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CARLOS ARMANDO RAMIREZ MD
NPI 1194709832
Family Medicine in Mission, TX

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment
82.04/100
CMS Quality Rating
2112 S SHARY RD STE 6, MISSION, TX 78572(956) 600-7258(877) 600-3491 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlos Armando Ramirez Md NPPES

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

CARLOS ARMANDO RAMIREZ MD (NPI 1194709832) is an individual family medicine provider in Mission, Texas, licensed in Texas (M1437) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1194709832
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCARLOS ARMANDO RAMIREZCredential: MD
Location Address2112 S SHARY RD STE 6Mission, TX 78572-0009
Mailing Address3113 Ibiza CtMission, TX 78572-3856 · (956) 929-8150 · Fax (877) 600-3491
Phone(956) 600-7258
Fax(877) 600-3491
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 6, 2005
Last NPPES UpdateApril 28, 2016
✔ NPI 1194709832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M1437
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License M1437 (TX)
2112 S SHARY RD STE 6, Mission, TX 78572
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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, CHRISTUS Health Plan, Oscar Insurance Company.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

Carlos Armando Ramirez Md 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 ID9436193042
PECOS Enrollment IDI20051115000423
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
71 services70 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
67 services67 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.
56 services55 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services25 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 78572 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.

82.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.1
Improvement Activities40

Other Providers at the Same Location NPPES

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

CARLOS A. RAMIREZ MD PA
Family Medicine
2112 S SHARY RD STE 6
MISSION, TX 78572
Hidalgo County (956) 600-7258

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 Carlos Ramirez's NPI number?

The NPI number for Carlos Ramirez is 1194709832. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Carlos Ramirez located?

Carlos Ramirez practices at 2112 S Shary Rd Ste 6, Mission, TX 78572. The listed phone number is (956) 600-7258.

What is Carlos Ramirez's specialty?

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

Is Carlos Ramirez enrolled in Medicare?

Yes. Carlos Ramirez 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 Carlos Ramirez accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Carlos Ramirez 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 Carlos Ramirez affiliated with any hospitals?

According to CMS data, Carlos Ramirez is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Carlos Ramirez was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.