DR. OMAR L OSORIO MD
NPI 1275610784
Family Medicine in San Antonio, TX

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
1055 ADA ST, SAN ANTONIO, TX 78223(210) 358-5515(210) 358-5530 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Omar L Osorio Md NPPES

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

DR. OMAR L OSORIO MD (NPI 1275610784) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (M8891) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1275610784
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. OMAR L OSORIOCredential: MD
Location Address1055 ADA STSan Antonio, TX 78223-1703
Mailing AddressPo Box 734812Dallas, TX 75373-4812 · (210) 358-9500 · Fax (210) 358-9183
Fax(210) 358-5530
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 1, 2006
Last NPPES UpdateFebruary 1, 2021
NPPES CertifiedFebruary 1, 2021
NPI 1275610784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · M8891 Licensed in NY · 238222
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.
1055 ADA ST, San Antonio, TX 78223

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. Omar L Osorio 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 ID6103834064
PECOS Enrollment IDI20080619000768
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 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.

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.
177 services92 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78223 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.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

Referred Medical Equipment & Supplies CMS DME claims 3

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims56 services$1.56 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.90 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
1 supplier11 claims11 services$63.98 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 20

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

Physician Assistant
1055 ADA ST
SAN ANTONIO, TX 78223
Internal Medicine (Geriatric Medicine)
1055 ADA ST, SOUTH BEXAR VA OUT PATIENT CLINIC
SAN ANTONIO, TX 78223
Pediatrics
1055 ADA ST
SAN ANTONIO, TX 78223
Physician Assistant
1055 ADA ST
SAN ANTONIO, TX 78223
Pharmacist
1055 ADA ST
SAN ANTONIO, TX 78223
Nurse Practitioner (Family)
1055 ADA ST
SAN ANTONIO, TX 78223
Pharmacy (Community/Retail Pharmacy)
1055 ADA ST
SAN ANTONIO, TX 78223
Social Worker (Clinical)
1055 ADA ST
SAN ANTONIO, TX 78223

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 Omar Osorio's NPI number?

The NPI number for Omar Osorio is 1275610784. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Omar Osorio located?

Omar Osorio practices at 1055 Ada St, San Antonio, TX 78223. The listed phone number is (210) 358-5515.

What is Omar Osorio's specialty?

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

Is Omar Osorio enrolled in Medicare?

Yes. Omar Osorio 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 Omar Osorio accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and WellPoint list Omar Osorio 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 Omar Osorio affiliated with any hospitals?

According to CMS data, Omar Osorio is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Omar Osorio was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.