JOHN G ORFANOS MD
NPI 1366476921
Surgery in Mcallen, TX

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
86.22/100
CMS Quality Rating
1100 E DOVE AVE STE 300, MCALLEN, TX 78504(563) 628-1709(956) 362-8168 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John G Orfanos Md NPPES

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

JOHN G ORFANOS MD (NPI 1366476921) is an individual surgery provider in Mcallen, Texas, licensed in Texas (G9780) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Starr County Memorial Hospital, and maintains a secondary practice location in Edinburg.

NPPES Registry Identity

NPI1366476921
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN G ORFANOSCredential: MD
Location Address1100 E DOVE AVE STE 300Mcallen, TX 78504
Mailing AddressPo Box 2975Mcallen, TX 78502-2975 · (956) 362-8170 · Fax (956) 362-8168
Fax(956) 362-8168
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateJuly 10, 2006
Last NPPES UpdateOctober 18, 2018
NPI 1366476921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · G9780
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License G9780 (TX)
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License G9780 (TX)
1100 E DOVE AVE STE 300, Mcallen, TX 78504

Secondary Practice Location 1

Location 12707 W Trenton RdEdinburg, TX 78539-3433 · Phone (956) 631-8346 · Fax (956) 631-1439

Other Identifiers 11

Medicaid126615706TX
Medicaid126615710TX
OtherG9780TX · Texas State Board Of Medi
Medicaid126615711TX
Other0032PATX · Bcbs
OtherP00244237TX · Medicare Railroad
Other020047898TX · Railroad
Medicaid126615707TX
Medicaid126615709TX
Medicaid126615703TX
Medicaid126615708TX

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

John G Orfanos 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 ID1355259383
PECOS Enrollment IDI20050329000833
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.

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.
27 services16 patients
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.
26 services18 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
25 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Starr County Memorial Hospital

Acute Care Hospitals · Rio Grande City, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450654
Location128 N Fm Rd 3167Rio Grande City, TX 78582 · Starr County
Emergency services Birthing friendly

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 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
$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.

86.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.03
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
44%236 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%937 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
34%151 patients2/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
12%421 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
1%221 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 65% · 261 patients
65%261 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 151 patients
0%151 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.

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Family)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Colon & Rectal Surgery
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Physician Assistant
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Surgery (Vascular Surgery)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Surgery (Surgical Critical Care)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Surgery
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Nurse Practitioner (Family)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Nurse Practitioner (Family)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504

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 John Orfanos's NPI number?

The NPI number for John Orfanos is 1366476921. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is John Orfanos located?

John Orfanos practices at 1100 E Dove Ave Ste 300, Mcallen, TX 78504. The listed phone number is (563) 628-1709.

What is John Orfanos's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Orfanos enrolled in Medicare?

Yes. John Orfanos 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 John Orfanos 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 4 other insurers list John Orfanos 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 John Orfanos affiliated with any hospitals?

According to CMS data, John Orfanos is affiliated with Starr County Memorial Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for John Orfanos was last updated on October 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.