DR. WAGNER VAZ GUIMARAES M.D.
NPI 1659786044
Family Medicine in Mcallen, TX

Q: What is Wagner Vaz Guimaraes's NPI number?

The NPI number for Wagner Vaz Guimaraes is 1659786044. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Q: What is Wagner Vaz Guimaraes's specialty?

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

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment

205 E TORONTO AVE, MCALLEN, TX 78503(956) 687-6155(956) 682-0597 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2024, Aug 15, 2023, Oct 30, 2020 and 1 more (4 updates tracked since 2017).

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About Dr. Wagner Vaz Guimaraes M.d. NPPES

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

DR. WAGNER VAZ GUIMARAES M.D. (NPI 1659786044) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (S5099) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1659786044

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. WAGNER VAZ GUIMARAESCredential: M.D.

Location Address205 E TORONTO AVEMcallen, TX 78503-1209

Mailing Address205 E Toronto AveMcallen, TX 78503-1209 · (956) 687-6155 · Fax (956) 682-0597

Phone(956) 687-6155

Fax(956) 682-0597

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 24, 2014

Last NPPES UpdateJuly 17, 20244 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1659786044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · S5099

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.

Also ListedHospitalistTaxonomy 208M00000X · License S5099 (TX)

205 E TORONTO AVE, Mcallen, TX 78503

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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

Dr. Wagner Vaz Guimaraes M.d. 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 ID8426489535

PECOS Enrollment IDI20200505001784

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.

180 services67 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.

146 services69 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.

77 services75 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

38 services36 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Valley Regional Medical Center

Acute Care Hospitals · Brownsville, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450662

Location100 A Alton GloorBrownsville, TX 78526 · Cameron County

Emergency services Birthing friendly

Harlingen Medical Center

Acute Care Hospitals · Harlingen, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450855

Location5501 South Expressway 77Harlingen, TX 78550 · Cameron 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

$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 4

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims78 services$3.28 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims358 services$5.89 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims7,722 services$0.66 avg. paid by Medicare

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 suppliers15 claims15 services$90.34 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.

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