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HECTOR URRUTIA MD
NPI 1639392665
Internal Medicine - Cardiovascular Disease in Mcallen, TX

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1801 S 5TH ST, SUITE 130, MCALLEN, TX 78503(956) 687-7863(956) 687-6405 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2022, Jan 19, 2017 (2 updates tracked since 2017).

About Hector Urrutia Md NPPES

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

HECTOR URRUTIA MD (NPI 1639392665) is an individual cardiovascular disease provider in Mcallen, Texas, licensed in Texas (F6144) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Rio Grande Regional Hospital, and is a graduate of Other (1970).

NPPES Registry Identity

NPI1639392665
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameHECTOR URRUTIACredential: MD
Location Address1801 S 5TH ST, SUITE 130Mcallen, TX 78503-2927
Mailing AddressPo Box 4449Mcallen, TX 78502-4449 · (956) 362-2171 · Fax (956) 687-6405
Phone(956) 687-7863
Fax(956) 687-6405
Sole ProprietorNo
Medical School CMSOtherGraduated 1970
Enumeration DateApril 10, 2007
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
✔ NPI 1639392665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · F6144
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1801 S 5TH ST, Mcallen, TX 78503
Open in Google Maps ↗

Other Identifiers 1

Medicaid124501105TX

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 and accepts Medicare assignment

Hector Urrutia 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 ID7012041403
PECOS Enrollment IDI20100820000670
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 5

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.

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.
187 services111 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.
177 services110 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
143 services115 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
55 services55 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.
39 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.48
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
73%1,161 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
96%25 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
42%479 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%4,184 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%1,189 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
89%1,016 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,089 patients
Patients totalRate: 0% · 1,089 patients
0%1,089 patients5/55-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.

VOLVER A CASA HOME HEALTH SERVICES, INC.
Technician (Personal Care Attendant)
1801 S 5TH ST, SUITE C & D
MCALLEN, TX 78503
Hidalgo County (956) 353-6007
FIRST CHOICE PHC SERVICES
Home Health
1801 S 5TH ST, STE 117 B
MCALLEN, TX 78503
Hidalgo County (956) 683-7677
JULIAN GOMEZ III, M.D. PA
Surgery (Vascular Surgery)
1801 S 5TH ST, SUITE 124
MCALLEN, TX 78503
Hidalgo County (956) 630-2786
HONEYBEE CATEDRAL APOLINARIO PT
Physical Therapist
1801 S 5TH ST, SUITE 205
MCALLEN, TX 78503
Hidalgo County (956) 467-5409
JOSEPH DAMIAN MCDONALD M.D.
Pediatrics
1801 S 5TH ST, STE 114
MCALLEN, TX 78503
Hidalgo County (956) 682-6346
MRS. MAXINE CANO GUTIERREZ LCSW
Social Worker (Clinical)
1801 S 5TH ST, SUITE #122
MCALLEN, TX 78503
Hidalgo County (956) 630-9454
ACCURATE VASCULAR DIAGNOSTIC CENTER, LLC
Physiological Laboratory
1801 S 5TH ST, SUITE 208
MCALLEN, TX 78503
Hidalgo County (956) 994-9193
DR. JULIAN GOMEZ III MD
Surgery (Vascular Surgery)
1801 S 5TH ST, STE 124
MCALLEN, TX 78503
Hidalgo County (956) 630-2786

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 Hector Urrutia's NPI number?

The NPI number for Hector Urrutia is 1639392665. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Hector Urrutia located?

Hector Urrutia practices at 1801 S 5th St Suite 130, Mcallen, TX 78503. The listed phone number is (956) 687-7863.

What is Hector Urrutia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Hector Urrutia enrolled in Medicare?

Yes. Hector Urrutia 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 Hector Urrutia accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Hector Urrutia 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 Hector Urrutia affiliated with any hospitals?

According to CMS data, Hector Urrutia is affiliated with Rio Grande Regional Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Hector Urrutia was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.