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MR. ESTEBAN DANIEL CORTEZ PA
NPI 1497081756
Physician Assistant in Edinburg, TX

Active since October 21, 2009PECOS EnrolledAccepts Medicare Assignment
82.78/100
CMS Quality Rating
5540 RAPHAEL DR, EDINBURG, TX 78539(956) 362-6683(956) 362-6836 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2023, Mar 29, 2018, May 10, 2017 and 1 more (4 updates tracked since 2017).

About Mr. Esteban Daniel Cortez Pa NPPES

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

MR. ESTEBAN DANIEL CORTEZ PA (NPI 1497081756) is an individual physician assistant in Edinburg, Texas, licensed in Texas (PA06521) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1497081756
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ESTEBAN DANIEL CORTEZCredential: PA
Location Address5540 RAPHAEL DREdinburg, TX 78539-1407
Mailing AddressPo Box 4624Mcallen, TX 78502-4624 · (956) 362-6683 · Fax (956) 362-6818
Phone(956) 362-6683
Fax(956) 362-6836
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 21, 2009
Last NPPES UpdateJanuary 15, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2024
✔ NPI 1497081756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA06521
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA06521 (TX)
5540 RAPHAEL DR, Edinburg, TX 78539
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Other Identifiers 1

Medicaid290353603TX

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

Mr. Esteban Daniel Cortez Pa 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 ID5496897084
PECOS Enrollment IDI20100120000374
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 6

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.

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.
34 services30 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.
22 services17 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.
18 services18 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.
12 services11 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

82.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.52
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

DR. CARLOS SANMIGUEL PHYSICAL THERAPIST
Physical Therapist
5540 RAPHAEL DR
EDINBURG, TX 78539
Hidalgo County (956) 360-6870
DR. PATRICK W SANDER MD
Orthopaedic Surgery
5540 RAPHAEL DR
EDINBURG, TX 78539
Hidalgo County (956) 362-6683
DR. JAIME VILLARREAL JR. M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
5540 RAPHAEL DR
EDINBURG, TX 78539
Hidalgo County (956) 362-6683
DR. SALVADOR JUVENTINO MENDEZ MD
Orthopaedic Surgery
5540 RAPHAEL DR
EDINBURG, TX 78539
Hidalgo County (956) 362-6683
NICOLE ANNE SALADINO P.A.
Physician Assistant
5540 RAPHAEL DR
EDINBURG, TX 78539
Hidalgo County (956) 362-6683
GABRIEL GONZALEZ-DIAZ MD
Student in an Organized Health Care Education/Training Program
5540 RAPHAEL DR
EDINBURG, TX 78539
Hidalgo County (956) 362-6683
DR. KAYE KIP OWEN MD
Orthopaedic Surgery (Sports Medicine)
5540 RAPHAEL DR
EDINBURG, TX 78539
Hidalgo County (956) 362-6683
BRYANT STITES DPT
Physical Therapist
5540 RAPHAEL DR
EDINBURG, TX 78539
Hidalgo County (956) 362-6870

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 Esteban Cortez's NPI number?

The NPI number for Esteban Cortez is 1497081756. It was assigned to this individual provider in the NPPES registry on October 21, 2009.

Where is Esteban Cortez located?

Esteban Cortez practices at 5540 Raphael Dr, Edinburg, TX 78539. The listed phone number is (956) 362-6683.

What is Esteban Cortez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Esteban Cortez enrolled in Medicare?

Yes. Esteban Cortez 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 Esteban Cortez 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 9 other insurers list Esteban Cortez 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 Esteban Cortez was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.