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BIANCA GUADALUPE IBARRA D.O.
NPI 1255795647
Obstetrics & Gynecology in Edinburg, TX

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
2821 MICHAELANGELO DR STE 400, EDINBURG, TX 78539(956) 362-3590 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bianca Guadalupe Ibarra D.o. NPPES

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

BIANCA GUADALUPE IBARRA D.O. (NPI 1255795647) is an individual obstetrics & gynecology provider in Edinburg, Texas, licensed in Texas (BP10055823) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255795647
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameBIANCA GUADALUPE IBARRACredential: D.O.
Location Address2821 MICHAELANGELO DR STE 400Edinburg, TX 78539-1405
Mailing Address2102 Treasure Hills Blvd, #3.144.05Harlingen, TX 78550-8736 · (956) 296-1437 · Fax (956) 296-6842
Phone(956) 362-3590
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 12, 2016
Last NPPES UpdateAugust 23, 2016
✔ NPI 1255795647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · BP10055823
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2821 MICHAELANGELO DR STE 400, Edinburg, TX 78539
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Bianca Guadalupe Ibarra D.o. 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 ID7315233004
PECOS Enrollment IDI20201013000108
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Breast Cancer Screening
74%77 patients4/55-star benchmark: 93%
Cervical Cancer Screening
60%764 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
48%262 patients
Closing the Referral Loop: Receipt of Specialist Report
71%224 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
51%129 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
64%53 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
5%38 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
39%38 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
88%2,699 patients4/55-star benchmark: 100%
e-Prescribing
100%597 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
35%31 patients2/55-star benchmark: 100%
HIV Screening
67%890 patients5/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%367 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
30%781 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
53%2,274 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 75% · 936 patients
Patients screened: 77% · 936 patients
25%24 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
93%558 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
56%52 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 32 patients
Patients totalRate: 6% · 34 patients
9%34 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.

Other Providers at the Same Location NPPES 2

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

MRS. CHRISTY IVANIA CARIC-BALL LPC
Counselor (Professional)
2821 MICHAELANGELO DR STE 400
EDINBURG, TX 78539
Hidalgo County (956) 362-3590
JEANNE SHI
Student in an Organized Health Care Education/Training Program
2821 MICHAELANGELO DR STE 400
EDINBURG, TX 78539
Hidalgo County (956) 296-1460

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 Bianca Ibarra's NPI number?

The NPI number for Bianca Ibarra is 1255795647. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Bianca Ibarra located?

Bianca Ibarra practices at 2821 Michaelangelo Dr Ste 400, Edinburg, TX 78539. The listed phone number is (956) 362-3590.

What is Bianca Ibarra's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Bianca Ibarra enrolled in Medicare?

Yes. Bianca Ibarra 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 Bianca Ibarra 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 Bianca Ibarra 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.

When was this NPI record last updated?

The NPPES record for Bianca Ibarra was last updated on August 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.