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DR. MICHAEL EISEN M.D.
NPI 1366757056
Family Medicine - Sports Medicine in Weslaco, TX

Active since August 18, 2010PECOS EnrolledAccepts Medicare Assignment
81.44/100
CMS Quality Rating
1315 E 6TH ST STE 10, WESLACO, TX 78596(956) 296-2821(956) 447-9696 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2023, Aug 3, 2017 (2 updates tracked since 2017).

About Dr. Michael Eisen M.d. NPPES

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

DR. MICHAEL EISEN M.D. (NPI 1366757056) is an individual sports medicine provider in Weslaco, Texas, licensed in Texas (Q1138) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Harlingen, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1366757056
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. MICHAEL EISENCredential: M.D.
Location Address1315 E 6TH ST STE 10Weslaco, TX 78596-6658
Mailing AddressPo Box 531968Harlingen, TX 78553-1968 · (833) 887-4863 · Fax (956) 296-6842
Phone(956) 296-2821
Fax(956) 447-9696
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 18, 2010
Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1366757056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in TX · Q1138
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License Q1138 (TX)
1315 E 6TH ST STE 10, Weslaco, TX 78596
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Secondary Practice Location 1

Location 12106 Treasure Hills Blvd # 1.326Harlingen, TX 78550-8736 · Phone (959) 296-1519 · Fax (956) 296-1331

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Eisen M.d. 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 ID5092038406
PECOS Enrollment IDI20141216000212
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Eisen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Texas Rio Grande Valley
14 mi
Family Medicine
3341 E RICHARDSON RD
Edinburg, TX 78542
  • Reassigned Medicare billing, Texas enrollment
  • 96 clinicians in this Medicare group
NPI 1811436504 (956) 318-2915

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
137 services38 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.
120 services79 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
101 services45 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
93 services41 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.
68 services68 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.
64 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78596 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
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers25 claims55 services$6.35 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims11 services$1.03 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 4

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

SHARON EVE GELMAN
Physician Assistant (Medical)
1315 E 6TH ST STE 10
WESLACO, TX 78596
Hidalgo County (956) 447-9797
VERONICA RAFOLS PA
Physician Assistant
1315 E 6TH ST STE 10
WESLACO, TX 78596
Hidalgo County (956) 296-2821
DR. ERIC BRADLEY WILKINSON M.D.
Orthopaedic Surgery (Sports Medicine)
1315 E 6TH ST STE 10
WESLACO, TX 78596
Hidalgo County (956) 296-2821
JENNIFER WALT MD
Orthopaedic Surgery (Foot and Ankle Surgery)
1315 E 6TH ST STE 10
WESLACO, TX 78596
Hidalgo County (956) 296-2821

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 Michael Eisen's NPI number?

The NPI number for Michael Eisen is 1366757056. It was assigned to this individual provider in the NPPES registry on August 18, 2010.

Where is Michael Eisen located?

Michael Eisen practices at 1315 E 6th St Ste 10, Weslaco, TX 78596. The listed phone number is (956) 296-2821.

What is Michael Eisen's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Michael Eisen enrolled in Medicare?

Yes. Michael Eisen 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.

Which organization bills Medicare for Michael Eisen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Eisen reassigns Medicare benefits to University Of Texas Rio Grande Valley (Edinburg, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Eisen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Eisen 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 1 other insurer list Michael Eisen 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 Michael Eisen was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.