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HECTOR CONDARCO
NPI 1194242594
Nurse Practitioner - Family in Waxahachie, TX

Active since August 25, 2017PECOS EnrolledAccepts Medicare Assignment
2400 NORTH I35 EAST SERVICE ROAD, WAXAHACHIE, TX 75165(469) 843-5000 Get Directions Write a Review

NPPES record last updated: August 25, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hector Condarco NPPES

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

HECTOR CONDARCO (NPI 1194242594) is an individual family provider in Waxahachie, Texas, licensed in Texas (AP134931) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194242594
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameHECTOR CONDARCO
Location Address2400 NORTH I35 EAST SERVICE ROADWaxahachie, TX 75165
Mailing Address111 Liberty WayWaxahachie, TX 75167-4821 · (702) 743-4682
Phone(469) 843-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 25, 2017
✔ NPI 1194242594 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 · AP134931
2400 NORTH I35 EAST SERVICE ROAD, Waxahachie, TX 75165
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Insurance Company.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

Hector Condarco 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 ID3375818313
PECOS Enrollment IDI20171002001785
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 Hector Condarco reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthtexas Provider Network
1.6 mi
Internal Medicine
505 N HIGHWAY 77, STE 200
Waxahachie, TX 75165
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
NPI 1629074893 (972) 923-1686
Ennis Physical Medicine, PLLC
15 mi
General Practice
109 NW MAIN ST STE B
Ennis, TX 75119
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1316439201 (972) 293-9355
Century Integrated Partners, Inc
25 mi
Emergency Medicine
3500 GASTON AVE
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 1,044 clinicians in this Medicare group
NPI 1447615711 (214) 820-2505

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 8

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.
193 services183 patients
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.
89 services86 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
44 services41 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
41 services41 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
40 services40 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75165 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.

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 Hector Condarco's NPI number?

The NPI number for Hector Condarco is 1194242594. It was assigned to this individual provider in the NPPES registry on August 25, 2017.

Where is Hector Condarco located?

Hector Condarco practices at 2400 North I35 East Service Road, Waxahachie, TX 75165. The listed phone number is (469) 843-5000.

What is Hector Condarco's specialty?

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

Is Hector Condarco enrolled in Medicare?

Yes. Hector Condarco 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 Hector Condarco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hector Condarco reassigns Medicare benefits to 3 organizations: Healthtexas Provider Network (Waxahachie, TX), Ennis Physical Medicine, PLLC (Ennis, TX) and Century Integrated Partners, Inc (Dallas, 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 Hector Condarco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hector Condarco accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health and Oscar Insurance Company list Hector Condarco 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.

When was this NPI record last updated?

The NPPES record for Hector Condarco was last updated on August 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.