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MANUEL J MERCADO MD
NPI 1316919228
Internal Medicine in Pharr, TX

Active since February 03, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0982329 · Waiver
502 S CAGE BLVD, PHARR, PHARR, TX 78577(956) 702-1013(956) 781-5196 Get Directions Write a Review

NPPES record last updated: January 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Manuel J Mercado Md NPPES

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

MANUEL J MERCADO MD (NPI 1316919228) is an individual internal medicine provider in Pharr, Texas, licensed in Texas (L0420) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 31, 2028, and is affiliated with Doctors Hosptal At Renaissance.

NPPES Registry Identity

NPI1316919228
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMANUEL J MERCADOCredential: MD
Location Address502 S CAGE BLVD, PHARRPharr, TX 78577-5449
Mailing Address502 S Cage Blvd, PharrPharr, TX 78577-5449 · (956) 702-1013 · Fax (956) 781-5196
Phone(956) 702-1013
Fax(956) 781-5196
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateFebruary 3, 2006
Last NPPES UpdateJanuary 27, 2012
✔ NPI 1316919228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · L0420
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
502 S CAGE BLVD, Pharr, TX 78577
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Other Identifiers 6

Other0087ETTX · Blue Cross Blue Shield
Medicare PIN8A0622TX
Medicaid030866002TX
Other0087ETTX · Bcbs
Medicare UPINH17629TX
OtherP00191876TX · Railroad Medicare

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

Manuel J Mercado 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 ID2062549793
PECOS Enrollment IDI20100428000600
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0982329

Manuel J Mercado MD · Pharr, TX
Active · expires May 31, 2028
CLIA Number45D0982329
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorManuel J. Mercado MD
Laboratory Phone(956) 702-1013
Laboratory LocationManuel J Mercado MD502 South Cage, Pharr, TX 78577
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
414 services104 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
81 services48 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
80 services14 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
71 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
50 services50 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
32 services19 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 78577 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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers55 claims140 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers45 claims54 services$1.07 avg. paid by Medicare
Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair E1010
DME-Wheelchairs · category DD021N
1 supplier17 claims17 services$937.41 avg. paid by Medicare
Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) E2363
DME-Wheelchairs · category DD009N
1 supplier13 claims26 services$113.36 avg. paid by Medicare
Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only E2370
DME-Wheelchairs · category DD009N
1 supplier18 claims36 services$486.69 avg. paid by Medicare
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only E2376
DME-Wheelchairs · category DD009N
1 supplier25 claims25 services$1,059.09 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 3

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

MANUEL J MERCADO MD PA
Internal Medicine
502 S CAGE BLVD
PHARR, TX 78577
Hidalgo County (956) 702-1013
MAXIMILIANO E HERNANDEZ M.D.
Internal Medicine
502 S CAGE BLVD
PHARR, TX 78577
Hidalgo County (956) 702-1013
MAXIMILIANO HERNANDEZ MD PA
Internal Medicine
502 S CAGE BLVD
PHARR, TX 78577
Hidalgo County (956) 702-1013

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 Manuel Mercado's NPI number?

The NPI number for Manuel Mercado is 1316919228. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Manuel Mercado located?

Manuel Mercado practices at 502 S Cage Blvd Pharr, Pharr, TX 78577. The listed phone number is (956) 702-1013.

What is Manuel Mercado's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Manuel Mercado enrolled in Medicare?

Yes. Manuel Mercado 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.

Does Manuel Mercado hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0982329) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Manuel Mercado 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 Manuel Mercado 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 Manuel Mercado affiliated with any hospitals?

According to CMS data, Manuel Mercado is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Manuel Mercado was last updated on January 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.