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

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: August 09, 2026.

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

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 Peterson Regional 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
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

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

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

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.

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 3

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

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
Quality75.85
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
5206 RESEARCH DR
SAN ANTONIO, TX 78240
Transplant Surgery
5206 RESEARCH DR
SAN ANTONIO, TX 78240
Specialist/Technologist, Other (Surgical Assistant)
5206 RESEARCH DR
SAN ANTONIO, TX 78240
Surgery (Surgical Oncology)
5206 RESEARCH DR
SAN ANTONIO, TX 78240
Nurse Practitioner (Family)
5206 RESEARCH DR
SAN ANTONIO, TX 78240
Nurse Practitioner (Family)
5206 RESEARCH DR
SAN ANTONIO, TX 78240
Nurse Practitioner (Acute Care)
5206 RESEARCH DR
SAN ANTONIO, TX 78240
Obstetrics & Gynecology (Gynecologic Oncology)
5206 RESEARCH DR
SAN ANTONIO, TX 78240

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 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.

Where is Joseph De La Garza located?

Joseph De La Garza practices at 5206 Research Dr, San Antonio, TX 78240. The listed phone number is (210) 595-5300.

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.

Is Joseph De La Garza enrolled in Medicare?

Yes. Joseph De La Garza 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 Joseph De La Garza accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Joseph De La Garza 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 Joseph De La Garza affiliated with any hospitals?

According to CMS data, Joseph De La Garza is affiliated with Peterson Regional Medical Center, Christus Santa Rosa Medical Center and Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Joseph De La Garza was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.