JESUS M GARZA-TAMEZ M.D.
NPI 1891773305
Family Medicine in Edinburg, TX

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
81.44/100
CMS Quality Rating
5501 S MCCOLL RD, EDINBURG, TX 78539(956) 682-4151(956) 682-4154 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2017, Jan 6, 2017 (2 updates tracked since 2017).

About Jesus M Garza-tamez M.d. NPPES

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

JESUS M GARZA-TAMEZ M.D. (NPI 1891773305) is an individual family medicine provider in Edinburg, Texas, licensed in Texas (K8164) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1891773305
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJESUS M GARZA-TAMEZCredential: M.D.
Location Address5501 S MCCOLL RDEdinburg, TX 78539-5503
Mailing AddressPo Box 3744Mcallen, TX 78502-3744 · (956) 682-4151 · Fax (956) 682-4154
Fax(956) 682-4154
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJanuary 4, 2006
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
NPI 1891773305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · K8164
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.
Also ListedSurgeryTaxonomy 208600000X · License K8164 (TX)
5501 S MCCOLL RD, Edinburg, TX 78539

Other Identifiers 4

Other00BF19TX · Fmc Bcbs Group
Medicaid0965824-06TX
Other0088ENTX · Bc Bs
Medicaid096582402TX

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

Jesus M Garza-tamez 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 ID8921078858
PECOS Enrollment IDI20040728001283
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

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.
21 services20 patients

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
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

Reported Quality Measures

Advance Care Plan
71%159 patients3/55-star benchmark: 100%
Breast Cancer Screening
44%71 patients2/55-star benchmark: 93%
Cervical Cancer Screening
47%102 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
39%165 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
62%154 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
22%109 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
59%109 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
73%511 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%107 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
70%310 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
73%234 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
35%189 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 295 patients
Patients screened: 100% · 295 patients
71%21 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
66%131 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
13%48 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
89%129 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 111 patients
Patients totalRate: 9% · 111 patients
9%111 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.

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)
5501 S MCCOLL RD
EDINBURG, TX 78539
Nurse Practitioner (Family)
5501 S MCCOLL RD
EDINBURG, TX 78539
Student in an Organized Health Care Education/Training Program
5501 S MCCOLL RD
EDINBURG, TX 78539
Specialist/Technologist, Other (Surgical Technologist)
5501 S MCCOLL RD
EDINBURG, TX 78539
Internal Medicine
5501 S MCCOLL RD
EDINBURG, TX 78539
Nurse Anesthetist, Certified Registered
5501 S MCCOLL RD
EDINBURG, TX 78539
Internal Medicine
5501 S MCCOLL RD
EDINBURG, TX 78539
Physician Assistant
5501 S MCCOLL RD
EDINBURG, TX 78539

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 Jesus Garza-tamez's NPI number?

The NPI number for Jesus Garza-tamez is 1891773305. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Jesus Garza-tamez located?

Jesus Garza-tamez practices at 5501 S Mccoll Rd, Edinburg, TX 78539. The listed phone number is (956) 682-4151.

What is Jesus Garza-tamez's specialty?

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

Is Jesus Garza-tamez enrolled in Medicare?

Yes. Jesus Garza-tamez 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 Jesus Garza-tamez accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Jesus Garza-tamez 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.

When was this NPI record last updated?

The NPPES record for Jesus Garza-tamez was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.