ADOLPH MARES JR. MD
NPI 1730180290
Internal Medicine - Cardiovascular Disease in Harker Heights, TX

Q: What is Adolph Mares's NPI number?

The NPI number for Adolph Mares is 1730180290. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Q: What is Adolph Mares's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Adolph Mares was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment

97.67/100

CMS Quality Rating

800 W CENTRAL TEXAS EXPY, STE. 355, HARKER HEIGHTS, TX 76548(254) 526-2085(254) 526-9569 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Adolph Mares Jr. Md NPPES

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

ADOLPH MARES JR. MD (NPI 1730180290) is an individual cardiovascular disease provider in Harker Heights, Texas, licensed in Texas (H7323) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of Baylor College Of Medicine (1987).

NPPES Registry Identity

NPI1730180290

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameADOLPH MARES JR.Credential: MD

Location Address800 W CENTRAL TEXAS EXPY, STE. 355Harker Heights, TX 76548-1899

Mailing AddressPo Box 402669Atlanta, GA 30384-2669 · (512) 206-4300 · Fax (512) 206-4350

Phone(254) 526-2085

Fax(254) 526-9569

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 1987

Enumeration DateAugust 9, 2005

Last NPPES UpdateJanuary 26, 2022

✔ NPI 1730180290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in TX · H7323

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

800 W CENTRAL TEXAS EXPY, Harker Heights, TX 76548

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Other Identifiers 2

Medicaid1358335-10TX

Medicaid1358335-01TX

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

Adolph Mares Jr. 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 ID7911031497

PECOS Enrollment IDI20100819000442

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 17

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.

1,524 services908 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

700 services678 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.

644 services532 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

293 services289 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

100 services25 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

99 services96 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

91 services91 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

66 services17 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 services38 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

35 services35 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

26 services25 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

21 services21 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

20 services20 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

20 services19 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

14 services14 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450152

Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County

Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450431

Location919 E 32nd StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

Seton Medical Center Harker Heights

Acute Care Hospitals · Harker Heights, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number670080

Location850 W Central Texas ExpresswayHarker Heights, TX 76548 · Bell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76548 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

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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.

97.67/100

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

Individually scored

Quality

97.26

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

45%133 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

81%1,858 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%4,626 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

96%1,641 patients4/55-star benchmark: 100%

Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)

86%64 patients4/55-star benchmark: 100%

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

43%1,187 patients3/55-star benchmark: 61%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87%1,516 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,726 patients

Patients totalRate: 0% · 1,726 patients

0%1,726 patients5/55-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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$14.64 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

1 supplier12 claims12 services$82.15 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 15

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

MIJU LEE

Nurse Practitioner

800 W CENTRAL TEXAS EXPY, STE 125
HARKER HEIGHTS, TX 76548

Bell County (254) 618-1150

MR. JOHN PATRICK DUGGAN JR. MD

Orthopaedic Surgery

800 W CENTRAL TEXAS EXPY, SUITE 175
HARKER HEIGHTS, TX 76548

Bell County (254) 618-1095

DR. ERIK ROBERT LOVRIA M.D.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

800 W CENTRAL TEXAS EXPY, SUITE 175
HARKER HEIGHTS, TX 76548

Bell County (254) 618-1095

DR. KENECHUKWU O ENELI M.D.

Family Medicine

800 W CENTRAL TEXAS EXPY, 125
HARKER HEIGHTS, TX 76548

Bell County (254) 618-1050

NANCY GISELA ZEGARRA M.D.

Internal Medicine

800 W CENTRAL TEXAS EXPY, SUITE # 390
HARKER HEIGHTS, TX 76548

Bell County (254) 618-4330

MRS. PATRICIA HIGHTOWER LAMBDEN NP

Clinical Nurse Specialist (Adult Health)

800 W CENTRAL TEXAS EXPY, SUITE 355
HARKER HEIGHTS, TX 76548

Bell County (254) 526-2085

KIMBERLY DIETZE CNM

Advanced Practice Midwife

800 W CENTRAL TEXAS EXPY, SUITE 200
HARKER HEIGHTS, TX 76548

Bell County (254) 519-2229

WILLIAM RICHARD CASHION JR. MD

Internal Medicine (Cardiovascular Disease)

800 W CENTRAL TEXAS EXPY, STE. 355
HARKER HEIGHTS, TX 76548

Bell County (254) 526-2085

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 Adolph Mares's NPI number?

The NPI number for Adolph Mares is 1730180290. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Adolph Mares located?

Adolph Mares practices at 800 W Central Texas Expy Ste. 355, Harker Heights, TX 76548. The listed phone number is (254) 526-2085.

What is Adolph Mares's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Adolph Mares enrolled in Medicare?

Yes. Adolph Mares 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 Adolph Mares accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Adolph Mares 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 Adolph Mares affiliated with any hospitals?

According to CMS data, Adolph Mares is affiliated with Baylor Scott & White Medical Center - Temple, Adventhealth Central Texas, St David's Medical Center and Seton Medical Center Harker Heights.

When was this NPI record last updated?

The NPPES record for Adolph Mares was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.