DR. CLAUDIA VIVIANA COLMENARES M.D.
NPI 1518320324
Family Medicine in Edinburg, TX

Q: What is Claudia Colmenares's NPI number?

The NPI number for Claudia Colmenares is 1518320324. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Q: What is Claudia Colmenares's specialty?

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

Active since March 30, 2016PECOS Enrolled

4422 S MCCOLL RD, EDINBURG, TX 78539(956) 800-4378(956) 800-4379 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2019, Jun 4, 2019, Mar 30, 2016 (3 updates tracked since 2016).

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About Dr. Claudia Viviana Colmenares M.d. NPPES

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

DR. CLAUDIA VIVIANA COLMENARES M.D. (NPI 1518320324) is an individual family medicine provider in Edinburg, Texas, licensed in Texas (R9201) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518320324

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CLAUDIA VIVIANA COLMENARESCredential: M.D.

Location Address4422 S MCCOLL RDEdinburg, TX 78539-9608

Mailing Address4422 S Mccoll RdEdinburg, TX 78539-9608 · (956) 800-4378 · Fax (956) 618-0451

Phone(956) 800-4378

Fax(956) 800-4379

Sole ProprietorYes

Enumeration DateMarch 30, 2016

Last NPPES UpdateJune 11, 20193 updates tracked since enumeration

✔ NPI 1518320324 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 · R9201

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.

4422 S MCCOLL RD, Edinburg, TX 78539

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Claudia Viviana Colmenares M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Claudia Colmenares reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Diagne Premier Ob Gyn PA

Same address

Obstetrics & Gynecology

4422 S MCCOLL RD
Edinburg, TX 78539

Reassigned Medicare billing, Texas enrollment
4 clinicians in this Medicare group

NPI 1487074050 (956) 800-4378

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

$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.

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.

84%176 patients2/55-star benchmark: 99%

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.

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.

DR. DIAGNE PREMIER OB GYN PA

Obstetrics & Gynecology

4422 S MCCOLL RD
EDINBURG, TX 78539

Hidalgo County (956) 800-4378

DR. THIENDELLA DIAGNE MD

Obstetrics & Gynecology

4422 S MCCOLL RD
EDINBURG, TX 78539

Hidalgo County (956) 800-4378

WENTIA FORD PA

Physician Assistant

4422 S MCCOLL RD
EDINBURG, TX 78539

Hidalgo County (956) 800-4378

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 Claudia Colmenares's NPI number?

The NPI number for Claudia Colmenares is 1518320324. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Claudia Colmenares located?

Claudia Colmenares practices at 4422 S Mccoll Rd, Edinburg, TX 78539. The listed phone number is (956) 800-4378.

What is Claudia Colmenares's specialty?

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

Is Claudia Colmenares enrolled in Medicare?

Yes. Claudia Colmenares is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Claudia Colmenares's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Colmenares reassigns Medicare benefits to Dr. Diagne Premier Ob Gyn PA (Edinburg, 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 Claudia Colmenares's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Claudia Colmenares was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.