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MIGUEL E MORILLA HOLGUIN MD
NPI 1437412533
Internal Medicine - Infectious Disease in Mcallen, TX

Active since June 22, 2012PECOS EnrolledAccepts Medicare Assignment
48.72/100
CMS Quality Rating
1200 E SAVANNAH AVE STE 16, MCALLEN, TX 78503(956) 631-3344(956) 631-3881 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2024, Jul 10, 2024, Oct 1, 2021 (3 updates tracked since 2021).

About Miguel E Morilla Holguin Md NPPES

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

MIGUEL E MORILLA HOLGUIN MD (NPI 1437412533) is an individual infectious disease provider in Mcallen, Texas, licensed in Texas (P1790) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1437412533
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameMIGUEL E MORILLA HOLGUINCredential: MD
Location Address1200 E SAVANNAH AVE STE 16Mcallen, TX 78503-1728
Mailing Address1200 E Savannah Ave Ste 16Mcallen, TX 78503-1728 · (956) 631-3344 · Fax (956) 631-3881
Phone(956) 631-3344
Fax(956) 631-3881
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 22, 2012
Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1437412533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · P1790
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1200 E SAVANNAH AVE STE 16, Mcallen, TX 78503
Open in Google Maps ↗

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

Miguel E Morilla Holguin 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 ID1951551522
PECOS Enrollment IDI20121017000750
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
713 services200 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
272 services129 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
199 services177 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
107 services92 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.
77 services57 patients

Hospital Affiliations CMS Care Compare 2

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

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 78503 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.

48.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61.76
Improvement Activities0
Cost46.72

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.

DR. JUAN RIVERA M.D.
Internal Medicine (Pulmonary Disease)
1200 E SAVANNAH AVE STE 16
MCALLEN, TX 78503
Hidalgo County (956) 631-3344
POTENCIANO R GARCIA JR. M.D.
Internal Medicine (Pulmonary Disease)
1200 E SAVANNAH AVE STE 16
MCALLEN, TX 78503
Hidalgo County (956) 631-3344
VALLEY PULMONARY GROUP, PLLC
Internal Medicine (Pulmonary Disease)
1200 E SAVANNAH AVE STE 16
MCALLEN, TX 78503
Hidalgo County (956) 631-3344
SARA IZAMAR PEREZ
Physician Assistant
1200 E SAVANNAH AVE STE 16
MCALLEN, TX 78503
Hidalgo County (956) 631-3344

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 Miguel Morilla Holguin's NPI number?

The NPI number for Miguel Morilla Holguin is 1437412533. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Miguel Morilla Holguin located?

Miguel Morilla Holguin practices at 1200 E Savannah Ave Ste 16, Mcallen, TX 78503. The listed phone number is (956) 631-3344.

What is Miguel Morilla Holguin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Miguel Morilla Holguin enrolled in Medicare?

Yes. Miguel Morilla Holguin 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 Miguel Morilla Holguin 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 3 other insurers list Miguel Morilla Holguin 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 Miguel Morilla Holguin affiliated with any hospitals?

According to CMS data, Miguel Morilla Holguin is affiliated with South Texas Health System and Mission Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Miguel Morilla Holguin was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.