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EDGARDO LUIS COLON-PINEIRO MD
NPI 1770809535
Family Medicine in Horizon City, TX

Active since April 19, 2010PECOS EnrolledAccepts Medicare Assignment
13600 HORIZON BLVD, HORIZON CITY, TX 79928(915) 298-3607 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2021, Feb 12, 2020 (2 updates tracked since 2020).

About Edgardo Luis Colon-pineiro Md NPPES

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

EDGARDO LUIS COLON-PINEIRO MD (NPI 1770809535) is an individual family medicine provider in Horizon City, Texas, licensed in Texas (Q2986) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2015).

NPPES Registry Identity

NPI1770809535
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDGARDO LUIS COLON-PINEIROCredential: MD
Location Address13600 HORIZON BLVDHorizon City, TX 79928-5810
Mailing Address13600 Horizon Blvd Ste 240Horizon City, TX 79928-5810 · (915) 267-0028 · Fax (915) 267-0029
Phone(915) 298-3607
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2015
Enumeration DateApril 19, 2010
Last NPPES UpdateFebruary 10, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
✔ NPI 1770809535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · Q2986
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 17866 (PR)
13600 HORIZON BLVD, Horizon City, TX 79928
Open in Google Maps ↗

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

Edgardo Luis Colon-pineiro 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 ID3678886397
PECOS Enrollment IDI20150723007703
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 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.

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.
60 services24 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.
47 services29 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
20 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79928 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 2

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

HCN EP HORIZON CITY, LLC
General Acute Care Hospital
13600 HORIZON BLVD, SUITE 100
HORIZON CITY, TX 79928
El Paso County (713) 637-1146
ROCHELLE FERNANDES PA-C
Physician Assistant (Medical)
13600 HORIZON BLVD
HORIZON CITY, TX 79928
El Paso County (915) 407-7878

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 Edgardo Colon-pineiro's NPI number?

The NPI number for Edgardo Colon-pineiro is 1770809535. It was assigned to this individual provider in the NPPES registry on April 19, 2010.

Where is Edgardo Colon-pineiro located?

Edgardo Colon-pineiro practices at 13600 Horizon Blvd, Horizon City, TX 79928. The listed phone number is (915) 298-3607.

What is Edgardo Colon-pineiro's specialty?

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

Is Edgardo Colon-pineiro enrolled in Medicare?

Yes. Edgardo Colon-pineiro 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 Edgardo Colon-pineiro 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 4 other insurers list Edgardo Colon-pineiro 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.

When was this NPI record last updated?

The NPPES record for Edgardo Colon-pineiro was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.