DR. JOSE N GARCIA-DAVALOS M.D.
NPI 1295742146
Ophthalmology in Laredo, TX

Q: What is Jose Garcia-davalos's NPI number?

The NPI number for Jose Garcia-davalos is 1295742146. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Q: What is Jose Garcia-davalos's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

6416 POLARIS DR STE 1B, LAREDO, TX 78041(956) 791-7100(956) 791-0144 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jose N Garcia-davalos M.d. NPPES

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

DR. JOSE N GARCIA-DAVALOS M.D. (NPI 1295742146) is an individual ophthalmology provider in Laredo, Texas, licensed in Texas (F3131) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital Of Laredo, and is a graduate of Other (1967).

NPPES Registry Identity

NPI1295742146

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. JOSE N GARCIA-DAVALOSCredential: M.D.

Location Address6416 POLARIS DR STE 1BLaredo, TX 78041-2089

Mailing Address6416 Polaris Dr Ste 1bLaredo, TX 78041-2089 · (956) 791-7100 · Fax (956) 791-0144

Phone(956) 791-7100

Fax(956) 791-0144

Sole ProprietorYes

Medical School CMSOtherGraduated 1967

Enumeration DateAugust 2, 2006

Last NPPES UpdateDecember 13, 2024

NPPES CertifiedDecember 13, 2024

✔ NPI 1295742146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in TX · F3131

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

6416 POLARIS DR STE 1B, Laredo, TX 78041

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Other Identifiers 3

Other00G65ETX · Blue Cross Blue Shield

Other742595954TX · Tax Id

Medicaid130372907TX

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

Dr. Jose N Garcia-davalos 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 ID5496755175

PECOS Enrollment IDI20090917000604

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 4

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.

590 services295 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

158 services152 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.

74 services74 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

30 services29 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hospital Of Laredo

Acute Care Hospitals · Laredo, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450643

Location10700 Mcpherson RoadLaredo, TX 78041 · Webb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78041 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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

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Other Providers at the Same Location NPPES

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

LUIS PEDRO DECKER JR. FNP

Nurse Practitioner (Family)

6416 POLARIS DR STE 1B
LAREDO, TX 78041

Webb County (956) 568-5140

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 Jose Garcia-davalos's NPI number?

The NPI number for Jose Garcia-davalos is 1295742146. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Jose Garcia-davalos located?

Jose Garcia-davalos practices at 6416 Polaris Dr Ste 1B, Laredo, TX 78041. The listed phone number is (956) 791-7100.

What is Jose Garcia-davalos's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jose Garcia-davalos enrolled in Medicare?

Yes. Jose Garcia-davalos 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 Jose Garcia-davalos accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Jose Garcia-davalos 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 Jose Garcia-davalos affiliated with any hospitals?

According to CMS data, Jose Garcia-davalos is affiliated with Doctors Hospital Of Laredo.

When was this NPI record last updated?

The NPPES record for Jose Garcia-davalos was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.