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: July 19, 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
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

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

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients

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.

Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Emergency Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225491046, enumerated as an "individual" on March 30, 2016.

The provider is located at 205 E TORONTO AVE MCALLEN, TX 78503 and the phone number is (956) 687-6155.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, CHRISTUS. Please consult your insurance carrier or call the provider to verify.

Ernesto Garcia Flores is affiliated with: SOUTH TEXAS HEALTH SYSTEM and RIO GRANDE REGIONAL HOSPITAL.