GERMAN ROMAN ESQUIVEL-VANEGAS MD
NPI 1225272453
Emergency Medicine in Edinburg, TX

Active since May 01, 2009PECOS EnrolledAccepts Medicare Assignment
82.04/100
CMS Quality Rating
1102 W TRENTON RD, EDINBURG, TX 78539(956) 213-5111(956) 289-5040 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2020, Apr 9, 2020 (2 updates tracked since 2020).

About German Roman Esquivel-vanegas Md NPPES

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

GERMAN ROMAN ESQUIVEL-VANEGAS MD (NPI 1225272453) is an individual emergency medicine provider in Edinburg, Texas, licensed in Texas (P1860) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1225272453
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGERMAN ROMAN ESQUIVEL-VANEGASCredential: MD
Location Address1102 W TRENTON RDEdinburg, TX 78539-9105
Mailing Address1400 W Trenton Rd, Attn: Practice Administrator-hospitalistEdinburg, TX 78539-3413 · (956) 289-2207 · Fax (956) 289-5040
Fax(956) 289-5040
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 1, 2009
Last NPPES UpdateJune 30, 20202 updates tracked since enumeration
NPPES CertifiedJune 30, 2020
NPI 1225272453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TX · P1860
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License P1860 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License P1860 (TX)
1102 W TRENTON RD, Edinburg, TX 78539

Other Identifiers 2

Medicaid309402101TX
Other8DJ936TX · Bcbs Tx

Accepted 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

German Roman Esquivel-vanegas 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 ID1052569563
PECOS Enrollment IDI20120906000886
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.
88 services86 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.
72 services67 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.
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.
16 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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 20

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

Rehabilitation Unit
1102 W TRENTON RD
EDINBURG, TX 78539
Specialist
1102 W TRENTON RD
EDINBURG, TX 78539
Hospitalist
1102 W TRENTON RD, PICU INTENSIVIST
EDINBURG, TX 78539
Physician Assistant
1102 W TRENTON RD
EDINBURG, TX 78539
Emergency Medicine
1102 W TRENTON RD
EDINBURG, TX 78539
Nurse Practitioner (Acute Care)
1102 W TRENTON RD
EDINBURG, TX 78539
Emergency Medicine
1102 W TRENTON RD
EDINBURG, TX 78539
Skilled Nursing Facility
1102 W TRENTON RD
EDINBURG, TX 78539

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 German Esquivel-vanegas's NPI number?

The NPI number for German Esquivel-vanegas is 1225272453. It was assigned to this individual provider in the NPPES registry on May 1, 2009.

Where is German Esquivel-vanegas located?

German Esquivel-vanegas practices at 1102 W Trenton Rd, Edinburg, TX 78539. The listed phone number is (956) 213-5111.

What is German Esquivel-vanegas's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is German Esquivel-vanegas enrolled in Medicare?

Yes. German Esquivel-vanegas 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 German Esquivel-vanegas 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 German Esquivel-vanegas 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 German Esquivel-vanegas affiliated with any hospitals?

According to CMS data, German Esquivel-vanegas is affiliated with South Texas Health System and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for German Esquivel-vanegas was last updated on June 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.