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DR. SERGIO F ROVNER M.D.
NPI 1437164803
Internal Medicine - Endocrinology, Diabetes & Metabolism in El Paso, TX

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1516 LOMALAND DR., EL PASO, TX 79935(915) 593-2600(915) 593-2609 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sergio F Rovner M.d. NPPES

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

DR. SERGIO F ROVNER M.D. (NPI 1437164803) is an individual endocrinology, diabetes & metabolism provider in El Paso, Texas, licensed in Texas (K1037) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1437164803
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SERGIO F ROVNERCredential: M.D.
Location Address1516 LOMALAND DR.El Paso, TX 79935
Mailing Address1516 Lomaland Dr.El Paso, TX 79935 · (915) 593-2600 · Fax (915) 593-2609
Phone(915) 593-2600
Fax(915) 593-2609
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 31, 2006
Last NPPES UpdateMay 2, 2016
✔ NPI 1437164803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · K1037
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1516 LOMALAND DR., El Paso, TX 79935
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified86Z993TX · Medicare Individual#
Medicare UPING31225TX
Medicaid085780701TX
Medicaid123380101TX
Medicare ID-Type Unspecified00U79ZTX · Medicare Group#

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. Sergio F Rovner 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 ID3274725379
PECOS Enrollment IDI20101007000863
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 Sergio Rovner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Academy Of Diabetes, Thyroid And Endocrine, P.A.
Same address
Endocrinology, Diabetes & Metabolism
1516 LOMALAND DR.
El Paso, TX 79935
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1689792475 (915) 593-2600

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 10

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.
685 services344 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
217 services120 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.
74 services59 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.
29 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 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.
19 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320018
Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

University Medical Center Of El Paso

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450024
Location4815 Alameda AveEl Paso, TX 79905 · El Paso County
Emergency services Birthing friendly

Sierra Medical Center

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450668
Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County
Emergency services

Culberson Hospital

Critical Access Hospitals · Van Horn, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number451338
LocationEisenhower Road And Fm 2185Van Horn, TX 79855 · Culberson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79935 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
58%4,890 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
49%1,169 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,169 patients1/55-star benchmark: 79%
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 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers31 claims399 services$17.57 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers31 claims969 services$2.35 avg. paid by Medicare
Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233
DME-Other DME · category DE017N
2 suppliers18 claims36 services$0.44 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers63 claims289 services$6.71 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers36 claims36 services$2.94 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
2 suppliers14 claims14 services$1.84 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.

BENITO A MARRANZINI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1516 LOMALAND DR.
EL PASO, TX 79935
El Paso County (915) 593-2600
ACADEMY OF DIABETES, THYROID AND ENDOCRINE, P.A.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1516 LOMALAND DR.
EL PASO, TX 79935
El Paso County (915) 593-2600
VERLAINE M. STEWART-RAY NP
Nurse Practitioner (Adult Health)
1516 LOMALAND DR.
EL PASO, TX 79935
El Paso County (915) 593-2600

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 Sergio Rovner's NPI number?

The NPI number for Sergio Rovner is 1437164803. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Sergio Rovner located?

Sergio Rovner practices at 1516 Lomaland Dr., El Paso, TX 79935. The listed phone number is (915) 593-2600.

What is Sergio Rovner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sergio Rovner enrolled in Medicare?

Yes. Sergio Rovner 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 Sergio Rovner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Rovner reassigns Medicare benefits to Academy Of Diabetes, Thyroid And Endocrine, P.A. (El Paso, 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 Sergio Rovner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sergio Rovner 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 5 other insurers list Sergio Rovner 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 Sergio Rovner affiliated with any hospitals?

According to CMS data, Sergio Rovner is affiliated with Memorial Medical Center, University Medical Center Of El Paso, Sierra Medical Center and Culberson Hospital.

When was this NPI record last updated?

The NPPES record for Sergio Rovner was last updated on May 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.