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DR. JOSE M UGARTE I MD
NPI 1457333882
Family Medicine in Kingsville, TX

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
1311 E GENERAL CAVAZOS BLVD STE L, KINGSVILLE, TX 78363(361) 221-1087(361) 488-5030 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2021, Aug 12, 2021, May 20, 2020 (3 updates tracked since 2020).

About Dr. Jose M Ugarte I Md NPPES

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

DR. JOSE M UGARTE I MD (NPI 1457333882) is an individual family medicine provider in Kingsville, Texas, licensed in Texas (E3134) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Kleberg, and is a graduate of Other (1968).

NPPES Registry Identity

NPI1457333882
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSE M UGARTE ICredential: MD
Location Address1311 E GENERAL CAVAZOS BLVD STE LKingsville, TX 78363-7129
Mailing Address1311 E General Cavazos Blvd Ste LKingsville, TX 78363-7129 · (361) 221-1087 · Fax (361) 488-5030
Phone(361) 221-1087
Fax(361) 488-5030
Sole ProprietorNo
Medical School CMSOtherGraduated 1968
Enumeration DateNovember 21, 2005
Last NPPES UpdateOctober 17, 20243 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1457333882 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 · E3134
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.
1311 E GENERAL CAVAZOS BLVD STE L, Kingsville, TX 78363
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Other Identifiers 1

Medicaid136466303TX

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, UnitedHealthcare.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. Jose M Ugarte I 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 ID6305875949
PECOS Enrollment IDI20050804000482
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 8

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.
267 services66 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
98 services20 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
31 services22 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
30 services25 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
19 services14 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Christus Spohn Hospital Kleberg

Acute Care Hospitals · Kingsville, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450163
Location1311 General Cavazos BlvdKingsville, TX 78363 · Kleberg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78363 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.

Referred Medical Equipment & Supplies CMS DME claims 16

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
10 suppliers37 claims131 services$5.49 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers11 claims11 services$2.40 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers32 claims58 services$1.05 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
1 supplier23 claims23 services$24.44 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
2 suppliers30 claims30 services$4.75 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers41 claims59 services$7.71 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.

UGARTE FAMILY MEDICAL CLINIC PA
Family Medicine
1311 E GENERAL CAVAZOS BLVD STE L
KINGSVILLE, TX 78363
Kleberg County (361) 221-1087

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 Jose Ugarte's NPI number?

The NPI number for Jose Ugarte is 1457333882. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Jose Ugarte located?

Jose Ugarte practices at 1311 E General Cavazos Blvd Ste L, Kingsville, TX 78363. The listed phone number is (361) 221-1087.

What is Jose Ugarte's specialty?

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

Is Jose Ugarte enrolled in Medicare?

Yes. Jose Ugarte 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 Jose Ugarte accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Jose Ugarte 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 Jose Ugarte affiliated with any hospitals?

According to CMS data, Jose Ugarte is affiliated with Christus Spohn Hospital Kleberg.

When was this NPI record last updated?

The NPPES record for Jose Ugarte was last updated on October 17, 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.