AVERY BARNHILL
NPI 1861124240
Physician Assistant in Edinburg, TX

Active since June 25, 2022PECOS EnrolledAccepts Medicare Assignment
5525 DOCTORS DR, EDINBURG, TX 78539(956) 362-8740(956) 362-8796 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avery Barnhill NPPES

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

AVERY BARNHILL (NPI 1861124240) is an individual physician assistant in Edinburg, Texas, licensed in Texas (PA17652) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861124240
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAVERY BARNHILL
Location Address5525 DOCTORS DREdinburg, TX 78539-5520
Mailing AddressPo Box 4449Mcallen, TX 78502-4449 · (956) 362-8470 · Fax (956) 362-8796
Fax(956) 362-8796
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 25, 2022
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
NPI 1861124240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA17652
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5525 DOCTORS DR, Edinburg, TX 78539

Accepted 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

Avery Barnhill 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 ID3779928338
PECOS Enrollment IDI20240305002602
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 4

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.
64 services54 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.
60 services56 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
33 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 13

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

Nurse Practitioner (Family)
5525 DOCTORS DR
EDINBURG, TX 78539
Internal Medicine (Cardiovascular Disease)
5525 DOCTORS DR
EDINBURG, TX 78539
Dietitian, Registered
5525 DOCTORS DR
EDINBURG, TX 78539
Internal Medicine (Cardiovascular Disease)
5525 DOCTORS DR
EDINBURG, TX 78539
Dietitian, Registered
5525 DOCTORS DR
EDINBURG, TX 78539
Nurse Practitioner (Family)
5525 DOCTORS DR
EDINBURG, TX 78539
Internal Medicine (Cardiovascular Disease)
5525 DOCTORS DR
EDINBURG, TX 78539
Physician Assistant
5525 DOCTORS DR
EDINBURG, TX 78539

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 Avery Barnhill's NPI number?

The NPI number for Avery Barnhill is 1861124240. It was assigned to this individual provider in the NPPES registry on June 25, 2022.

Where is Avery Barnhill located?

Avery Barnhill practices at 5525 Doctors Dr, Edinburg, TX 78539. The listed phone number is (956) 362-8740.

What is Avery Barnhill's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Avery Barnhill enrolled in Medicare?

Yes. Avery Barnhill 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 Avery Barnhill 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 1 other insurer list Avery Barnhill 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 Avery Barnhill affiliated with any hospitals?

According to CMS data, Avery Barnhill is affiliated with South Texas Health System and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Avery Barnhill was last updated on February 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.