Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESUS JAIME PEDRAZA-BANDA
NPI 1649960642
Physician Assistant in Mission, TX

Active since May 11, 2023PECOS Enrolled
1317 ST CLAIRE BLVD STE A6, MISSION, TX 78572(956) 997-6000 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, May 11, 2023 (2 updates tracked since 2023).

About Jesus Jaime Pedraza-banda NPPES

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

JESUS JAIME PEDRAZA-BANDA (NPI 1649960642) is an individual physician assistant in Mission, Texas, licensed in Texas (PA20136) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Univeristy Of Texas Rio Grande Valley Med School (2025).

NPPES Registry Identity

NPI1649960642
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJESUS JAIME PEDRAZA-BANDA
Location Address1317 ST CLAIRE BLVD STE A6Mission, TX 78572-8440
Mailing Address1317 St Claire Blvd Ste A6Mission, TX 78572-8440 · (956) 997-6000
Sole ProprietorNo
Medical School CMSUniveristy Of Texas Rio Grande Valley Med SchoolGraduated 2025
Enumeration DateMay 11, 2023
Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1649960642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA20136
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1317 ST CLAIRE BLVD STE A6, Mission, TX 78572

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesus Jaime Pedraza-banda is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204393820
PECOS Enrollment IDI20260804002309
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jesus Pedraza-banda reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
1317 ST CLAIRE BLVD STE A5
Mission, TX 78572
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
Cardiovascular Disease
1621 S CLOSNER BLVD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
Cardiovascular Disease
910 E 8TH ST STE 11
Weslaco, TX 78596
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$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.

Other Providers at the Same Location NPPES

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

Physician Assistant
1317 ST CLAIRE BLVD STE A6
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 Jesus Pedraza-banda's NPI number?

The NPI number for Jesus Pedraza-banda is 1649960642. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Jesus Pedraza-banda located?

Jesus Pedraza-banda practices at 1317 St Claire Blvd Ste A6, Mission, TX 78572. The listed phone number is (956) 997-6000.

What is Jesus Pedraza-banda's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jesus Pedraza-banda enrolled in Medicare?

Yes. Jesus Pedraza-banda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jesus Pedraza-banda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesus Pedraza-banda reassigns Medicare benefits to 3 organizations: South Texas Vascular And Heart Institute PA (Mission, TX), Rgv Vascular & Vein At Edinburg (Edinburg, TX) and Rgv Vascular & Vein Institute PLLC (Weslaco, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesus Pedraza-banda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesus Pedraza-banda accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Jesus Pedraza-banda 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.

When was this NPI record last updated?

The NPPES record for Jesus Pedraza-banda was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.