JOSEPH ANDREW DE LA GARZA M.D.
NPI 1871615229
Obstetrics & Gynecology - Gynecologic Oncology in San Antonio, TX

Q: What is Joseph De La Garza's NPI number?

The NPI number for Joseph De La Garza is 1871615229. It was assigned to this individual provider in the NPPES registry on April 5, 2007.

Q: What is Joseph De La Garza's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Active since April 05, 2007PECOS EnrolledAccepts Medicare Assignment

89.44/100

CMS Quality Rating

5206 RESEARCH DR, SAN ANTONIO, TX 78240(210) 595-5300(210) 614-8740 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2025, Feb 26, 2018 (2 updates tracked since 2018).

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About Joseph Andrew De La Garza M.d. NPPES

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

JOSEPH ANDREW DE LA GARZA M.D. (NPI 1871615229) is an individual gynecologic oncology provider in San Antonio, Texas, licensed in Texas (Q2535) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871615229

Entity TypeIndividualMale

Primary Taxonomy207VX0201X

Provider Legal NameJOSEPH ANDREW DE LA GARZACredential: M.D.

Location Address5206 RESEARCH DRSan Antonio, TX 78240-5251

Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 234-2987

Phone(210) 595-5300

Fax(210) 614-8740

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2007

Enumeration DateApril 5, 2007

Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1871615229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

License✔ Licensed in TX · Q2535

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License ME110669 (FL), 207V00000X (CO)

5206 RESEARCH DR, San Antonio, TX 78240

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Secondary Practice Locations 2

Location 111130 Christus Hls Ste 210San Antonio, TX 78251-3586 · Phone (210) 245-2000 · Fax (210) 245-2020

Location 22130 NE Loop 410 Ste 100San Antonio, TX 78217-4660 · Phone (210) 656-7177 · Fax (210) 656-3687

Other Identifiers 3

Medicaid350278301TX

OtherP01547626TX · Railroad Medicare

Medicaid0043136-00FL

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Andrew De La Garza 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 ID1355517558

PECOS Enrollment IDI20150922001471

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 Reassignment

Medicare enrollment records show Joseph De La Garza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Oncology PA

68 mi

Medical Oncology

4101 JAMES CASEY ST STE 100
Austin, TX 78745

Reassigned Medicare billing, Texas enrollment
1,054 clinicians in this Medicare group

NPI 1972770303 (972) 997-8000

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 10

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.

287 services137 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

278 services130 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

272 services128 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.

256 services122 patients

Immunologic analysis for detection of tumor antigen, quantitative; ca 125 86304

This test checks for CA 125, a protein often found in higher amounts in individuals with certain types of tumors. It involves analyzing a blood sample in a lab. It's a quantitative test, meaning it measures the level of CA 125 in your blood.

155 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

52 services52 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450237

Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450388

Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78240 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

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.

89.44/100

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

Scored through an Alternative Payment Model

Quality

75.85

Promoting Interoperability

100

Improvement Activities

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.

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