PEDRO JOSE PALACIOS ARGUETA
NPI 1255827903
Internal Medicine - Gastroenterology in Eau Claire, WI

Active since July 05, 2018PECOS EnrolledAccepts Medicare Assignment
76.2/100
CMS Quality Rating
733 W CLAIREMONT AVE, EAU CLAIRE, WI 54701(715) 838-5222 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2021, Jul 5, 2018 (2 updates tracked since 2018).

About Pedro Jose Palacios Argueta NPPES

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

PEDRO JOSE PALACIOS ARGUETA (NPI 1255827903) is an individual gastroenterology provider in Eau Claire, Wisconsin, licensed in Wisconsin (85556-20) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System-franciscan Medical Center Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255827903
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePEDRO JOSE PALACIOS ARGUETA
Location Address733 W CLAIREMONT AVEEau Claire, WI 54701-0003
Mailing AddressPo Box 860912 Provider Enrollment - Mchs WiMinneapolis, MN 55486-0912 · (507) 284-2511
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 5, 2018
Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1255827903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in WI · 85556-20✔ Licensed in FL · ME148541
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
733 W CLAIREMONT AVE, Eau Claire, WI 54701

Secondary Practice Locations 2

Location 14500 San Pablo Rd SJacksonville, FL 32224-1865 · Phone (904) 953-2000
Location 21901 W Harrison StChicago, IL 60612-3714 · Phone (312) 864-6000

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

Pedro Jose Palacios Argueta 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 ID5193060721
PECOS Enrollment IDI20250905000896
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

2

Medicare enrollment records show Pedro Palacios Argueta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
733 W CLAIREMONT AVE
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,248 clinicians in this Medicare group
Health Service
4500 SAN PABLO RD S
Jacksonville, FL 32224
  • Reassigned Medicare billing, Florida enrollment
  • 1,828 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.

Hospital Affiliations CMS Care Compare 5

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

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520004
Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Mayo Clinic Health System Chippewa Valley

Critical Access Hospitals · Bloomer, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521314
Location1501 Thompson StBloomer, WI 54724 · Chippewa County
Emergency services

Mayo Clinic Health System-Northland

Critical Access Hospitals · Barron, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521315
Location1222 E Woodland AveBarron, WI 54812 · Barron County
Emergency services

Mayo Clinic Health System-Red Cedar Inc

Critical Access Hospitals · Menomonie, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521340
Location2321 Stout RdMenomonie, WI 54751 · Dunn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

76.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.33
Promoting Interoperability100
Improvement Activities40
Cost51.32

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.

Pharmacist
733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Nurse Practitioner
733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Preventive Medicine (Occupational Medicine)
733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Family Medicine
733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Physician Assistant
733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Durable Medical Equipment & Medical Supplies
733 W CLAIREMONT AVE, SUITE PHM # 1
EAU CLAIRE, WI 54701
Nurse Practitioner
733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Family Medicine
733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701

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 Pedro Palacios Argueta's NPI number?

The NPI number for Pedro Palacios Argueta is 1255827903. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Pedro Palacios Argueta located?

Pedro Palacios Argueta practices at 733 W Clairemont Ave, Eau Claire, WI 54701. The listed phone number is (715) 838-5222.

What is Pedro Palacios Argueta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Pedro Palacios Argueta enrolled in Medicare?

Yes. Pedro Palacios Argueta 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 Pedro Palacios Argueta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Palacios Argueta reassigns Medicare benefits to 2 organizations: Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Eau Claire, WI) and Mayo Clinic Jacksonville (Jacksonville, FL). 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 Pedro Palacios Argueta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pedro Palacios Argueta accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pedro Palacios Argueta 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 Pedro Palacios Argueta affiliated with any hospitals?

According to CMS data, Pedro Palacios Argueta is affiliated with Mayo Clinic Health System-Franciscan Medical Center Inc, Mayo Clinic Health System Eau Claire Hospital, Mayo Clinic Health System Chippewa Valley, Mayo Clinic Health System-Northland and Mayo Clinic Health System-Red Cedar Inc.

When was this NPI record last updated?

The NPPES record for Pedro Palacios Argueta was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.