JOSE RAFAEL CANO PENALOZA M.D.
NPI 1770015950
Family Medicine in Mcallen, TX

Q: What is Jose Cano Penaloza's NPI number?

The NPI number for Jose Cano Penaloza is 1770015950. It was assigned to this individual provider in the NPPES registry on March 28, 2017. The provider is also known as Jose Rafael Cano M.D..

Q: What is Jose Cano Penaloza's specialty?

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

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment

81.44/100

CMS Quality Rating

205 E TORONTO AVE, MCALLEN, TX 78503(956) 687-6155(956) 682-0597 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 10, 2020, Sep 21, 2020, Mar 11, 2020 and 1 more (4 updates tracked since 2017).

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About Jose Rafael Cano Penaloza M.d. NPPES

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

JOSE RAFAEL CANO PENALOZA M.D. (NPI 1770015950) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (S5337) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Knapp Medical Center, and maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1770015950

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOSE RAFAEL CANO PENALOZACredential: M.D.

Location Address205 E TORONTO AVEMcallen, TX 78503-1209

Mailing Address205 E Toronto AveMcallen, TX 78503-1209 · (956) 687-6155 · Fax (956) 618-0451

Phone(956) 687-6155

Fax(956) 682-0597

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMarch 28, 2017

Last NPPES UpdateDecember 10, 20204 updates tracked since enumeration

NPPES CertifiedDecember 10, 2020

✔ NPI 1770015950 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 · S5337

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.

205 E TORONTO AVE, Mcallen, TX 78503

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Other Names 1

Professional Name (2)Jose Rafael Cano M.d.

Secondary Practice Location 1

Location 14316 James Casey St Ste B-100Austin, TX 78745-1142 · Phone (512) 444-4325 · Fax (512) 444-3327

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

Jose Rafael Cano Penaloza 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 ID5991074296

PECOS Enrollment IDI20200327001138

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 Jose Cano Penaloza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Texas Rio Grande Valley

10 mi

Family Medicine

3341 E RICHARDSON RD
Edinburg, TX 78542

Reassigned Medicare billing, Texas enrollment
96 clinicians in this Medicare group

NPI 1811436504 (956) 318-2915

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 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 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.

42 services38 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 services23 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Knapp Medical Center

Acute Care Hospitals · Weslaco, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450128

Location1401 East Eight StreetWeslaco, TX 78596 · Hidalgo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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.

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

Quality

65.83

Promoting Interoperability

Improvement Activities

Cost

49.23

Reported Quality Measures

Breast Cancer Screening

37%174 patients2/55-star benchmark: 93%

Cervical Cancer Screening

52%250 patients3/55-star benchmark: 98%

Colorectal Cancer Screening

38%388 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

55%354 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

18%230 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

58%230 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

87%1,343 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

97%208 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

69%697 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

66%556 patients3/55-star benchmark: 97%

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

42%592 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 649 patients

Patients screened: 99% · 649 patients

71%41 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

66%239 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

89%291 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 223 patients

Patients totalRate: 12% · 223 patients

12%223 patients3/55-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.

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.

DR. CYNTHIA CAVAZOS-GONZALEZ PH.D

Psychologist (Clinical)