 MIDWAY RD STE 104
PLANO, TX 75093
Collin County (972) 398-0393
STEPHANI MARIE ELLIOTT AGPCNP
Nurse Practitioner
3108 MIDWAY RD STE 104
PLANO, TX 75093
Collin County (972) 398-0393
MICHELLE KUKIELSKI PA-C
Physician Assistant
3108 MIDWAY RD STE 104
PLANO, TX 75093
Collin County (972) 398-0393
PODIATRIC MEDICAL PARTNERS OF TEXAS, PA
Podiatrist (Foot Surgery)
3108 MIDWAY RD STE 104
PLANO, TX 75093
Collin County (972) 378-0740
DR. SON T DO M.D.
Internal Medicine (Gastroenterology)
3108 MIDWAY RD STE 104
PLANO, TX 75093
Collin County (972) 398-0393

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 Concepcion Delos Reyes's NPI number?

The NPI number for Concepcion Delos Reyes is 1154854214. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Concepcion Delos Reyes located?

Concepcion Delos Reyes practices at 3108 Midway Rd Ste 104, Plano, TX 75093. The listed phone number is (972) 398-0393.

What is Concepcion Delos Reyes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Concepcion Delos Reyes enrolled in Medicare?

Yes. Concepcion Delos Reyes 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 Concepcion Delos Reyes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Concepcion Delos Reyes reassigns Medicare benefits to 3 organizations: Texas Digestive Disease Consultants, PLLC (Irving, TX), Digestive & Liver Disease Consultants, P.A. (Houston, TX) and Houston Regional Gastroenterology Institute PLLC (Sugar Land, TX). 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 Concepcion Delos Reyes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Concepcion Delos Reyes accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Concepcion Delos Reyes 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 Concepcion Delos Reyes affiliated with any hospitals?

According to CMS data, Concepcion Delos Reyes is affiliated with Memorial Hermann Northeast Hospital.

When was this NPI record last updated?

The NPPES record for Concepcion Delos Reyes was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.