CESAR GARZA M.D.
NPI 1952663916
Family Medicine in Mcallen, TX

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment
205 E TORONTO AVE, MCALLEN, TX 78503(956) 687-6155(956) 618-0451 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2023, Apr 13, 2017 (2 updates tracked since 2017).

About Cesar Garza M.d. NPPES

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

CESAR GARZA M.D. (NPI 1952663916) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (Q1820) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Valley Baptist Medical Center- Brownsville, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1952663916
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCESAR GARZACredential: M.D.
Location Address205 E TORONTO AVEMcallen, TX 78503-1209
Mailing Address4418n Mccoll RdMcallen, TX 78504-2480 · (956) 994-3771 · Fax (956) 994-9082
Fax(956) 618-0451
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 14, 2012
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
NPI 1952663916 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 · Q1820
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 ListedHospitalistTaxonomy 208M00000X · License Q1820 (TX)
205 E TORONTO AVE, Mcallen, TX 78503

Other Identifiers 1

Medicaid3478802-05TX

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

Cesar Garza 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 ID8224272513
PECOS Enrollment IDI20150810002364
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 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.

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.
238 services107 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.
77 services75 patients
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.
50 services32 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.
42 services40 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
39 services39 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Valley Baptist Medical Center- Brownsville

Acute Care Hospitals · Brownsville, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450028
Location1040 W Jefferson StBrownsville, TX 78520 · Cameron County
Emergency services Birthing friendly

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

Mission Regional Medical Center

Acute Care Hospitals · Mission, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450176
Location900 South Bryan RoadMission, TX 78572 · Hidalgo County
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

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
$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.

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.

Psychologist (Clinical)
205 E TORONTO AVE
MCALLEN, TX 78503
Internal Medicine (Medical Oncology)
205 E TORONTO AVE
MCALLEN, TX 78503
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
MCALLEN, TX 78503
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
MCALLEN, TX 78503
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
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 Cesar Garza's NPI number?

The NPI number for Cesar Garza is 1952663916. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Cesar Garza located?

Cesar Garza practices at 205 E Toronto Ave, Mcallen, TX 78503. The listed phone number is (956) 687-6155.

What is Cesar Garza's specialty?

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

Is Cesar Garza enrolled in Medicare?

Yes. Cesar Garza 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 Cesar Garza accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Cesar Garza 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 Cesar Garza affiliated with any hospitals?

According to CMS data, Cesar Garza is affiliated with Valley Baptist Medical Center- Brownsville, South Texas Health System, Mission Regional Medical Center and Rio Grande Regional Hospital.

When was this NPI record last updated?

The NPPES record for Cesar Garza was last updated on July 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.