ALEKSANDRA VIDACIC MD
NPI 1629272224
Internal Medicine in San Angelo, TX

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
120 E HARRIS AVE, SAN ANGELO, TX 76903(325) 653-6741(325) 481-2166 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Aleksandra Vidacic Md NPPES

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

ALEKSANDRA VIDACIC MD (NPI 1629272224) is an individual internal medicine provider in San Angelo, Texas, licensed in Texas (N4181) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1629272224
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALEKSANDRA VIDACICCredential: MD
Location Address120 E HARRIS AVESan Angelo, TX 76903-5904
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 658-1511 · Fax (325) 481-2166
Fax(325) 481-2166
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 14, 2007
Last NPPES UpdateDecember 2, 2014
NPI 1629272224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · N4181 Licensed in TX · BP10026411
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

120 E HARRIS AVE, San Angelo, TX 76903

Other Identifiers 10

Medicare PINP00790376TX
Other3864783243Myutmb 3864783243-commercial Number
Medicaid206611002TX
Medicaid206611003TX
Medicare PIN8L23120TX
Medicaid206611006TX
Medicare PIN8L23121TX
Medicare PINTXB155538TX
Medicaid206611007TX
Medicare PINTXB155537TX

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

Aleksandra Vidacic 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 ID6901951474
PECOS Enrollment IDI20090904000303
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 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.
1,063 services288 patients
Initial hospital inpatient care per day, typically 70 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.
245 services240 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
82 services60 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
80 services78 patients
Initial hospital observation care per day, typically 70 minutes 99220
This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
29 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Lillian M Hudspeth Memorial Hospital

Critical Access Hospitals · Sonora, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451324
Location308 HudspethSonora, TX 76950 · Sutton County
Emergency services

Heart Of Texas Memorial Hospital

Critical Access Hospitals · Brady, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451348
Location2008 Nine RoadBrady, TX 76825 · Mc Culloch County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76903 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

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
2 suppliers17 claims17 services$92.72 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 20

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

Pharmacist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Internal Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Pharmacist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Emergency Medicine (Emergency Medical Services)
120 E HARRIS AVE, EMERGENCY ROOM
SAN ANGELO, TX 76903
Pharmacist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Long Term Care Hospital
120 E HARRIS AVE, 6TH FLOOR
SAN ANGELO, TX 76903
Internal Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629272224, enumerated as an "individual" on June 14, 2007.

The provider is located at 120 E HARRIS AVE SAN ANGELO, TX 76903 and the phone number is (325) 653-6741.

Internal Medicine with taxonomy code 207R00000X.

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

Aleksandra Vidacic is affiliated with: CITIZENS MEDICAL CENTER, SHANNON MEDICAL CENTER, LILLIAN M HUDSPETH MEMORIAL HOSPITAL and HEART OF TEXAS MEMORIAL HOSPITAL.