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

Q: 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.

Q: What is Ernesto Garcia Flores's specialty?

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

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: August 16, 2026.

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

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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

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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

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 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

Quality

67.1

Improvement Activities

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.

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