VERONICA CADENA MD
NPI 1255335592
Family Medicine in Del Rio, TX

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
92.4/100
CMS Quality Rating
2201 N BEDELL AVE STE A, DEL RIO, TX 78840(830) 775-8700 Get Directions Write a Review

NPPES record last updated: December 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Veronica Cadena Md NPPES

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

VERONICA CADENA MD (NPI 1255335592) is an individual family medicine provider in Del Rio, Texas, licensed in Texas (J5145) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Val Verde Regional Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (1992).

NPPES Registry Identity

NPI1255335592
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameVERONICA CADENACredential: MD
Location Address2201 N BEDELL AVE STE ADel Rio, TX 78840-8021
Mailing Address2201 N Bedell Ave Ste ADel Rio, TX 78840-8021 · (830) 775-8700
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1992
Enumeration DateJune 1, 2005
Last NPPES UpdateDecember 7, 2012
NPI 1255335592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · J5145
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.
2201 N BEDELL AVE STE A, Del Rio, TX 78840

Other Identifiers 1

Medicare UPING05050TX

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

Veronica Cadena 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 ID5698876993
PECOS Enrollment IDI20070730000669
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 22

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,230 services486 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
565 services322 patients
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve G0513
Prolonged preventive service refers to an extended medical consultation or treatment beyond the usual time. This service, provided in an outpatient setting, involves direct patient contact for the first 30 minutes beyond the primary procedure. It's used when additional time is required to address preventive health needs.
183 services183 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.
180 services180 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
154 services154 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
104 services89 patients

Hospital Affiliations CMS Care Compare

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

Val Verde Regional Medical Center

Acute Care Hospitals · Del Rio, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450154
Location801 Bedell AveDel Rio, TX 78840 · Val Verde County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78840 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.

92.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.29
Improvement Activities40
Cost84.95

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
91%23 patients
Advance Care Plan
45%1,406 patients2/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
95%393 patients4/55-star benchmark: 100%
Breast Cancer Screening
55%1,001 patients3/55-star benchmark: 93%
Cervical Cancer Screening
51%1,104 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
22%136 patients
Closing the Referral Loop: Receipt of Specialist Report
17%484 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
53%2,156 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
79%1,644 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
15%837 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
15%837 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%15,055 patients4/55-star benchmark: 100%
HIV Screening
10%2,485 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%6,023 patients2/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 1,363 patients
Patients totalRate: 17% · 1,429 patients
17%1,429 patients3/55-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 18

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers78 claims169 services$5.75 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers39 claims45 services$1.00 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims560 services$0.37 avg. paid by Medicare
Collagen based wound filler, gel/paste, per gram of collagen A6011
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims426 services$2.20 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier15 claims216 services$19.69 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers11 claims11 services$67.74 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 4

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

Nurse Practitioner (Family)
2201 N BEDELL AVE STE A
DEL RIO, TX 78840
Physician Assistant
2201 N BEDELL AVE STE A
DEL RIO, TX 78840
Nurse Practitioner (Family)
2201 N BEDELL AVE STE A
DEL RIO, TX 78840
Family Medicine
2201 N BEDELL AVE STE A
DEL RIO, TX 78840

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 Veronica Cadena's NPI number?

The NPI number for Veronica Cadena is 1255335592. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Veronica Cadena located?

Veronica Cadena practices at 2201 N Bedell Ave Ste A, Del Rio, TX 78840. The listed phone number is (830) 775-8700.

What is Veronica Cadena's specialty?

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

Is Veronica Cadena enrolled in Medicare?

Yes. Veronica Cadena 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 Veronica Cadena accept?

Health plans from UnitedHealthcare list Veronica Cadena 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 Veronica Cadena affiliated with any hospitals?

According to CMS data, Veronica Cadena is affiliated with Val Verde Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Veronica Cadena was last updated on December 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.