ADAM MUFFLER
NPI 1316470545
Physical Medicine & Rehabilitation in Weslaco, TX

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
906 JAMES ST, WESLACO, TX 78596(956) 969-2222 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2021, Jul 1, 2021, Jun 20, 2021 (3 updates tracked since 2021).

About Adam Muffler NPPES

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

ADAM MUFFLER (NPI 1316470545) is an individual physical medicine & rehabilitation provider in Weslaco, Texas, licensed in Texas (S0949) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2017).

NPPES Registry Identity

NPI1316470545
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameADAM MUFFLER
Location Address906 JAMES STWeslaco, TX 78596-9840
Mailing Address2511 W Jordan DrEdinburg, TX 78539-1500
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2017
Enumeration DateApril 5, 2017
Last NPPES UpdateJuly 21, 20213 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
NPI 1316470545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in TX · S0949
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
906 JAMES ST, Weslaco, TX 78596

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

Adam Muffler 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 ID648674556
PECOS Enrollment IDI20210813001355
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
953 services169 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
558 services213 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
135 services126 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
118 services113 patients

Hospital Affiliations CMS Care Compare 2

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Knapp Medical Center

Acute Care Hospitals · Weslaco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450128
Location1401 East Eight StreetWeslaco, TX 78596 · Hidalgo County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.79
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%531 patients5/55-star benchmark: 100%
Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management
100%27 patients
Dementia: Functional Status Assessment
100%27 patients
Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia
100%27 patients
Documentation of Current Medications in the Medical Record
100%396 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier33 claims33 services$44.01 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier32 claims32 services$49.32 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier55 claims69 services$47.47 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
2 suppliers16 claims16 services$14.83 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier24 claims33 services$44.30 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
2 suppliers16 claims16 services$80.14 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 8

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

Registered Nurse
906 JAMES ST
WESLACO, TX 78596
Physical Medicine & Rehabilitation
906 JAMES ST
WESLACO, TX 78596
Pharmacist
906 JAMES ST
WESLACO, TX 78596
Rehabilitation Hospital
906 JAMES ST
WESLACO, TX 78596
Occupational Therapy Assistant
906 JAMES ST
WESLACO, TX 78596
Physical Medicine & Rehabilitation
906 JAMES ST
WESLACO, TX 78596
Occupational Therapist
906 JAMES ST
WESLACO, TX 78596
Physical Medicine & Rehabilitation
906 JAMES ST
WESLACO, TX 78596

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 Adam Muffler's NPI number?

The NPI number for Adam Muffler is 1316470545. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Adam Muffler located?

Adam Muffler practices at 906 James St, Weslaco, TX 78596. The listed phone number is (956) 969-2222.

What is Adam Muffler's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Adam Muffler enrolled in Medicare?

Yes. Adam Muffler 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 Adam Muffler 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 2 other insurers list Adam Muffler 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 Adam Muffler affiliated with any hospitals?

According to CMS data, Adam Muffler is affiliated with South Texas Health System and Knapp Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Muffler was last updated on July 21, 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.