DR. DANIEL ROEL CONTRERAS MD
NPI 1639496177
Family Medicine in Mission, TX

Active since April 23, 2010PECOS EnrolledAccepts Medicare Assignment
1920 E GRIFFIN PKWY, MISSION, TX 78572(956) 584-3353 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Daniel Roel Contreras Md NPPES

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

DR. DANIEL ROEL CONTRERAS MD (NPI 1639496177) is an individual family medicine provider in Mission, Texas, licensed in Texas (550130) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of University Of Texas Medical School At San Antonio (2010).

NPPES Registry Identity

NPI1639496177
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANIEL ROEL CONTRERASCredential: MD
Location Address1920 E GRIFFIN PKWYMission, TX 78572-3106
Mailing Address1920 E Griffin PkwyMission, TX 78572-3106 · (956) 584-3353
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2010
Enumeration DateApril 23, 2010
Last NPPES UpdateNovember 11, 2015
NPI 1639496177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · 550130
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.
1920 E GRIFFIN PKWY, Mission, TX 78572

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

Dr. Daniel Roel 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 ID6002077682
PECOS Enrollment IDI20120406000275
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 11

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 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.
346 services178 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
111 services111 patients
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.
90 services78 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
44 services12 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.
24 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services18 patients

Hospital Affiliations CMS Care Compare 4

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Mission Regional Medical Center

Acute Care Hospitals · Mission, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450176
Location900 South Bryan RoadMission, TX 78572 · Hidalgo County
Birthing friendly

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 78572 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 13

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers45 claims142 services$6.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims29 services$1.11 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers13 claims75 services$14.02 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers19 claims19 services$42.81 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers16 claims16 services$13.89 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers22 claims22 services$7.68 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 15

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

Physician Assistant (Medical)
1920 E GRIFFIN PKWY
MISSION, TX 78572
Family Medicine
1920 E GRIFFIN PKWY
MISSION, TX 78572
Physician Assistant (Medical)
1920 E GRIFFIN PKWY
MISSION, TX 78572
Nurse Practitioner (Family)
1920 E GRIFFIN PKWY
MISSION, TX 78572
Family Medicine
1920 E GRIFFIN PKWY
MISSION, TX 78572
Physician Assistant (Medical)
1920 E GRIFFIN PKWY
MISSION, TX 78572
Nurse Practitioner (Family)
1920 E GRIFFIN PKWY
MISSION, TX 78572
Family Medicine
1920 E GRIFFIN PKWY
MISSION, TX 78572

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 Daniel Contreras's NPI number?

The NPI number for Daniel Contreras is 1639496177. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Daniel Contreras located?

Daniel Contreras practices at 1920 E Griffin Pkwy, Mission, TX 78572. The listed phone number is (956) 584-3353.

What is Daniel Contreras's specialty?

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

Is Daniel Contreras enrolled in Medicare?

Yes. Daniel 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 Daniel Contreras accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Daniel 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 Daniel Contreras affiliated with any hospitals?

According to CMS data, Daniel Contreras is affiliated with South Texas Health System, Mission Regional Medical Center, Rio Grande Regional Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Daniel Contreras was last updated on November 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.