DR. JOSE ERNESTO CAMPO-MALDONADO M,D
NPI 1720224231
Internal Medicine in Harlingen, TX

Active since January 05, 2009PECOS EnrolledAccepts Medicare Assignment
81.44/100
CMS Quality Rating
2101 PEASE ST, HARLINGEN, TX 78550(956) 296-1491(956) 389-4603 Get Directions Write a Review

NPPES record last updated: May 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jose Ernesto Campo-maldonado M,d NPPES

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

DR. JOSE ERNESTO CAMPO-MALDONADO M,D (NPI 1720224231) is an individual internal medicine provider in Harlingen, Texas, licensed in Texas (P5940) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1720224231
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSE ERNESTO CAMPO-MALDONADOCredential: M,D
Location Address2101 PEASE STHarlingen, TX 78550-8307
Mailing Address2102 Treasure Hills Blvd # 3.14406Harlingen, TX 78550-8736 · (956) 296-1437 · Fax (956) 296-6842
Fax(956) 389-4603
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 5, 2009
Last NPPES UpdateMay 11, 2018
NPI 1720224231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · P5940
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.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License P5940 (TX)
2101 PEASE ST, Harlingen, TX 78550

Other Identifiers 2

OtherH08HV41601TX · Bcbs
Medicaid3335044-03TX

Accepted 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. Jose Ernesto Campo-maldonado 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 ID2668609439
PECOS Enrollment IDI20131226001449
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 2

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.
81 services28 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78550 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.

81.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

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.

Pediatrics
2101 PEASE ST
HARLINGEN, TX 78550
Nurse Anesthetist, Certified Registered
2101 PEASE ST
HARLINGEN, TX 78550
Pathology (Anatomic Pathology & Clinical Pathology)
2101 PEASE ST
HARLINGEN, TX 78550
Occupational Therapist
2101 PEASE ST
HARLINGEN, TX 78550
Student in an Organized Health Care Education/Training Program
2101 PEASE ST
HARLINGEN, TX 78550
Nurse Practitioner (Family)
2101 PEASE ST
HARLINGEN, TX 78550
Hospitalist
2101 PEASE ST
HARLINGEN, TX 78550
Nurse Anesthetist, Certified Registered
2101 PEASE ST
HARLINGEN, TX 78550

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 Jose Campo-maldonado's NPI number?

The NPI number for Jose Campo-maldonado is 1720224231. It was assigned to this individual provider in the NPPES registry on January 5, 2009.

Where is Jose Campo-maldonado located?

Jose Campo-maldonado practices at 2101 Pease St, Harlingen, TX 78550. The listed phone number is (956) 296-1491.

What is Jose Campo-maldonado's specialty?

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

Is Jose Campo-maldonado enrolled in Medicare?

Yes. Jose Campo-maldonado 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 Jose Campo-maldonado accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Jose Campo-maldonado 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 Jose Campo-maldonado affiliated with any hospitals?

According to CMS data, Jose Campo-maldonado is affiliated with Vhs Harlingen Hospital Company LLC.

When was this NPI record last updated?

The NPPES record for Jose Campo-maldonado was last updated on May 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.