DR. ESTEVAN APODACA M.D.
NPI 1255712634
Family Medicine in Austin, TX

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment
1313 RED RIVER ST STE 100, AUSTIN, TX 78701(512) 324-7318 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Estevan Apodaca M.d. NPPES

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

DR. ESTEVAN APODACA M.D. (NPI 1255712634) is an individual family medicine provider in Austin, Texas, licensed in Texas (BP10054208) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of University Of New Mexico School Of Medicine (2015).

NPPES Registry Identity

NPI1255712634
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ESTEVAN APODACACredential: M.D.
Location Address1313 RED RIVER ST STE 100Austin, TX 78701-1923
Mailing Address1313 Red River St Ste 100Austin, TX 78701-1923 · (512) 324-7318
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2015
Enumeration DateJune 11, 2015
NPI 1255712634 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 · BP10054208
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.

1313 RED RIVER ST STE 100, Austin, TX 78701

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. Estevan Apodaca 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 ID6103136627
PECOS Enrollment IDI20180917000123
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.

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.
685 services211 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
180 services179 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Presbyterian Espanola Hospital

Acute Care Hospitals · Espanola, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320011
Location1010 Spruce StreetEspanola, NM 87532 · Rio Arriba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers63 claims63 services$17.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers72 claims72 services$88.66 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 13

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

Obstetrics & Gynecology
1313 RED RIVER ST STE 100
AUSTIN, TX 78701
Student in an Organized Health Care Education/Training Program
1313 RED RIVER ST STE 100
AUSTIN, TX 78701
Family Medicine
1313 RED RIVER ST STE 100
AUSTIN, TX 78701
Family Medicine
1313 RED RIVER ST STE 100
AUSTIN, TX 78701
Family Medicine
1313 RED RIVER ST STE 100
AUSTIN, TX 78701
Family Medicine
1313 RED RIVER ST STE 100, AUSTIN MEDICAL EDUCATION FAMILY MEDICINE RESIDENCY
AUSTIN, TX 78701
Family Medicine
1313 RED RIVER ST STE 100
AUSTIN, TX 78701
Family Medicine
1313 RED RIVER ST STE 100
AUSTIN, TX 78701

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 Estevan Apodaca's NPI number?

The NPI number for Estevan Apodaca is 1255712634. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Estevan Apodaca located?

Estevan Apodaca practices at 1313 Red River St Ste 100, Austin, TX 78701. The listed phone number is (512) 324-7318.

What is Estevan Apodaca's specialty?

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

Is Estevan Apodaca enrolled in Medicare?

Yes. Estevan Apodaca 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 Estevan Apodaca accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Estevan Apodaca 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 Estevan Apodaca affiliated with any hospitals?

According to CMS data, Estevan Apodaca is affiliated with Christus St Vincent Regional Medical Center, Lovelace Medical Center and Presbyterian Espanola Hospital.

When was this NPI record last updated?

The NPPES record for Estevan Apodaca was last updated on June 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.