DR. RAUL BARREDA JR. MD
NPI 1881621365
Surgery in Mcallen, TX
About Dr. Raul Barreda Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAUL BARREDA JR. MD (NPI 1881621365) is an individual surgery provider in Mcallen, Texas, licensed in Texas (M3463) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Knapp Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (2001).
NPPES Registry Identity
Specialties & Licenses 2
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Other Identifiers 10
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
Dr. Raul Barreda Jr. Md 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Knapp Medical Center
Acute Care Hospitals · Weslaco, TXDoctors Hosptal At Renaissance
Acute Care Hospitals · Edinburg, TXPhysician 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.
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.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MCALLEN, TX 78504
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 Raul Barreda's NPI number?
The NPI number for Raul Barreda is 1881621365. It was assigned to this individual provider in the NPPES registry on June 28, 2006.
Where is Raul Barreda located?
Raul Barreda practices at 1100 E Dove Ave Ste 300, Mcallen, TX 78504. The listed phone number is (956) 362-8170.
What is Raul Barreda's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Raul Barreda enrolled in Medicare?
Yes. Raul Barreda 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 Raul Barreda 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 3 other insurers list Raul Barreda 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 Raul Barreda affiliated with any hospitals?
According to CMS data, Raul Barreda is affiliated with Knapp Medical Center and Doctors Hosptal At Renaissance.
When was this NPI record last updated?
The NPPES record for Raul Barreda was last updated on March 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
