DIANA MARIA MERCADO-MARMAROSH M.D.
NPI 1619298643
Family Medicine in Edna, TX

Q: What is Diana Mercado-marmarosh's NPI number?

The NPI number for Diana Mercado-marmarosh is 1619298643. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Q: What is Diana Mercado-marmarosh's specialty?

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

Active since June 14, 2010PECOS EnrolledAccepts Medicare Assignment

1013A S WELLS ST, EDNA, TX 77957(361) 782-7820(361) 782-5627 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Diana Maria Mercado-marmarosh M.d. NPPES

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

DIANA MARIA MERCADO-MARMAROSH M.D. (NPI 1619298643) is an individual family medicine provider in Edna, Texas, licensed in Texas (P8390) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and is a graduate of University Of Texas Medical School At Houston (2010).

NPPES Registry Identity

NPI1619298643

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDIANA MARIA MERCADO-MARMAROSHCredential: M.D.

Location Address1013A S WELLS STEdna, TX 77957-4045

Mailing Address1013a S Wells StEdna, TX 77957-4045 · (361) 782-7820 · Fax (361) 782-5627

Phone(361) 782-7820

Fax(361) 782-5627

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2010

Enumeration DateJune 14, 2010

Last NPPES UpdateNovember 5, 2019

✔ NPI 1619298643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · P8390✔ Licensed in TX · BP10036757

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.

1013A S WELLS ST, Edna, TX 77957

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Other Identifiers 1

Medicaid332697703TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, 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

Diana Maria Mercado-marmarosh M.d. 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 ID7810128683

PECOS Enrollment IDI20140319001273

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Citizens Medical Center

Acute Care Hospitals · Victoria, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450023

Location2701 Hospital DriveVictoria, TX 77901 · Victoria County

Emergency services Birthing friendly

Jackson Healthcare Center

Critical Access Hospitals · Edna, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451363

Location1013 S WellsEdna, TX 77957 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77957 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier28 claims28 services$18.35 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier28 claims28 services$94.10 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 5

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

MRS. ASHLEY NICOLE HARRIS FNP-C

Nurse Practitioner (Family)