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DR. EDUARDO P MORENO M.D.
NPI 1629140306
Family Medicine in Crystal City, TX

Active since November 15, 2006PECOS EnrolledCLIA 45D0506303 · Microscopy
210 S AVENUE C, CRYSTAL CITY, TX 78839(830) 374-2952(830) 374-3784 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Eduardo P Moreno M.d. NPPES

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

DR. EDUARDO P MORENO M.D. (NPI 1629140306) is an individual family medicine provider in Crystal City, Texas, licensed in Texas (E-3738) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and holds a CLIA Microscopy certificate valid through January 18, 2027.

NPPES Registry Identity

NPI1629140306
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDUARDO P MORENOCredential: M.D.
Location Address210 S AVENUE CCrystal City, TX 78839-3834
Mailing Address210 S Avenue C, P.o. Box 725Crystal City, TX 78839-3834 · (830) 374-2952 · Fax (830) 374-3784
Phone(830) 374-2952
Fax(830) 374-3784
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateSeptember 25, 2007
✔ NPI 1629140306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · E-3738
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License E-3738 (TX)
210 S AVENUE C, Crystal City, TX 78839
Open in Google Maps ↗

Other Identifiers 5

Other00BT71TX · Blue Cross Blue Sheild
Medicare OSCAR/certification453832TX
Other017498901TX · Texas Health Steps
Medicaid063386901TX
Medicare UPINC19577TX

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 (PECOS)

Dr. Eduardo P Moreno 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0506303

Eduardo Moreno MD Rural Health Clinic · Crystal City, TX
Active · expires Jan 18, 2027
CLIA Number45D0506303
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorEduardo Moreno MD
Laboratory Phone(830) 374-2952
Laboratory LocationEduardo Moreno MD Rural Health Clinic210 S Ave C, Crystal City, TX 78839
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78839 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.

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.

SHIRLEY KOEHLER PA-C
Physician Assistant (Medical)
210 S AVENUE C
CRYSTAL CITY, TX 78839
Zavala County (830) 374-2952
EDUARDO MORENO, M.D., RURAL HEALTH CLINIC, LLP
Clinic/Center (Rural Health)
210 S AVENUE C
CRYSTAL CITY, TX 78839
Zavala County (830) 374-2952
DEBRA LEE GONZALEZ FNP-BC
Nurse Practitioner (Family)
210 S AVENUE C
CRYSTAL CITY, TX 78839
Zavala County (830) 374-2952

Frequently Asked Questions

What is Eduardo Moreno's NPI number?

The NPI number assigned to this healthcare provider is 1629140306, enumerated as an "individual" on November 15, 2006.

Where is the provider located?

The provider is located at 210 S AVENUE C CRYSTAL CITY, TX 78839 and the phone number is (830) 374-2952.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does Eduardo Moreno accept?

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.