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DR. GEMMA ALMIRA BERLANGA M.D.
NPI 1962798355
Internal Medicine - Infectious Disease in San Antonio, TX

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment
59.06/100
CMS Quality Rating
8715 VILLAGE DR STE 514, SAN ANTONIO, TX 78217(210) 370-9922(210) 545-5616 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2025, Nov 19, 2020, Sep 29, 2016 (3 updates tracked since 2016).

About Dr. Gemma Almira Berlanga M.d. NPPES

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

DR. GEMMA ALMIRA BERLANGA M.D. (NPI 1962798355) is an individual infectious disease provider in San Antonio, Texas, licensed in Texas (Q0870) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1962798355
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. GEMMA ALMIRA BERLANGACredential: M.D.
Location Address8715 VILLAGE DR STE 514San Antonio, TX 78217-5407
Mailing Address7940 Floyd Curl Dr Ste 560San Antonio, TX 78229-3907 · (210) 614-8100 · Fax (210) 615-7233
Phone(210) 370-9922
Fax(210) 545-5616
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 23, 2011
Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1962798355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · Q0870
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
8715 VILLAGE DR STE 514, San Antonio, TX 78217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Baylor Scott and White 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. Gemma Almira Berlanga 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 ID7214223718
PECOS Enrollment IDI20160909000756
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.
502 services201 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.
205 services105 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.
155 services144 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.
90 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services25 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
21 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78217 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.

59.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.53
Promoting Interoperability0
Improvement Activities40
Cost67.02

Other Providers at the Same Location NPPES 3

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

DUANE RUSSELL HOSPENTHAL MD, PHD
Internal Medicine (Infectious Disease)
8715 VILLAGE DR STE 514
SAN ANTONIO, TX 78217
Bexar County (210) 370-9922
GINO GUILLERMO TAPIA ZEGARRA MD
Internal Medicine (Infectious Disease)
8715 VILLAGE DR STE 514
SAN ANTONIO, TX 78217
Bexar County (210) 370-9922
CAROLINE C DEWITT MD
Internal Medicine (Infectious Disease)
8715 VILLAGE DR STE 514
SAN ANTONIO, TX 78217
Bexar County (210) 370-9922

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 Gemma Berlanga's NPI number?

The NPI number for Gemma Berlanga is 1962798355. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Gemma Berlanga located?

Gemma Berlanga practices at 8715 Village Dr Ste 514, San Antonio, TX 78217. The listed phone number is (210) 370-9922.

What is Gemma Berlanga's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Gemma Berlanga enrolled in Medicare?

Yes. Gemma Berlanga 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 Gemma Berlanga accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan and 2 other insurers list Gemma Berlanga 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 Gemma Berlanga affiliated with any hospitals?

According to CMS data, Gemma Berlanga is affiliated with Baptist Medical Center, Christus Santa Rosa Hospital-San Marcos and Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Gemma Berlanga was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.