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SENECAE PATRICE ONTIBEROS
NPI 1851990931
Nurse Practitioner - Family in Pflugerville, TX

Active since October 20, 2020PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1119 BADLANDS DR, PFLUGERVILLE, TX 78660(512) 680-0017 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Senecae Patrice Ontiberos NPPES

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

SENECAE PATRICE ONTIBEROS (NPI 1851990931) is an individual family provider in Pflugerville, Texas, licensed in Texas (1010241) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1851990931
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSENECAE PATRICE ONTIBEROS
Location Address1119 BADLANDS DRPflugerville, TX 78660-5039
Mailing Address1119 Badlands DrPflugerville, TX 78660-5039 · (512) 680-0017
Phone(512) 680-0017
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1851990931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1010241
1119 BADLANDS DR, Pflugerville, TX 78660
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

Senecae Patrice Ontiberos 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 ID7618372574
PECOS Enrollment IDI20210816004100
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

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.
56 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78660 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Advance Care Plan
20%51 patients1/55-star benchmark: 100%
Breast Cancer Screening
23%26 patients2/55-star benchmark: 93%
Cervical Cancer Screening
13%30 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
25%95 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
71%42 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
4%71 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
83%71 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%251 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
12%49 patients1/55-star benchmark: 100%
HIV Screening
3%106 patients1/55-star benchmark: 60%
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
8%59 patients1/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%99 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
80%132 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%142 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 142 patients
Patients screened: 99% · 142 patients
35%20 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 28% · 60 patients
28%60 patients
Provide Patients Electronic Access to Their Health Information
62%103 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%98 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 47 patients
Patients totalRate: 0% · 47 patients
0%47 patients5/55-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.

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 Senecae Ontiberos's NPI number?

The NPI number for Senecae Ontiberos is 1851990931. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Where is Senecae Ontiberos located?

Senecae Ontiberos practices at 1119 Badlands Dr, Pflugerville, TX 78660. The listed phone number is (512) 680-0017.

What is Senecae Ontiberos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Senecae Ontiberos enrolled in Medicare?

Yes. Senecae Ontiberos 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 Senecae Ontiberos 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 3 other insurers list Senecae Ontiberos 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 Senecae Ontiberos was last updated on October 20, 2020. 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.