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PATRICIA LAUREL M.D.
NPI 1679728364
Internal Medicine in Rio Grande City, TX

Active since November 21, 2008PECOS EnrolledAccepts Medicare Assignment
208 N BRITTON AVE, RIO GRANDE CITY, TX 78582(956) 413-8786 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2024, Apr 25, 2022, Jul 16, 2019 (3 updates tracked since 2019).

About Patricia Laurel M.d. NPPES

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

PATRICIA LAUREL M.D. (NPI 1679728364) is an individual internal medicine provider in Rio Grande City, Texas, licensed in Texas (N1378) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Starr County Memorial Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1679728364
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePATRICIA LAURELCredential: M.D.
Location Address208 N BRITTON AVERio Grande City, TX 78582-3843
Mailing Address208 N Britton AveRio Grande City, TX 78582-3843 · (956) 413-8786 · Fax (956) 413-8756
Phone(956) 413-8786
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 21, 2008
Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1679728364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · N1378
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

208 N BRITTON AVE, Rio Grande City, TX 78582
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Patricia Laurel 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 ID4981768686
PECOS Enrollment IDI20090124000063
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 3

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.
35 services26 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.
32 services21 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Starr County Memorial Hospital

Acute Care Hospitals · Rio Grande City, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450654
Location128 N Fm Rd 3167Rio Grande City, TX 78582 · Starr 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 78582 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
$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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
40%182 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
22%73 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%779 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
17%249 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%282 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
9%438 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
35%419 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
62%438 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%438 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
27%438 patients
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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers22 claims22 services$208.85 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 3

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

DOCTOR'S CLINIC OF RIO GRANDE CITY PLLC
Internal Medicine
208 N BRITTON AVE
RIO GRANDE CITY, TX 78582
Starr County (210) 560-8646
GENERATIONS GROWING TOGETHER, INC
Counselor (Professional)
208 N BRITTON AVE
RIO GRANDE CITY, TX 78582
Starr County (956) 600-6736
MARIA CELINDA POLITO LPC
Counselor (Professional)
208 N BRITTON AVE
RIO GRANDE CITY, TX 78582
Starr County (956) 600-6736

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 Patricia Laurel's NPI number?

The NPI number for Patricia Laurel is 1679728364. It was assigned to this individual provider in the NPPES registry on November 21, 2008.

Where is Patricia Laurel located?

Patricia Laurel practices at 208 N Britton Ave, Rio Grande City, TX 78582. The listed phone number is (956) 413-8786.

What is Patricia Laurel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Patricia Laurel enrolled in Medicare?

Yes. Patricia Laurel 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 Patricia Laurel accept?

Health plans from Blue Cross and Blue Shield of Texas list Patricia Laurel 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 Patricia Laurel affiliated with any hospitals?

According to CMS data, Patricia Laurel is affiliated with Starr County Memorial Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Patricia Laurel was last updated on March 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.