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MARIO A TAPIA GOMEZ MD
NPI 1851563787
Internal Medicine in Harlingen, TX

Active since April 01, 2008PECOS EnrolledAccepts Medicare Assignment
2101 PEASE ST, HARLINGEN, TX 78550(956) 389-6565(956) 389-6567 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2024, Oct 19, 2020, Nov 19, 2019 and 1 more (4 updates tracked since 2017).

About Mario A Tapia Gomez Md NPPES

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

MARIO A TAPIA GOMEZ MD (NPI 1851563787) is an individual internal medicine provider in Harlingen, Texas, licensed in Texas (M9045) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Mankato, and maintains a secondary practice location in Mankato.

NPPES Registry Identity

NPI1851563787
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARIO A TAPIA GOMEZCredential: MD
Location Address2101 PEASE STHarlingen, TX 78550-8307
Mailing AddressPo Box 531768Harlingen, TX 78553-1768 · (956) 389-6565 · Fax (956) 389-6567
Phone(956) 389-6565
Fax(956) 389-6567
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 1, 2008
Last NPPES UpdateJune 25, 20264 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1851563787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · M9045✔ Licensed in MN · 61694
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License M9045 (TX), 2016029312 (MO)
2101 PEASE ST, Harlingen, TX 78550
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Secondary Practice Location 1

Location 11025 Marsh StMankato, MN 56001-4752 · Phone (507) 625-4549

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas.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 Tapia Gomez 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 ID2668542374
PECOS Enrollment IDI20160926000060, I20170123000937
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 Reassignments

8

Medicare enrollment records show Mario Tapia Gomez reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Butler Physician Services, LLC
846 mi
Internal Medicine
3100 OAK GROVE RD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 73 clinicians in this Medicare group
NPI 1982056545 (573) 776-2000
Boone Physician Services, LLC
934 mi
Multi-Specialty
1600 E BROADWAY
Columbia, MO 65201
  • Reassigned Medicare billing, Missouri enrollment
  • 302 clinicians in this Medicare group
NPI 1760893259 (573) 815-6245
Galen Inpatient Physicians PC.
949 mi
Hospitalist
1015 BOWLES AVE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 93 clinicians in this Medicare group
NPI 1538714688 (636) 496-2000
Mayo Clinic Health System-Fairmont
1,218 mi
Multi-Specialty
800 MEDICAL CENTER DR
Fairmont, MN 56031
  • Reassigned Medicare billing, Minnesota enrollment
  • 806 clinicians in this Medicare group
NPI 1366410862 (507) 238-8100
Mayo Clinic Health System-Southeast Minnesota Region
1,229 mi
Multi-Specialty
404 W FOUNTAIN ST
Albert Lea, MN 56007
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1063435410 (Minnesota)
  • 1,571 clinicians in this Medicare group
NPI 1891701637 (507) 373-2384
Mayo Clinic Health System-St James
1,240 mi
Critical Access
1101 MOULTON AND PARSONS DR
Saint James, MN 56081
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1023177730 (Minnesota)
  • 390 clinicians in this Medicare group
NPI 1639198732 (507) 375-3261
Mayo Clinic Health System-Southwest Minnesota Region
1,256 mi
Critical Access
501 NORTH STATE STREET
Waseca, MN 56093
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1518494251 (Minnesota), NPI 1124035282 (Minnesota)
  • 459 clinicians in this Medicare group
NPI 1740256668 (507) 835-1210
Mayo Clinic Health System-Lake City
1,296 mi
Critical Access
500 W GRANT ST
Lake City, MN 55041
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1164463659 (Minnesota)
  • 675 clinicians in this Medicare group
NPI 1538113022 (651) 345-3321

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
195 services78 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
141 services61 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
112 services111 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.
60 services59 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.
34 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

Bothwell Regional Health Center

Acute Care Hospitals · Sedalia, MO
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260009
Location601 E 14th StSedalia, MO 65302 · Pettis County
Emergency services Birthing friendly

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

Scotland County Hospital

Critical Access Hospitals · Memphis, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261310
Location450 E Sigler AvenueMemphis, MO 63555 · Scotland County
Emergency services

Macon County Samaritan Memorial Hospital

Critical Access Hospitals · Macon, MO
OwnershipGovernment - Local
CMS Certification Number261313
Location1205 North Missouri StMacon, MO 63552 · Macon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78550 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
$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 20

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

HELEN DELORES PADGETT CRNA
Nurse Anesthetist, Certified Registered
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 389-1100
YAHYA DANESHBOD MD
Pathology (Anatomic Pathology & Clinical Pathology)
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 389-6565
MRS. MARY PETERS-BENITEZ O.T.
Occupational Therapist
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 389-1690
JANETLY LUCIA REINOSO JIMENEZ
Student in an Organized Health Care Education/Training Program
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 454-0568
SABINO VEGA JR. MSN, NP
Nurse Practitioner (Family)
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 389-5000
DR. JESUS GUZMAN JR. DO
Hospitalist
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 389-1100
ROBIN MELINDA WOODARD CRNA
Nurse Anesthetist, Certified Registered
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 389-1100
CARLOS LUIS ALEJOS AGUERO MD
Internal Medicine
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 389-6565

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 Tapia Gomez's NPI number?

The NPI number for Mario Tapia Gomez is 1851563787. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Mario Tapia Gomez located?

Mario Tapia Gomez practices at 2101 Pease St, Harlingen, TX 78550. The listed phone number is (956) 389-6565.

What is Mario Tapia Gomez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mario Tapia Gomez enrolled in Medicare?

Yes. Mario Tapia Gomez 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 organizations bill Medicare for Mario Tapia Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Tapia Gomez reassigns Medicare benefits to 8 organizations: Butler Physician Services, LLC (Poplar Bluff, MO), Boone Physician Services, LLC (Columbia, MO), Galen Inpatient Physicians PC. (Fenton, MO), Mayo Clinic Health System-Fairmont (Fairmont, MN), Mayo Clinic Health System-Southeast Minnesota Region (Albert Lea, MN) and 3 more organizations, listed in the Medicare section above. Each 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 Tapia Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Tapia Gomez accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas list Mario Tapia Gomez 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 Tapia Gomez affiliated with any hospitals?

According to CMS data, Mario Tapia Gomez is affiliated with Mayo Clinic Health System - Mankato, Bothwell Regional Health Center, Boone Hospital Center, Scotland County Hospital and Macon County Samaritan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mario Tapia Gomez was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.