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ROBERTO ALEJANDRO CRUZ SALDANA M.D.
NPI 1285016899
Psychiatry & Neurology - Neurology in Mcallen, TX

Active since June 19, 2015PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
2108 S M ST STE 4, MCALLEN, TX 78503(956) 362-8530(956) 362-8535 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2020, Jul 27, 2020, Jun 19, 2019 and 1 more (4 updates tracked since 2016).

About Roberto Alejandro Cruz Saldana M.d. NPPES

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

ROBERTO ALEJANDRO CRUZ SALDANA M.D. (NPI 1285016899) is an individual neurology provider in Mcallen, Texas, licensed in Texas (S1792) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1285016899
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameROBERTO ALEJANDRO CRUZ SALDANACredential: M.D.
Location Address2108 S M ST STE 4Mcallen, TX 78503-1556
Mailing AddressPo Box 749Pharr, TX 78577-1614 · (956) 362-8530 · Fax (956) 362-8535
Phone(956) 362-8530
Fax(956) 362-8535
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 19, 2015
Last NPPES UpdateSeptember 15, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
✔ NPI 1285016899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · S1792
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License GETP.201466 (LA)
2108 S M ST STE 4, Mcallen, TX 78503
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

Roberto Alejandro Cruz Saldana 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 ID3577866722
PECOS Enrollment IDI20190612000438
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 8

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.
97 services73 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
69 services61 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services22 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.
28 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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
$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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims75 services$35.38 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 2

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

MAGDELENE MAE RODRIGUEZ APRN-CNP
Nurse Practitioner (Family)
2108 S M ST STE 4
MCALLEN, TX 78503
Hidalgo County (956) 362-8530
DIANA TAMEZ CHAVEZ RN, FNP-C
Nurse Practitioner (Family)
2108 S M ST STE 4
MCALLEN, TX 78503
Hidalgo County (956) 686-8100

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 Roberto Cruz Saldana's NPI number?

The NPI number for Roberto Cruz Saldana is 1285016899. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Roberto Cruz Saldana located?

Roberto Cruz Saldana practices at 2108 S M St Ste 4, Mcallen, TX 78503. The listed phone number is (956) 362-8530.

What is Roberto Cruz Saldana's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Roberto Cruz Saldana enrolled in Medicare?

Yes. Roberto Cruz Saldana 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 Roberto Cruz Saldana 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 3 other insurers list Roberto Cruz Saldana 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 Roberto Cruz Saldana affiliated with any hospitals?

According to CMS data, Roberto Cruz Saldana is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Roberto Cruz Saldana was last updated on September 15, 2020. 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.