ROGELIO EDUARDO ROJAS MD
NPI 1962483149
Internal Medicine - Rheumatology in Edinburg, TX

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
82.04/100
CMS Quality Rating
5111 S MCCOLL RD, EDINBURG, TX 78539(956) 683-0404(956) 683-0450 Get Directions Write a Review

NPPES record last updated: April 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rogelio Eduardo Rojas Md NPPES

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

ROGELIO EDUARDO ROJAS MD (NPI 1962483149) is an individual rheumatology provider in Edinburg, Texas, licensed in Texas (L9876) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1962483149
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameROGELIO EDUARDO ROJASCredential: MD
Location Address5111 S MCCOLL RDEdinburg, TX 78539-8278
Mailing AddressPo Box 720059Mcallen, TX 78504-0059 · (956) 992-0707 · Fax (956) 992-0707
Fax(956) 683-0450
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 7, 2005
Last NPPES UpdateApril 1, 2015
NPI 1962483149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TX · L9876
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedEmergency MedicineTaxonomy 207P00000X · License L9876 (TX)
5111 S MCCOLL RD, Edinburg, TX 78539

Other Identifiers 2

Medicare UPINH41538TX
Medicare PIN8G0637TX

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

Rogelio Eduardo Rojas 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 ID143247049
PECOS Enrollment IDI20051031000297
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
105 services101 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
102 services93 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
68 services67 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

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.

82.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.1
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Specialist
5111 S MCCOLL RD
EDINBURG, TX 78539
Surgery (Plastic and Reconstructive Surgery)
5111 S MCCOLL RD
EDINBURG, TX 78539
Internal Medicine (Rheumatology)
5111 S MCCOLL RD
EDINBURG, TX 78539
Family Medicine
5111 S MCCOLL RD
EDINBURG, TX 78539
Internal Medicine
5111 S MCCOLL RD
EDINBURG, TX 78539
Nurse Practitioner (Family)
5111 S MCCOLL RD
EDINBURG, TX 78539
Nurse Practitioner (Family)
5111 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 Rogelio Rojas's NPI number?

The NPI number for Rogelio Rojas is 1962483149. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Rogelio Rojas located?

Rogelio Rojas practices at 5111 S Mccoll Rd, Edinburg, TX 78539. The listed phone number is (956) 683-0404.

What is Rogelio Rojas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Rogelio Rojas enrolled in Medicare?

Yes. Rogelio Rojas 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 Rogelio Rojas accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Rogelio Rojas 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 Rogelio Rojas affiliated with any hospitals?

According to CMS data, Rogelio Rojas is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Rogelio Rojas was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.