DR. ALEJANDRO BOCANEGRA M.D.
NPI 1861886368
Family Medicine in Edinburg, TX

Q: What is Alejandro Bocanegra's NPI number?

The NPI number for Alejandro Bocanegra is 1861886368. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Q: What is Alejandro Bocanegra's specialty?

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

Active since March 23, 2015PECOS EnrolledAccepts Medicare Assignment

81.44/100

CMS Quality Rating

3804 S JACKSON RD STE 2, EDINBURG, TX 78539(956) 296-3021(956) 296-3020 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Alejandro Bocanegra M.d. NPPES

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

DR. ALEJANDRO BOCANEGRA M.D. (NPI 1861886368) is an individual family medicine provider in Edinburg, Texas, licensed in Texas (R0361) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Val Verde Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861886368

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ALEJANDRO BOCANEGRACredential: M.D.

Location Address3804 S JACKSON RD STE 2Edinburg, TX 78539-6683

Mailing Address128 N Fm 3167Rio Grande City, TX 78582-6211 · (956) 487-0453 · Fax (956) 370-6582

Phone(956) 296-3021

Fax(956) 296-3020

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 2014

Enumeration DateMarch 23, 2015

Last NPPES UpdateOctober 24, 2024

NPPES CertifiedOctober 24, 2024

✔ NPI 1861886368 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 · R0361

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.

3804 S JACKSON RD STE 2, Edinburg, TX 78539

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Secondary Practice Locations 2

Location 12810 W Expressway 83Mercedes, TX 78570-9704 · Phone (956) 296-1831 · Fax (956) 296-2970

Location 2128 N Fm 3167Rio Grande City, TX 78582-6211 · Phone (956) 487-0453 · Fax (956) 370-6582

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, UnitedHealthcare.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

Dr. Alejandro Bocanegra 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 ID8123310034

PECOS Enrollment IDI20180108001931

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 2

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.

70 services48 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.

49 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Val Verde Regional Medical Center

Acute Care Hospitals · Del Rio, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450154

Location801 Bedell AveDel Rio, TX 78840 · Val Verde County

Emergency services

Starr County Memorial Hospital

Acute Care Hospitals · Rio Grande City, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450654

Location128 N Fm Rd 3167Rio Grande City, TX 78582 · Starr 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

$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.

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.

81.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

65.83

Promoting Interoperability

Improvement Activities

Cost

49.23

Reported Quality Measures

Breast Cancer Screening

37%139 patients2/55-star benchmark: 93%

Cervical Cancer Screening

36%263 patients2/55-star benchmark: 98%

Colorectal Cancer Screening

29%309 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

33%189 patients2/55-star benchmark: 91%

Diabetes: Eye Exam

12%173 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

76%173 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

56%872 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

34%120 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

35%592 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

32%464 patients2/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

16%554 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 45% · 528 patients

Patients screened: 47% · 528 patients

76%29 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

79%417 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

68%178 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 126 patients

Patients totalRate: 5% · 126 patients

4%126 patients4/55-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.

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Other Providers at the Same Location NPPES 8

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

SARAH BAGUIWET SOUFFRANT FNP

Nurse Practitioner (Family)