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JUAN ANTONIO CONTRERAS MD
NPI 1639373749
Internal Medicine - Rheumatology in Frisco, TX

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
4461 COIT RD, SUITE 402, FRISCO, TX 75035(214) 297-0099(214) 297-0096 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2023, Jun 22, 2021 (2 updates tracked since 2021).

About Juan Antonio Contreras Md NPPES

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

JUAN ANTONIO CONTRERAS MD (NPI 1639373749) is an individual rheumatology provider in Frisco, Texas, licensed in Texas (M6576) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Frisco, and is a graduate of University Of Texas Medical Branch At Galveston (2004).

NPPES Registry Identity

NPI1639373749
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJUAN ANTONIO CONTRERASCredential: MD
Location Address4461 COIT RD, SUITE 402Frisco, TX 75035-0521
Mailing Address4760 Preston Rd Ste 244-305Frisco, TX 75034-8548 · (832) 413-1146 · Fax (972) 428-3629
Phone(214) 297-0099
Fax(214) 297-0096
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2004
Enumeration DateJune 13, 2007
Last NPPES UpdateMay 2, 20232 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
✔ NPI 1639373749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in TX · M6576
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License M6576 (TX)
4461 COIT RD, Frisco, TX 75035
Open in Google Maps ↗

Other Identifiers 1

OtherM6576TX · State License Number

Accepted Insurance

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

Juan Antonio Contreras 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 ID42303869
PECOS Enrollment IDI20070910000460
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 2

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.
197 services190 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.
17 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Baylor Scott & White Medical Center - Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450853
Location5601 Warren ParkwayFrisco, TX 75034 · Denton County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Centennial

Acute Care Hospitals · Frisco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450885
Location12505 Lebanon RoadFrisco, TX 75035 · Collin County
Emergency services Birthing friendly

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Baylor Emergency Medical Center At Aubrey

Acute Care Hospitals · Aubrey, TX
OwnershipProprietary
CMS Certification Number670062
Location26791 Highway 380Aubrey, TX 76227 · Denton County
Emergency services

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75035 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
93%224 patients4/55-star benchmark: 100%
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 20

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

HARVEY I WINE DPM
Podiatrist
4461 COIT RD, SUITE 409
FRISCO, TX 75035
Collin County (972) 596-1331
MICHELE M PEPPERELL M.D.
Obstetrics & Gynecology
4461 COIT RD, STE 205
FRISCO, TX 75035
Collin County (972) 731-9299
MOJGAN TAVAKOLI DPM
Podiatrist
4461 COIT RD, SUITE 409
FRISCO, TX 75035
Collin County (972) 712-7773
NORTH CENTRAL TEXAS PHYSICAL MEDICINE & REHABILITATION PA
Physical Medicine & Rehabilitation
4461 COIT RD, SUITE 301
FRISCO, TX 75035
Collin County (214) 619-5425
DR. GERARDO HERNANDEZ TRILLO M.D.
Internal Medicine (Medical Oncology)
4461 COIT RD, SUITE 100
FRISCO, TX 75035
Collin County (972) 987-1975
DR. LISA KOTAS MD
Obstetrics & Gynecology
4461 COIT RD, SUITE 205
FRISCO, TX 75035
Collin County (972) 731-9299
DR. JENNIFER BAILEY MD
Obstetrics & Gynecology
4461 COIT RD, SUITE 205
FRISCO, TX 75035
Collin County (972) 731-9299
ROBERT CHRIS KUHNE M.D., P.A.
Obstetrics & Gynecology
4461 COIT RD, SUITE 309
FRISCO, TX 75035
Collin County (214) 705-7425

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 Juan Contreras's NPI number?

The NPI number for Juan Contreras is 1639373749. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Juan Contreras located?

Juan Contreras practices at 4461 Coit Rd Suite 402, Frisco, TX 75035. The listed phone number is (214) 297-0099.

What is Juan Contreras's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Juan Contreras enrolled in Medicare?

Yes. Juan Contreras 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.

What insurance does Juan Contreras accept?

Health plans from Blue Cross and Blue Shield of Texas list Juan Contreras 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 Juan Contreras affiliated with any hospitals?

According to CMS data, Juan Contreras is affiliated with Baylor Scott & White Medical Center - Frisco, Baylor Scott & White Medical Center - Centennial, Baylor Scott & White The Heart Hospital - Plano, Baylor Emergency Medical Center At Aubrey and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Juan Contreras was last updated on May 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.