JEREMY G ENSLEIN DO
NPI 1982681946
Internal Medicine - Cardiovascular Disease in Mcallen, TX

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
500 E RIDGE RD, SUITE 300, MCALLEN, TX 78503(956) 630-5522(956) 926-4350 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy G Enslein Do NPPES

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

JEREMY G ENSLEIN DO (NPI 1982681946) is an individual cardiovascular disease provider in Mcallen, Texas, licensed in Texas (L0793) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1982681946
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJEREMY G ENSLEINCredential: DO
Location Address500 E RIDGE RD, SUITE 300Mcallen, TX 78503-1506
Mailing Address500 E Ridge Rd, Suite 100Mcallen, TX 78503-1506 · (956) 630-5522 · Fax (956) 926-4350
Fax(956) 926-4350
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 29, 2005
Last NPPES UpdateJanuary 13, 2022
NPI 1982681946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · L0793
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
500 E RIDGE RD, Mcallen, TX 78503

Other Identifiers 3

Other8M5101TX · Bcbs
Other8M5101TX · Bcbs Of Tx
Medicaid177005901TX

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

Jeremy G Enslein Do 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 ID1153347299
PECOS Enrollment IDI20051018001193
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 19

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.

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.
764 services469 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.
214 services188 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
186 services174 patients
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.
167 services85 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
143 services142 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
112 services111 patients

Hospital Affiliations CMS Care Compare 3

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

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

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 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
$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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.21
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
89%1,263 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
86%101 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
96%3,311 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
25%1,302 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
21%1,115 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%1,026 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,348 patients
Patients totalRate: 0% · 1,348 patients
0%1,348 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Pulmonary Disease)
500 E RIDGE RD, SUITE 202
MCALLEN, TX 78503
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 E RIDGE RD, SUITE 201
MCALLEN, TX 78503
Internal Medicine (Pulmonary Disease)
500 E RIDGE RD, SUITE 202
MCALLEN, TX 78503
Nurse Practitioner (Family)
500 E RIDGE RD
MCALLEN, TX 78503
Internal Medicine (Cardiovascular Disease)
500 E RIDGE RD, SUITE 300
MCALLEN, TX 78503
Physician Assistant
500 E RIDGE RD, SUITE #300
MCALLEN, TX 78503
Internal Medicine (Cardiovascular Disease)
500 E RIDGE RD, SUITE 300
MCALLEN, TX 78503
Registered Nurse
500 E RIDGE RD, SUITE #300
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 Jeremy Enslein's NPI number?

The NPI number for Jeremy Enslein is 1982681946. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Jeremy Enslein located?

Jeremy Enslein practices at 500 E Ridge Rd Suite 300, Mcallen, TX 78503. The listed phone number is (956) 630-5522.

What is Jeremy Enslein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jeremy Enslein enrolled in Medicare?

Yes. Jeremy Enslein 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 Jeremy Enslein accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Jeremy Enslein 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 Jeremy Enslein affiliated with any hospitals?

According to CMS data, Jeremy Enslein is affiliated with South Texas Health System, Rio Grande Regional Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Jeremy Enslein was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.