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MR. MICHAEL GERARD FUENTES M.D.
NPI 1689721383
Physical Medicine & Rehabilitation - Pain Medicine in Corpus Christi, TX

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
5656 S STAPLES ST, STE 252, CORPUS CHRISTI, TX 78411(361) 888-7716(361) 888-7718 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Michael Gerard Fuentes M.d. NPPES

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

MR. MICHAEL GERARD FUENTES M.D. (NPI 1689721383) is an individual pain medicine provider in Corpus Christi, Texas, licensed in Texas (K4062) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Corpus Christi, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1689721383
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameMR. MICHAEL GERARD FUENTESCredential: M.D.
Location Address5656 S STAPLES ST, STE 252Corpus Christi, TX 78411-4655
Mailing Address5402 Wooldridge RdCorpus Christi, TX 78413-3837 · (361) 888-7716 · Fax (361) 888-7718
Phone(361) 888-7716
Fax(361) 888-7718
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1689721383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in TX · K4062
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
5656 S STAPLES ST, Corpus Christi, TX 78411
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Secondary Practice Locations 4

Location 1301 S Hillside Dr Ste 5Beeville, TX 78102-5324 · Phone (361) 326-0307 · Fax (361) 492-5521
Location 21210 N Retama StKingsville, TX 78363-3496 · Phone (361) 239-0600
Location 3621 E Sinton StSinton, TX 78387-2801 · Phone (361) 364-4486
Location 4213 S DuVal StMathis, TX 78368-2613 · Phone (361) 547-4121 · Fax (361) 384-4254

Other Identifiers 2

Medicaid030121001TX
Medicaid030121003TX

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Gerard Fuentes 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 ID4981684867
PECOS Enrollment IDI20100927001508
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

2

Medicare enrollment records show Michael Fuentes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michael G Fuentes MD PA
Same address
Physical Medicine & Rehabilitation
5656 S STAPLES ST, SUITE 252
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
NPI 1477864825 (361) 888-7716
Community Action Corporation Of South Texas
25 mi
Federally Qualified Health Center (FQHC)
621 E SINTON ST
Sinton, TX 78387
  • Reassigned Medicare billing, Texas enrollment
  • 26 clinicians in this Medicare group
NPI 1447696273 (361) 364-4486

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

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 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.
425 services97 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
405 services86 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.
79 services76 patients
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.
26 services19 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Spohn Hospital Corpus Christi

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County
Emergency services Birthing friendly

Corpus Christi Medical Center,the

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450788
Location6629 Woodridge RoadCorpus Christi, TX 78414 · Nueces County
Emergency services Birthing friendly

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

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%57 patients4/55-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.
100%167 patients5/55-star benchmark: 100%
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…
59%37 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
97%36 patients5/55-star benchmark: 96%
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…
14%37 patients1/55-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 7

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier15 claims15 services$56.91 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$21.32 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier24 claims48 services$2.19 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 suppliers17 claims17 services$119.50 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers75 claims75 services$21.33 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers42 claims42 services$33.84 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 7

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

MARGARET A HAYES LPC
Counselor
5656 S STAPLES ST, STE 330
CORPUS CHRISTI, TX 78411
Nueces County (361) 906-0676
MICHAEL G FUENTES MD PA
Physical Medicine & Rehabilitation
5656 S STAPLES ST, SUITE 252
CORPUS CHRISTI, TX 78411
Nueces County (361) 888-7716
SCOTT LAMB, M.D., P.A.
Physical Medicine & Rehabilitation
5656 S STAPLES ST, STE 252
CORPUS CHRISTI, TX 78411
Nueces County (361) 980-9312
WINTER R KENNEDY LPC
Counselor
5656 S STAPLES ST, STE 330
CORPUS CHRISTI, TX 78411
Nueces County (361) 906-0676
SPOUDAZO RESOURCES OF SOUTH TEXAS
Counselor
5656 S STAPLES ST, STE 330
CORPUS CHRISTI, TX 78411
Nueces County (361) 906-0676
DR. RONALD RICHARD KUFFEL JR. M.D.
Ophthalmology (Retina Specialist)
5656 S STAPLES ST, SUITE 280
CORPUS CHRISTI, TX 78411
Nueces County (361) 991-0500
MEDWORKS INC
Clinical Medical Laboratory
5656 S STAPLES ST, STE 252
CORPUS CHRISTI, TX 78411
Nueces County (361) 888-7716

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 Michael Fuentes's NPI number?

The NPI number for Michael Fuentes is 1689721383. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Michael Fuentes located?

Michael Fuentes practices at 5656 S Staples St Ste 252, Corpus Christi, TX 78411. The listed phone number is (361) 888-7716.

What is Michael Fuentes's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Michael Fuentes enrolled in Medicare?

Yes. Michael Fuentes 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.

Which organizations bill Medicare for Michael Fuentes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Fuentes reassigns Medicare benefits to 2 organizations: Michael G Fuentes MD PA (Corpus Christi, TX) and Community Action Corporation Of South Texas (Sinton, 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 Michael Fuentes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Fuentes 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 Michael Fuentes 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 Michael Fuentes affiliated with any hospitals?

According to CMS data, Michael Fuentes is affiliated with Christus Spohn Hospital Corpus Christi and Corpus Christi Medical Center,the.

When was this NPI record last updated?

The NPPES record for Michael Fuentes was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.