1. Home
  2. Directory
  3. Texas
  4. Mcallen
  5. Family Medicine
  6. NPI Profile

DR. ERNESTO E GARCIA FLORES M.D.
NPI 1225491046
Family Medicine in Mcallen, TX

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
82.04/100
CMS Quality Rating
205 E TORONTO AVE, MCALLEN, TX 78503(956) 687-6155(956) 618-0451 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2019, Mar 30, 2016 (2 updates tracked since 2016).

About Dr. Ernesto E Garcia Flores M.d. NPPES

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

DR. ERNESTO E GARCIA FLORES M.D. (NPI 1225491046) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (S0160) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1225491046
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ERNESTO E GARCIA FLORESCredential: M.D.
Location Address205 E TORONTO AVEMcallen, TX 78503-1209
Mailing Address205 E Toronto AveMcallen, TX 78503-1209 · (956) 687-6155 · Fax (956) 618-0451
Phone(956) 687-6155
Fax(956) 618-0451
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 30, 2016
Last NPPES UpdateJuly 12, 20192 updates tracked since enumeration
✔ NPI 1225491046 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 · S0160
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 S0160 (TX)
205 E TORONTO AVE, Mcallen, TX 78503
Open in Google Maps ↗

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ernesto E Garcia Flores 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 ID143519942
PECOS Enrollment IDI20190805000078
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

7

Medicare enrollment records show Ernesto Garcia Flores reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcallen Emergency Medicine Associates PA
0.4 mi
Emergency Medicine
301 W EXPY 83
Mcallen, TX 78503
  • Reassigned Medicare billing, Texas enrollment
  • 170 clinicians in this Medicare group
NPI 1336543636 (956) 632-4100
Oak Creek Emergency Medicine Associates, PA
4.7 mi
Emergency Medicine
3700 WEST NOLANA AVENUE
Mcallen, TX 78504
  • Reassigned Medicare billing, Texas enrollment
  • 150 clinicians in this Medicare group
NPI 1629576632 (956) 213-2700
Shavano Emergency Medicine Associates, PA
5.5 mi
Emergency Medicine
4702 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 136 clinicians in this Medicare group
NPI 1255820775 (956) 213-2600
Edinburg Emergency Medicine Associates PA
5.9 mi
Emergency Medicine
1102 W TRENTON RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 257 clinicians in this Medicare group
NPI 1942467113 (956) 388-6600
Canyon Springs Emergency Medicine Associates, PA
7.7 mi
Emergency Medicine
140 FRONTAGE RD
Alamo, TX 78516
  • Reassigned Medicare billing, Texas enrollment
  • 145 clinicians in this Medicare group
NPI 1154825412 (956) 403-5100
Municipal Emergency Medicine Associates, PA
11 mi
Emergency Medicine
3615 N. INTERSTATE 69C
Edinburg, TX 78541
  • Reassigned Medicare billing, Texas enrollment
  • 154 clinicians in this Medicare group
NPI 1396250650 (956) 259-2100
Emergency Medicine Services Of Tx, PLLC
230 mi
Emergency Medicine
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 1,452 clinicians in this Medicare group
NPI 1245938729 (210) 575-4000

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 3

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.

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.
35 services33 patients
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.
34 services34 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.
33 services33 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

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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.

DR. CYNTHIA CAVAZOS-GONZALEZ PH.D
Psychologist (Clinical)
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 687-6155
DIANE DUYEN T NGUYEN DO
Internal Medicine (Medical Oncology)
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 296-3990
ANDREW DELA GARZA M.D.
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 687-6155
DR. BALDEMAR GONZALEZ ALANIS MD
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 687-6155
RANI RAMSEY RABAH MD
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 687-6155
RAFAEL BADILLO DAVILA
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 479-9157
DR. DANIELA ESTHER ROJAS MD, MPH
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 296-1121
DR. OSCAR CORTES MD
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 687-6155

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 Ernesto Garcia Flores's NPI number?

The NPI number for Ernesto Garcia Flores is 1225491046. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Ernesto Garcia Flores located?

Ernesto Garcia Flores practices at 205 E Toronto Ave, Mcallen, TX 78503. The listed phone number is (956) 687-6155.

What is Ernesto Garcia Flores's specialty?

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

Is Ernesto Garcia Flores enrolled in Medicare?

Yes. Ernesto Garcia Flores 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 Ernesto Garcia Flores's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ernesto Garcia Flores reassigns Medicare benefits to 7 organizations: Mcallen Emergency Medicine Associates PA (Mcallen, TX), Oak Creek Emergency Medicine Associates, PA (Mcallen, TX), Shavano Emergency Medicine Associates, PA (Edinburg, TX), Edinburg Emergency Medicine Associates PA (Edinburg, TX), Canyon Springs Emergency Medicine Associates, PA (Alamo, TX) and 2 more organizations, 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 Ernesto Garcia Flores's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ernesto Garcia Flores accept?

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

According to CMS data, Ernesto Garcia Flores is affiliated with South Texas Health System and Rio Grande Regional Hospital.

When was this NPI record last updated?

The NPPES record for Ernesto Garcia Flores was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.