DR. RAMIRO TOVAR III MD
NPI 1861020984
Family Medicine in Mcallen, TX

Q: What is Ramiro Tovar's NPI number?

The NPI number for Ramiro Tovar is 1861020984. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Ramiro Tovar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ramiro Tovar was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 01, 2020PECOS Enrolled

1700 W DOVE AVE STE 80, MCALLEN, TX 78504(956) 608-6700(833) 992-2276 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2025, Mar 6, 2024, Apr 1, 2020 (3 updates tracked since 2020).

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About Dr. Ramiro Tovar Iii Md NPPES

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

DR. RAMIRO TOVAR III MD (NPI 1861020984) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (T9261) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861020984

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RAMIRO TOVAR IIICredential: MD

Location Address1700 W DOVE AVE STE 80Mcallen, TX 78504-4464

Mailing Address1700 W Dove Ave Ste 80Mcallen, TX 78504-4464 · (956) 608-6700 · Fax (833) 992-2276

Phone(956) 608-6700

Fax(833) 992-2276

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 1, 2020

Last NPPES UpdateNovember 7, 20253 updates tracked since enumeration

NPPES CertifiedNovember 7, 2025

✔ NPI 1861020984 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 · T9261

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.

1700 W DOVE AVE STE 80, Mcallen, TX 78504

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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 (PECOS)

Dr. Ramiro Tovar Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719349547

PECOS Enrollment IDI20230810003851

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 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 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.

55 services27 patients

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.

27 services19 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.

22 services19 patients

Hospital Affiliations CMS Care Compare

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450119

Location1102 W Trenton RoadEdinburg, TX 78539 · 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.

Other Providers at the Same Location NPPES 5

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

JEAN DOMANTAY BAYABOS FNP-C

Nurse Practitioner (Family)