DR. REINALDO MIGUEL MORALES II MD
NPI 1518285444
Surgery in Seguin, TX

Active since May 17, 2010PECOS EnrolledAccepts Medicare Assignment
71.71/100
CMS Quality Rating
105 MEDICAL, SEGUIN, TX 78155(830) 484-4606(830) 372-8905 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 3, 2021, Jun 3, 2020, Apr 11, 2018 (3 updates tracked since 2018).

About Dr. Reinaldo Miguel Morales Ii Md NPPES

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

DR. REINALDO MIGUEL MORALES II MD (NPI 1518285444) is an individual surgery provider in Seguin, Texas, licensed in Texas (R9112) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Saint Louis University School Of Medicine (2010).

NPPES Registry Identity

NPI1518285444
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. REINALDO MIGUEL MORALES IICredential: MD
Location Address105 MEDICALSeguin, TX 78155-5392
Mailing Address105 MedicalSeguin, TX 78155-5392 · (830) 484-4606 · Fax (830) 372-8905
Fax(830) 372-8905
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2010
Enumeration DateMay 17, 2010
Last NPPES UpdateJune 24, 20223 updates tracked since enumeration
NPPES CertifiedJune 24, 2022
NPI 1518285444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · R9112
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
105 MEDICAL, Seguin, TX 78155

Other Identifiers 1

Medicaid392869901TX

Accepted 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. Reinaldo Miguel Morales Ii 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 ID3971751579
PECOS Enrollment IDI20181220002577
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 3

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 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.
57 services49 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
43 services27 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Knapp Medical Center

Acute Care Hospitals · Weslaco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450128
Location1401 East Eight StreetWeslaco, TX 78596 · Hidalgo County
Emergency services Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78155 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.

71.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.36
Promoting Interoperability98
Improvement Activities40
Cost54

Referred Medical Equipment & Supplies CMS DME claims 3

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

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
2 suppliers13 claims170 services$20.97 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
2 suppliers12 claims105 services$7.59 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
2 suppliers13 claims13 services$570.33 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 6

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

Orthopaedic Surgery
105 MEDICAL
SEGUIN, TX 78155
Clinic/Center (Multi-Specialty)
105 MEDICAL
SEGUIN, TX 78155
Surgery
105 MEDICAL
SEGUIN, TX 78155
Otolaryngology
105 MEDICAL
SEGUIN, TX 78155
Dietitian, Registered
105 MEDICAL
SEGUIN, TX 78155
Otolaryngology
105 MEDICAL
SEGUIN, TX 78155

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 Reinaldo Morales's NPI number?

The NPI number for Reinaldo Morales is 1518285444. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Where is Reinaldo Morales located?

Reinaldo Morales practices at 105 Medical, Seguin, TX 78155. The listed phone number is (830) 484-4606.

What is Reinaldo Morales's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Reinaldo Morales enrolled in Medicare?

Yes. Reinaldo Morales 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 Reinaldo Morales 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 2 other insurers list Reinaldo Morales 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 Reinaldo Morales affiliated with any hospitals?

According to CMS data, Reinaldo Morales is affiliated with South Texas Health System, Knapp Medical Center and Rio Grande Regional Hospital.

When was this NPI record last updated?

The NPPES record for Reinaldo Morales was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.