DR. PEDRO EUGENIO COSCULLUELA MD
NPI 1588693386
Orthopaedic Surgery - Foot and Ankle Surgery in Austin, TX

Active since July 02, 2006PECOS EnrolledAccepts Medicare Assignment
900 W 38TH ST STE 300, AUSTIN, TX 78705(512) 450-1330(512) 450-1339 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Pedro Eugenio Cosculluela Md NPPES

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

DR. PEDRO EUGENIO COSCULLUELA MD (NPI 1588693386) is an individual foot and ankle surgery provider in Austin, Texas, licensed in Texas (M6580) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Southwest, and is a graduate of Ponce School Of Medicine (2001).

NPPES Registry Identity

NPI1588693386
Entity TypeIndividualMale
Primary Taxonomy207XX0004X
Provider Legal NameDR. PEDRO EUGENIO COSCULLUELACredential: MD
Location Address900 W 38TH ST STE 300Austin, TX 78705-1130
Mailing Address900 W 38th St Ste 300Austin, TX 78705-1130 · (512) 450-1300 · Fax (512) 450-1339
Fax(512) 450-1339
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2001
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1588693386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License✔ Licensed in TX · M6580
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
900 W 38TH ST STE 300, Austin, TX 78705

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pedro Eugenio Cosculluela 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 ID8527061563
PECOS Enrollment IDI20080109000438
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 Reassignments

2

Medicare enrollment records show Pedro Cosculluela reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sports Medicine
900 W 38TH ST, SUITE 300
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 17 clinicians in this Medicare group
Orthopaedic Surgery
4611 GUADALUPE ST STE 200
Austin, TX 78751
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Heinrich-Josey Orthopaedics, PLLC
  • 20 clinicians in this Medicare group

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

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
79 services67 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.
76 services62 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.
66 services66 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
56 services46 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.
47 services44 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Seton Southwest

Acute Care Hospitals · Austin, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450865
Location7900 Fm 1826Austin, TX 78737 · Hays County
Emergency services

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- Austin

Acute Care Hospitals · Austin, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670136
Location5245 W Us 290Austin, TX 78735 · Travis County

Other Providers at the Same Location NPPES 10

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

900 W 38TH ST STE 300
AUSTIN, TX 78705
Physical Therapist
900 W 38TH ST STE 300
AUSTIN, TX 78705
Physician Assistant
900 W 38TH ST STE 300
AUSTIN, TX 78705
900 W 38TH ST STE 300
AUSTIN, TX 78705
Physical Therapist (Orthopedic)
900 W 38TH ST STE 300
AUSTIN, TX 78705
Specialist/Technologist, Other (Surgical Technologist)
900 W 38TH ST STE 300
AUSTIN, TX 78705
900 W 38TH ST STE 300
AUSTIN, TX 78705
Physical Therapist
900 W 38TH ST STE 300
AUSTIN, TX 78705

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 Pedro Cosculluela's NPI number?

The NPI number for Pedro Cosculluela is 1588693386. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Pedro Cosculluela located?

Pedro Cosculluela practices at 900 W 38th St Ste 300, Austin, TX 78705. The listed phone number is (512) 450-1330.

What is Pedro Cosculluela's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Pedro Cosculluela enrolled in Medicare?

Yes. Pedro Cosculluela 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.

Which organizations bill Medicare for Pedro Cosculluela's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Cosculluela reassigns Medicare benefits to 2 organizations: Austin Sports Medicine LLP (Austin, TX) and Heinrich-Josey Orthopaedics, P.L.L.C (Austin, TX). Each 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 Pedro Cosculluela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pedro Cosculluela accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and Oscar Insurance Company list Pedro Cosculluela 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 Pedro Cosculluela affiliated with any hospitals?

According to CMS data, Pedro Cosculluela is affiliated with Ascension Seton Southwest, Baylor Scott & White Medical Center - Round Rock and Baylor Scott & White Medical Center- Austin.

When was this NPI record last updated?

The NPPES record for Pedro Cosculluela was last updated on April 18, 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.