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MARIO A ECHAVARRIA M.D.
NPI 1811904493
Family Medicine in Mcallen, TX

Active since August 03, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D1006439 · Waiver
5800 N 23RD ST, MCALLEN, TX 78504(956) 971-9999(956) 971-9979 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2024, Nov 20, 2020, Nov 7, 2020 and 2 more (5 updates tracked since 2017).

About Mario A Echavarria M.d. NPPES

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

MARIO A ECHAVARRIA M.D. (NPI 1811904493) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (L3631) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 9, 2028, and is affiliated with Rio Grande Regional Hospital.

NPPES Registry Identity

NPI1811904493
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARIO A ECHAVARRIACredential: M.D.
Location Address5800 N 23RD STMcallen, TX 78504-3957
Mailing Address5800 N 23rd StMcallen, TX 78504-3957 · (956) 971-9999 · Fax (956) 971-9979
Phone(956) 971-9999
Fax(956) 971-9979
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 2000
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 11, 20245 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1811904493 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 · L3631
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.
5800 N 23RD ST, Mcallen, TX 78504
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Other Identifiers 2

Medicaid157003805TX
Medicaid157003804TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Mario A Echavarria 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 ID7810046620
PECOS Enrollment IDI20100803001279
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 Echavarria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health And Human Services Commission
34 mi
Clinical Neuropsychologist
1401 S RANGERVILLE RD
Harlingen, TX 78552
  • Reassigned Medicare billing, Texas enrollment
  • 452 clinicians in this Medicare group
NPI 1356414692 (956) 364-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1006439

Mario A Echavarria M D · Mcallen, TX
Active · expires Feb 9, 2028
CLIA Number45D1006439
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorMario A. Echavarria
Laboratory Phone(956) 971-9999
Laboratory LocationMario A Echavarria M D5800 N 23rd Street, Mcallen, TX 78504
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
133 services34 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.
92 services29 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.
78 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services23 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services14 patients

Hospital Affiliations CMS Care Compare

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

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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.

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 Echavarria's NPI number?

The NPI number for Mario Echavarria is 1811904493. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Mario Echavarria located?

Mario Echavarria practices at 5800 N 23rd St, Mcallen, TX 78504. The listed phone number is (956) 971-9999.

What is Mario Echavarria's specialty?

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

Is Mario Echavarria enrolled in Medicare?

Yes. Mario Echavarria 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 Echavarria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Echavarria reassigns Medicare benefits to Health And Human Services Commission (Harlingen, 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 Echavarria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Mario Echavarria hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1006439) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mario Echavarria 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 2 other insurers list Mario Echavarria 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 Echavarria affiliated with any hospitals?

According to CMS data, Mario Echavarria is affiliated with Rio Grande Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mario Echavarria was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.