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
Other Identifiers 10
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Raul Barreda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edinburg, TX 78539
- Reassigned Medicare billing, Texas enrollment
- 27 clinicians in this Medicare group
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 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MCALLEN, TX 78504
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.
Which organization bills Medicare for Raul Barreda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raul Barreda reassigns Medicare benefits to Renaissance Specialty Surgery (Edinburg, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raul Barreda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Dr. Raul Barreda Jr., MD · NPI 1881621365
Surgery physician in Mcallen, Texas. Individual provider, active in the CMS NPPES registry since June 28, 2006.
## Identity
- **NPI:** 1881621365 (Entity type: Individual)
- **Enumerated:** June 28, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** M3463 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 E DOVE AVE STE 300, Mcallen, TX 78504-4682
- **Phone:** (956) 362-8170 · **Fax:** (956) 362-8168
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Renaissance Specialty Surgery (NPI 1174952907, Edinburg, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical Branch At Galveston, class of 2001
## Record status
- **NPPES last updated:** March 24, 2023
- **Other identifiers:** Other 8K9033 (TX); Medicaid 184481303 (TX); Other P00361474 (TX); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1881621365) · Data from the CMS NPPES public registry.