DR. DAYANA CARRERAS MD
NPI 1912469727
Internal Medicine in Edinburg, TX

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
5501 S MCCOLL RD, EDINBURG, TX 78539(956) 362-8677(956) 362-7253 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2023, Mar 22, 2023, Aug 26, 2022 and 2 more (5 updates tracked since 2019).

About Dr. Dayana Carreras Md NPPES

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

DR. DAYANA CARRERAS MD (NPI 1912469727) is an individual internal medicine provider in Edinburg, Texas, licensed in Texas (T3596) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912469727
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAYANA CARRERASCredential: MD
Location Address5501 S MCCOLL RDEdinburg, TX 78539-5503
Mailing AddressPo Box 5958Mcallen, TX 78502-5958 · (956) 362-8677 · Fax (956) 362-7253
Fax(956) 362-7253
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 1, 2019
Last NPPES UpdateNovember 10, 20235 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
NPI 1912469727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · T3596
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License T3596 (TX)
5501 S MCCOLL RD, Edinburg, TX 78539

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. Dayana Carreras 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 ID1658751193
PECOS Enrollment IDI20220630001393
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
231 services101 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
64 services62 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services50 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

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 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
$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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

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 Dayana Carreras's NPI number?

The NPI number for Dayana Carreras is 1912469727. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Dayana Carreras located?

Dayana Carreras practices at 5501 S Mccoll Rd, Edinburg, TX 78539. The listed phone number is (956) 362-8677.

What is Dayana Carreras's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dayana Carreras enrolled in Medicare?

Yes. Dayana Carreras 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 Dayana Carreras 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 2 other insurers list Dayana Carreras 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 Dayana Carreras affiliated with any hospitals?

According to CMS data, Dayana Carreras is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Dayana Carreras was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.