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DR. JOEL SALDANA MD
NPI 1427021997
Family Medicine in Kenedy, TX

Active since February 07, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0686172 · Waiver
75.37/100
CMS Quality Rating
3349 S HWY 181, 2, KENEDY, TX 78119(830) 583-2569(830) 583-3721 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Joel Saldana Md NPPES

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

DR. JOEL SALDANA MD (NPI 1427021997) is an individual family medicine provider in Kenedy, Texas, licensed in Texas (H2747) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 15, 2027, and is affiliated with Christus Spohn Hospital Beeville.

NPPES Registry Identity

NPI1427021997
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOEL SALDANACredential: MD
Location Address3349 S HWY 181, 2Kenedy, TX 78119-5264
Mailing Address3349 S Hwy 181, Suite 2Kenedy, TX 78119-5264 · (830) 583-2569 · Fax (830) 583-3721
Phone(830) 583-2569
Fax(830) 583-3721
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1986
Enumeration DateFebruary 7, 2006
Last NPPES UpdateMay 12, 2008
✔ NPI 1427021997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · H2747
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.
3349 S HWY 181, Kenedy, TX 78119
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Other Names 1

Professional Name (2)Dr. Joel Saldana Md

Other Identifiers 3

Medicaid140081404TX
Medicare ID-Type Unspecified00F83ATX
Medicare UPINC21483TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.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. Joel Saldana 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 ID8527120385
PECOS Enrollment IDI20090105000100
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 45D0686172

Joel Saldana MD · Kenedy, TX
Active · expires Jun 15, 2027
CLIA Number45D0686172
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorJoel Saldana MD
Laboratory Phone(830) 583-2569
Laboratory LocationJoel Saldana MD3349 South Highway 181 Suite 2, Kenedy, TX 78119
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

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.
572 services173 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.
502 services162 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
190 services80 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
186 services79 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
168 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
112 services108 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Spohn Hospital Beeville

Acute Care Hospitals · Beeville, TX
OwnershipVoluntary non-profit - Church
CMS Certification Number450082
Location1500 E Houston HwyBeeville, TX 78102 · Bee County
Emergency services Birthing friendly

Connally Memorial Medical Center

Acute Care Hospitals · Floresville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450108
Location499 10th StreetFloresville, TX 78114 · Wilson County
Emergency services

Otto Kaiser Memorial Hospital

Critical Access Hospitals · Kenedy, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451364
Location3349 S Highway 181Kenedy, TX 78119 · Karnes County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78119 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.

75.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality72.52
Improvement Activities40
Cost52.1

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%196 patients
Controlling High Blood Pressure
55%782 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
34%370 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
88%6,405 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%2,665 patients3/55-star benchmark: 61%
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 15

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
5 suppliers28 claims65 services$5.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers16 claims19 services$0.93 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers12 claims12 services$20.31 avg. paid by Medicare
Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier15 claims2,700 services$0.10 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier23 claims23 services$4.74 avg. paid by Medicare
Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$25.05 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

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

DR. BENJAMIN D. ERNST, D.O. LTD. LLP
Family Medicine
3349 S HWY 181, SUITE 1
KENEDY, TX 78119
Karnes County (540) 915-9814

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 Joel Saldana's NPI number?

The NPI number for Joel Saldana is 1427021997. It was assigned to this individual provider in the NPPES registry on February 7, 2006. The provider is also known as Dr. Joel Saldana MD.

Where is Joel Saldana located?

Joel Saldana practices at 3349 S Hwy 181 2, Kenedy, TX 78119. The listed phone number is (830) 583-2569.

What is Joel Saldana's specialty?

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

Is Joel Saldana enrolled in Medicare?

Yes. Joel Saldana 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 Joel Saldana hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0686172) is associated with this NPI, valid through June 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Joel Saldana accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Joel Saldana 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 Joel Saldana affiliated with any hospitals?

According to CMS data, Joel Saldana is affiliated with Christus Spohn Hospital Beeville, Connally Memorial Medical Center and Otto Kaiser Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joel Saldana was last updated on May 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.