DR. KRISTAN TARA DIAZ-RIOS MD
NPI 1326396078
Family Medicine in Mcallen, TX

Q: What is Kristan Diaz-rios's NPI number?

The NPI number for Kristan Diaz-rios is 1326396078. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Q: What is Kristan Diaz-rios's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristan Diaz-rios was last updated on April 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 28, 2012PECOS EnrolledAccepts Medicare Assignment

81.44/100

CMS Quality Rating

1000 E DOVE AVE, MCALLEN, TX 78504(956) 362-3520(956) 362-3529 Get Directions Write a Review

NPPES record last updated: April 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kristan Tara Diaz-rios Md NPPES

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

DR. KRISTAN TARA DIAZ-RIOS MD (NPI 1326396078) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (R4210) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Mission Regional Medical Center, and is a graduate of Warren Alpert Medical School Of Brown University (2007).

NPPES Registry Identity

NPI1326396078

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KRISTAN TARA DIAZ-RIOSCredential: MD

Location Address1000 E DOVE AVEMcallen, TX 78504-3974

Mailing Address2102 Treasure Hills Blvd # 3.14406Harlingen, TX 78550-8736 · (956) 296-1437 · Fax (956) 296-6842

Phone(956) 362-3520

Fax(956) 362-3529

Sole ProprietorNo

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2007

Enumeration DateAugust 28, 2012

Last NPPES UpdateApril 13, 2018

✔ NPI 1326396078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · R4210✔ Licensed in NM · MD2012-0625

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD2012-0625 (NM)

1000 E DOVE AVE, Mcallen, TX 78504

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Other Identifiers 3

Other358318YKWYNM · Medicare Ptan

Medicaid3787715-01TX

Medicaid81233388NM

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. Kristan Tara Diaz-rios 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 ID6103078878

PECOS Enrollment IDI20171214002988

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.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Mission Regional Medical Center

Acute Care Hospitals · Mission, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450176

Location900 South Bryan RoadMission, TX 78572 · Hidalgo County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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

$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.

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

Quality

65.83

Promoting Interoperability

Improvement Activities

Cost

49.23

Reported Quality Measures

Breast Cancer Screening

39%152 patients2/55-star benchmark: 93%

Cervical Cancer Screening

34%288 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

41%59 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

27%358 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

35%269 patients2/55-star benchmark: 91%

Diabetes: Eye Exam

11%192 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

74%192 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

44%1,001 patients1/55-star benchmark: 100%

e-Prescribing

100%288 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

52%117 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

29%643 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

31%523 patients2/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

13%652 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 49% · 597 patients

48%597 patients

Provide Patients Electronic Access to Their Health Information

80%304 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

64%209 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 127 patients

Patients totalRate: 2% · 128 patients

2%128 patients4/55-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.

Other Providers at the Same Location NPPES 16

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

MARIA DE JESUS MUNOZ M.D.

Family Medicine