DR. PABLO EZEQUIEL PERGOLA MD
NPI 1902872765
Internal Medicine - Nephrology in San Antonio, TX

Q: What is Pablo Pergola's NPI number?

The NPI number for Pablo Pergola is 1902872765. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Q: What is Pablo Pergola's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Pablo Pergola was last updated on January 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment

1123 N MAIN AVE STE 120, SAN ANTONIO, TX 78212(210) 226-2001 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Pablo Ezequiel Pergola Md NPPES

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

DR. PABLO EZEQUIEL PERGOLA MD (NPI 1902872765) is an individual nephrology provider in San Antonio, Texas, licensed in Texas (K4772) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1902872765

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. PABLO EZEQUIEL PERGOLACredential: MD

Location Address1123 N MAIN AVE STE 120San Antonio, TX 78212-4738

Mailing Address16620 N Us Highway 281, Ste 300San Antonio, TX 78232-2327 · (210) 614-1231 · Fax (210) 616-0704

Phone(210) 226-2001

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateFebruary 23, 2006

Last NPPES UpdateJanuary 21, 2019

✔ NPI 1902872765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · K4772

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1123 N MAIN AVE STE 120, San Antonio, TX 78212

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Secondary Practice Location 1

Location 1215 E Quincy StSan Antonio, TX 78215-2039 · Phone (210) 226-2001 · Fax (210) 226-5211

Other Identifiers 1

Medicaid046790403TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.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. Pablo Ezequiel Pergola 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 ID5597710145

PECOS Enrollment IDI20050316000429

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 5

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

228 services33 patients

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.

135 services70 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

113 services30 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

31 services18 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78212 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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT ALLEN HOLUB M.D.

Internal Medicine (Nephrology)