JOSE BURGOS M.D.
NPI 1245437425
Internal Medicine in El Paso, TX

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
91.63/100
CMS Quality Rating
1201 E SCHUSTER AVE STE 1A, EL PASO, TX 79902(915) 307-4669 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 27, 2026, Nov 13, 2024, Aug 20, 2024 and 2 more (5 updates tracked since 2019).

About Jose Burgos M.d. NPPES

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

JOSE BURGOS M.D. (NPI 1245437425) is an individual internal medicine provider in El Paso, Texas, licensed in Texas (N6199) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with The Hospitals Of Providence - Memorial Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245437425
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSE BURGOSCredential: M.D.
Location Address1201 E SCHUSTER AVE STE 1AEl Paso, TX 79902-4646
Mailing Address4849 N Mesa St Ste 201El Paso, TX 79912-5919 · (915) 351-6600 · Fax (915) 351-6601
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 29, 2007
Last NPPES UpdateAugust 27, 20265 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1245437425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · N6199
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License N6199 (TX)
1201 E SCHUSTER AVE STE 1A, El Paso, TX 79902

Secondary Practice Locations 2

Location 12121 Wyoming AveEl Paso, TX 79903-3508 · Phone (915) 249-4470
Location 24815 Alameda AveEl Paso, TX 79905-2705 · Phone (915) 544-1200

Accepted 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

Jose Burgos 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 ID9335279249
PECOS Enrollment IDI20100618000484, I20240920001702
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

9

Medicare enrollment records show Jose Burgos reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Internal Medicine
1201 E SCHUSTER AVE STE 1A
El Paso, TX 79902
  • Reassigned Medicare billing, New Mexico and Texas enrollments
  • 7 clinicians in this Medicare group
Hospice and Palliative Medicine
2121 WYOMING AVE
El Paso, TX 79903
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group
Ambulatory Surgical
4642 N MESA ST
El Paso, TX 79912
  • Reassigned Medicare billing, Texas enrollment
  • 409 clinicians in this Medicare group
General Practice
10410 VISTA DEL SOL DR
El Paso, TX 79925
  • Reassigned Medicare billing, Texas enrollment
  • 77 clinicians in this Medicare group
Internal Medicine
2267 TRAWOOD DR STE G5
El Paso, TX 79935
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
Urgent Care
3051 N ZARAGOZA RD
El Paso, TX 79938
  • Reassigned Medicare billing, Texas enrollment
  • 15 clinicians in this Medicare group
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group

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 18

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
611 services163 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
563 services147 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
475 services428 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
406 services373 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
397 services93 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
359 services321 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Hospitals Of Providence - Memorial Campus

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450002
Location2001 N Oregon StEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

University Medical Center Of El Paso

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450024
Location4815 Alameda AveEl Paso, TX 79905 · El Paso County
Emergency services Birthing friendly

Las Palmas Medical Center A Campus Of Lpds Healthc

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450107
Location1801 North Oregon StreetEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

Sierra Medical Center

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450668
Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County
Emergency services

The Hospitals Of Providence - East Campus

Acute Care Hospitals · El Paso, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670047
Location3280 Joe Battle BlvdEl Paso, TX 79938 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79902 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

91.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94
Promoting Interoperability96
Improvement Activities40
Cost70.28

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
93%85 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
10 suppliers28 claims28 services$43.12 avg. paid by Medicare
Seat attachment, walker E0156
DME-Other DME · category DE000N
5 suppliers11 claims11 services$12.95 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
8 suppliers27 claims27 services$48.41 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
9 suppliers46 claims47 services$51.68 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers83 claims83 services$14.80 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims14 services$4.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Internal Medicine
1201 E SCHUSTER AVE STE 1A
EL PASO, TX 79902
Nurse Practitioner (Acute Care)
1201 E SCHUSTER AVE STE 1A
EL PASO, TX 79902
Nurse Practitioner (Psychiatric/Mental Health)
1201 E SCHUSTER AVE STE 1A
EL PASO, TX 79902
Nurse Practitioner (Acute Care)
1201 E SCHUSTER AVE STE 1A
EL PASO, TX 79902
Nurse Practitioner (Family)
1201 E SCHUSTER AVE STE 1A
EL PASO, TX 79902
Pharmacist
1201 E SCHUSTER AVE STE 1A
EL PASO, TX 79902
Hospitalist
1201 E SCHUSTER AVE STE 1A
EL PASO, TX 79902
Psychiatry & Neurology (Neurology)
1201 E SCHUSTER AVE STE 1A
EL PASO, TX 79902

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 Jose Burgos's NPI number?

The NPI number for Jose Burgos is 1245437425. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Jose Burgos located?

Jose Burgos practices at 1201 E Schuster Ave Ste 1A, El Paso, TX 79902. The listed phone number is (915) 307-4669.

What is Jose Burgos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jose Burgos enrolled in Medicare?

Yes. Jose Burgos 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 Jose Burgos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Burgos reassigns Medicare benefits to 9 organizations: Mobilemed, PLLC (El Paso, TX), Palliative Coalition PLLC (El Paso, TX), El Paso County Hospital District (El Paso, TX), Umc El Paso Healthcare Inc (El Paso, TX), Seniorfirst Geriatric Care PLLC (El Paso, TX) and 4 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 Jose Burgos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Burgos 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 4 other insurers list Jose Burgos 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 Jose Burgos affiliated with any hospitals?

According to CMS data, Jose Burgos is affiliated with The Hospitals Of Providence - Memorial Campus, University Medical Center Of El Paso, Las Palmas Medical Center A Campus Of Lpds Healthc, Sierra Medical Center and The Hospitals Of Providence - East Campus.

When was this NPI record last updated?

The NPPES record for Jose Burgos was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.