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DR. MARIO RIZALINO BASCON ROA JR. M.D.
NPI 1740445758
Family Medicine in College Station, TX

Active since July 20, 2008PECOS EnrolledAccepts Medicare Assignment
4421 HIGHWAY 6 S STE 100, COLLEGE STATION, TX 77845(979) 731-5200(979) 731-5210 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mario Rizalino Bascon Roa Jr. M.d. NPPES

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

DR. MARIO RIZALINO BASCON ROA JR. M.D. (NPI 1740445758) is an individual family medicine provider in College Station, Texas, licensed in Texas (N7865) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Regional Hospital, and maintains a secondary practice location in College Station.

NPPES Registry Identity

NPI1740445758
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIO RIZALINO BASCON ROA JR.Credential: M.D.
Location Address4421 HIGHWAY 6 S STE 100College Station, TX 77845-6176
Mailing Address1530 Texas Ave S Ste 100College Station, TX 77840-3329 · (979) 690-4878 · Fax (979) 690-4879
Phone(979) 731-5200
Fax(979) 731-5210
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 20, 2008
Last NPPES UpdateNovember 28, 2018
✔ NPI 1740445758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · N7865
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.
4421 HIGHWAY 6 S STE 100, College Station, TX 77845
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Secondary Practice Location 1

Location 11530 Texas Ave S Ste 100College Station, TX 77840-3329 · Phone (979) 690-4878 · Fax (979) 690-4879

Other Identifiers 1

Medicaid280666302TX

Accepted Insurance

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

Dr. Mario Rizalino Bascon Roa Jr. 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 ID5092998187
PECOS Enrollment IDI20110328000445
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 Reassignment

Medicare enrollment records show Mario Rizalino Roa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Joseph Regional Health Center
6.2 mi
Family Medicine
2801 FRANCISCAN DR
Bryan, TX 77802
  • Reassigned Medicare billing, Texas enrollment
  • 141 clinicians in this Medicare group
NPI 1669557179 (979) 776-2426

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 4

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 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.
169 services155 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
25 services23 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
19 services16 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450011
Location2801 Franciscan DrBryan, TX 77802 · Brazos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77845 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.

Other Providers at the Same Location NPPES 4

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

JANET KRUEGER M.D.
Emergency Medicine (Emergency Medical Services)
4421 HIGHWAY 6 S STE 100
COLLEGE STATION, TX 77845
Brazos County (979) 731-5200
KELLI RICH NP-C
Nurse Practitioner (Family)
4421 HIGHWAY 6 S STE 100
COLLEGE STATION, TX 77845
Brazos County (979) 731-5200
JANA KIMBERLIN FNP
Nurse Practitioner (Family)
4421 HIGHWAY 6 S STE 100
COLLEGE STATION, TX 77845
Brazos County (979) 731-5200
HOLLY JACKSON PA-C
Physician Assistant
4421 HIGHWAY 6 S STE 100
COLLEGE STATION, TX 77845
Brazos County (979) 731-5200

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 Mario Rizalino Roa's NPI number?

The NPI number for Mario Rizalino Roa is 1740445758. It was assigned to this individual provider in the NPPES registry on July 20, 2008.

Where is Mario Rizalino Roa located?

Mario Rizalino Roa practices at 4421 Highway 6 S Ste 100, College Station, TX 77845. The listed phone number is (979) 731-5200.

What is Mario Rizalino Roa's specialty?

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

Is Mario Rizalino Roa enrolled in Medicare?

Yes. Mario Rizalino Roa 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 organization bills Medicare for Mario Rizalino Roa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Rizalino Roa reassigns Medicare benefits to St. Joseph Regional Health Center (Bryan, TX). The 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 Mario Rizalino Roa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Rizalino Roa accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Mario Rizalino Roa 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 Mario Rizalino Roa affiliated with any hospitals?

According to CMS data, Mario Rizalino Roa is affiliated with Chi St Joseph Health Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mario Rizalino Roa was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.