DR. CARLOS DARIO GIRALDO MD
NPI 1891892436
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Mcallen, TX

Active since September 17, 2006PECOS EnrolledAccepts Medicare Assignment
5.25/100
CMS Quality Rating
500 E RIDGE RD STE 300, MCALLEN, TX 78503(956) 630-5522(956) 682-7730 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Nov 2, 2017, Jul 28, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Carlos Dario Giraldo Md NPPES

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

DR. CARLOS DARIO GIRALDO MD (NPI 1891892436) is an individual advanced heart failure and transplant cardiology provider in Mcallen, Texas, licensed in Texas (P0594) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Temple University School Of Medicine (2003).

NPPES Registry Identity

NPI1891892436
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. CARLOS DARIO GIRALDOCredential: MD
Location Address500 E RIDGE RD STE 300Mcallen, TX 78503-1508
Mailing AddressPo Box 3046Malvern, PA 19355-0746 · (956) 630-5522 · Fax (956) 682-7730
Fax(956) 682-7730
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2003
Enumeration DateSeptember 17, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1891892436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in TX · P0594
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal MedicineTaxonomy 207R00000X · License P0594 (TX)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License P0594 (TX)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License P0594 (TX)
500 E RIDGE RD STE 300, Mcallen, TX 78503

Other Identifiers 1

Medicaid286142901TX

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. Carlos Dario Giraldo 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.

PECOS PAC ID5092713495
PECOS Enrollment IDI20111019000210
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 18

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
209 services132 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
157 services140 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
136 services50 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
99 services99 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
84 services79 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
53 services52 patients

Hospital Affiliations CMS Care Compare 3

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

5.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost17.51

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.

Internal Medicine (Clinical Cardiac Electrophysiology)
500 E RIDGE RD STE 300
MCALLEN, TX 78503
Physician Assistant
500 E RIDGE RD STE 300
MCALLEN, TX 78503
Physician Assistant
500 E RIDGE RD STE 300
MCALLEN, TX 78503
Nurse Practitioner
500 E RIDGE RD STE 300
MCALLEN, TX 78503
Nurse Practitioner
500 E RIDGE RD STE 300
MCALLEN, TX 78503
Nurse Practitioner
500 E RIDGE RD STE 300
MCALLEN, TX 78503
Physician Assistant
500 E RIDGE RD STE 300
MCALLEN, TX 78503
Nurse Practitioner
500 E RIDGE RD STE 300
MCALLEN, TX 78503

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 Carlos Giraldo's NPI number?

The NPI number for Carlos Giraldo is 1891892436. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Carlos Giraldo located?

Carlos Giraldo practices at 500 E Ridge Rd Ste 300, Mcallen, TX 78503. The listed phone number is (956) 630-5522.

What is Carlos Giraldo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Carlos Giraldo enrolled in Medicare?

Yes. Carlos Giraldo 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 Carlos Giraldo 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 Carlos Giraldo 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 Carlos Giraldo affiliated with any hospitals?

According to CMS data, Carlos Giraldo is affiliated with South Texas Health System, Rio Grande Regional Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Carlos Giraldo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.