CAROLINA GOMEZ DE ZIEGLER MD
NPI 1669993143
Family Medicine in Edinburg, TX

Q: What is Carolina Gomez De Ziegler's NPI number?

The NPI number for Carolina Gomez De Ziegler is 1669993143. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Q: What is Carolina Gomez De Ziegler's specialty?

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

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment

90.37/100

CMS Quality Rating

2533 W TRENTON RD STE 8, EDINBURG, TX 78539(956) 609-7662(956) 474-9968 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2026, Aug 6, 2020, Jul 5, 2017 (3 updates tracked since 2017).

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About Carolina Gomez De Ziegler Md NPPES

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

CAROLINA GOMEZ DE ZIEGLER MD (NPI 1669993143) is an individual family medicine provider in Edinburg, Texas, licensed in Texas (S3388) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Knapp Medical Center, and maintains a secondary practice location in Weslaco.

NPPES Registry Identity

NPI1669993143

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCAROLINA GOMEZ DE ZIEGLERCredential: MD

Location Address2533 W TRENTON RD STE 8Edinburg, TX 78539-5070

Mailing Address405 E ZenaidaMcallen, TX 78504-1683

Phone(956) 609-7662

Fax(956) 474-9968

Sole ProprietorYes

Medical School CMSOther

Enumeration DateJuly 5, 2017

Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration

NPPES CertifiedMarch 3, 2026

✔ NPI 1669993143 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 · S3388

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 S3388 (TX)

2533 W TRENTON RD STE 8, Edinburg, TX 78539

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Secondary Practice Location 1

Location 11401 E Eight StWeslaco, TX 78596 · Phone (956) 296-1423

Other Identifiers 1

OtherH08MV75301TX · Bcbs

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

Carolina Gomez De Ziegler 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 ID3072935717

PECOS Enrollment IDI20200625000494

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 6

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.

54 services38 patients

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.

47 services22 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.

35 services21 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

24 services23 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.

22 services22 patients

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.

22 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Knapp Medical Center

Acute Care Hospitals · Weslaco, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450128

Location1401 East Eight StreetWeslaco, TX 78596 · Hidalgo County

Emergency services 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 78539 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.

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.

90.37/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

77.34

Promoting Interoperability

100

Improvement Activities

Cost

57.23

Reported Quality Measures

Breast Cancer Screening

59%138 patients3/55-star benchmark: 93%

Cervical Cancer Screening

62%263 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

38%24 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

46%317 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

56%227 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

19%184 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

58%184 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

71%1,440 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

48%196 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

52%681 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

61%534 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

25%619 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 72% · 593 patients

Patients screened: 74% · 593 patients

76%42 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

79%252 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

91%213 patients5/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 208 patients

Patients totalRate: 6% · 209 patients

4%209 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

1 supplier12 claims232 services$2.50 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims500 services$0.23 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

1 supplier12 claims500 services$0.23 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 supplier11 claims341 services$4.72 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 supplier11 claims5,706 services$0.60 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 2

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

SOMA HEALTH PA

Family Medicine

2533 W TRENTON RD STE 8
EDINBURG, TX 78539

Hidalgo County (956) 663-1809

SOMA HEALTH, PLLC

Family Medicine

2533 W TRENTON RD STE 8
EDINBURG, TX 78539

Hidalgo County (956) 663-1809

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 Carolina Gomez De Ziegler's NPI number?

The NPI number for Carolina Gomez De Ziegler is 1669993143. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Carolina Gomez De Ziegler located?

Carolina Gomez De Ziegler practices at 2533 W Trenton Rd Ste 8, Edinburg, TX 78539. The listed phone number is (956) 609-7662.

What is Carolina Gomez De Ziegler's specialty?

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

Is Carolina Gomez De Ziegler enrolled in Medicare?

Yes. Carolina Gomez De Ziegler 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 Carolina Gomez De Ziegler 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 2 other insurers list Carolina Gomez De Ziegler 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 Carolina Gomez De Ziegler affiliated with any hospitals?

According to CMS data, Carolina Gomez De Ziegler is affiliated with Knapp Medical Center, Rio Grande Regional Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Carolina Gomez De Ziegler was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.