EFREN DE LA ROSA DPM
NPI 1295846731
Podiatrist in El Paso, TX

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
114 W CASTELLANO DR, EL PASO, TX 79912(915) 532-3721 Get Directions Write a Review

NPPES record last updated: January 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Efren De La Rosa Dpm NPPES

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

EFREN DE LA ROSA DPM (NPI 1295846731) is an individual podiatrist in El Paso, Texas, licensed in Texas (1174) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1991).

NPPES Registry Identity

NPI1295846731
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameEFREN DE LA ROSACredential: DPM
Location Address114 W CASTELLANO DREl Paso, TX 79912-6119
Mailing Address114 W Castellano DrEl Paso, TX 79912-6119 · (915) 532-3721
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1991
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 14, 2014
NPI 1295846731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in TX · 1174
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
114 W CASTELLANO DR, El Paso, TX 79912

Other Identifiers 1

Medicare NSC5629880001TX

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

Efren De La Rosa Dpm 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 ID7214031822
PECOS Enrollment IDI20100528000563
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 14

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.
318 services156 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
227 services94 patients
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.
190 services117 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
174 services88 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
152 services71 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
101 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79912 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier21 claims42 services$51.10 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
1 supplier21 claims126 services$36.45 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 7

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

Podiatrist (Foot Surgery)
114 W CASTELLANO DR
EL PASO, TX 79912
Podiatrist (Foot & Ankle Surgery)
114 W CASTELLANO DR
EL PASO, TX 79912
Podiatrist
114 W CASTELLANO DR
EL PASO, TX 79912
Podiatrist (Foot & Ankle Surgery)
114 W CASTELLANO DR
EL PASO, TX 79912
Podiatrist (Foot & Ankle Surgery)
114 W CASTELLANO DR
EL PASO, TX 79912
Podiatrist (Foot Surgery)
114 W CASTELLANO DR
EL PASO, TX 79912
Nurse Practitioner
114 W CASTELLANO DR
EL PASO, TX 79912

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 Efren De La Rosa's NPI number?

The NPI number for Efren De La Rosa is 1295846731. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Efren De La Rosa located?

Efren De La Rosa practices at 114 W Castellano Dr, El Paso, TX 79912. The listed phone number is (915) 532-3721.

What is Efren De La Rosa's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Efren De La Rosa enrolled in Medicare?

Yes. Efren De La Rosa 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 Efren De La Rosa 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 5 other insurers list Efren De La Rosa 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.

When was this NPI record last updated?

The NPPES record for Efren De La Rosa was last updated on January 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.