AYDA GARZA-MONTALVO MD
NPI 1295762268
Obstetrics & Gynecology in Edinburg, TX

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
81.44/100
CMS Quality Rating
5115 S MCCOLL RD, EDINBURG, TX 78539(956) 683-7900(956) 683-9910 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ayda Garza-montalvo Md NPPES

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

AYDA GARZA-MONTALVO MD (NPI 1295762268) is an individual obstetrics & gynecology provider in Edinburg, Texas, licensed in Texas (J2024) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1991).

NPPES Registry Identity

NPI1295762268
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameAYDA GARZA-MONTALVOCredential: MD
Location Address5115 S MCCOLL RDEdinburg, TX 78539-8278
Mailing Address5115 S Mccoll RdEdinburg, TX 78539-8278 · (956) 683-7900 · Fax (956) 683-9910
Fax(956) 683-9910
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1991
Enumeration DateJune 27, 2006
Last NPPES UpdateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
NPI 1295762268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TX · J2024
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5115 S MCCOLL RD, Edinburg, TX 78539

Other Identifiers 1

Medicaid101344302TX

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

Ayda Garza-montalvo 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 ID7315121951
PECOS Enrollment IDI20140106000820
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services18 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 78539 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.

81.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

Other Providers at the Same Location NPPES 5

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

Obstetrics & Gynecology
5115 S MCCOLL RD
EDINBURG, TX 78539
Obstetrics & Gynecology
5115 S MCCOLL RD
EDINBURG, TX 78539
Obstetrics & Gynecology
5115 S MCCOLL RD
EDINBURG, TX 78539
Obstetrics & Gynecology
5115 S MCCOLL RD
EDINBURG, TX 78539
Physician Assistant
5115 S MCCOLL RD
EDINBURG, TX 78539

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 Ayda Garza-montalvo's NPI number?

The NPI number for Ayda Garza-montalvo is 1295762268. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Ayda Garza-montalvo located?

Ayda Garza-montalvo practices at 5115 S Mccoll Rd, Edinburg, TX 78539. The listed phone number is (956) 683-7900.

What is Ayda Garza-montalvo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ayda Garza-montalvo enrolled in Medicare?

Yes. Ayda Garza-montalvo 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 Ayda Garza-montalvo 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 Ayda Garza-montalvo 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 Ayda Garza-montalvo affiliated with any hospitals?

According to CMS data, Ayda Garza-montalvo is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Ayda Garza-montalvo was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.