MARY DACOSTA MD
NPI 1255919965
Family Medicine in Alice, TX
About Mary Dacosta Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY DACOSTA MD (NPI 1255919965) is an individual family medicine provider in Alice, Texas, licensed in Texas (V2049) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and maintains a secondary practice location in Arlington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Mary Dacosta 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mary Dacosta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Corpus Christi, TX 78404
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Wellmed Medical Group PA
- 762 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Texas enrollment
- 1,246 clinicians in this Medicare group
Luverne, MN 56156
- Reassigned Medicare billing, Minnesota enrollment
- 279 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Worthington Medical Center
Acute Care Hospitals · Worthington, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78332 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mary Dacosta's NPI number?
The NPI number for Mary Dacosta is 1255919965. It was assigned to this individual provider in the NPPES registry on April 1, 2021.
Where is Mary Dacosta located?
Mary Dacosta practices at 2510 E Main St Ste 102, Alice, TX 78332. The listed phone number is (361) 664-4445.
What is Mary Dacosta's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mary Dacosta enrolled in Medicare?
Yes. Mary Dacosta 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 Mary Dacosta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Dacosta reassigns Medicare benefits to 3 organizations: Wellmed Medical Group, P.A. (Corpus Christi, TX), Signify Health Medical Associates, PLLC (Dallas, TX) and Sanford Health Network (Luverne, MN). 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 Mary Dacosta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Dacosta accept?
Health plans from Antidote Health of TX, CareSource (Common Ground Healthcare), Medica, Oscar Insurance Company and Security Health Plan and 1 other insurer list Mary Dacosta 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 Mary Dacosta affiliated with any hospitals?
According to CMS data, Mary Dacosta is affiliated with Sanford Worthington Medical Center.
When was this NPI record last updated?
The NPPES record for Mary Dacosta was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mary Dacosta, MD · NPI 1255919965
Family Medicine physician in Alice, Texas. Individual provider, active in the CMS NPPES registry since April 1, 2021.
## Identity
- **NPI:** 1255919965 (Entity type: Individual)
- **Enumerated:** April 1, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** V2049 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2510 E MAIN ST STE 102, Alice, TX 78332-4188
- **Phone:** (361) 664-4445
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Wellmed Medical Group, P.A. (NPI 1154629434, Corpus Christi, TX); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX); Sanford Health Network (NPI 1497703045, Luverne, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255919965) · Data from the CMS NPPES public registry.