PEDRO RUBEN ABANTO M.D.
NPI 1982840393
Preventive Medicine - Undersea and Hyperbaric Medicine in Mcallen, TX

Q: What is Pedro Abanto's NPI number?

The NPI number for Pedro Abanto is 1982840393. It was assigned to this individual provider in the NPPES registry on January 7, 2009.

Q: What is Pedro Abanto's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

Q: When was this NPI record last updated?

The NPPES record for Pedro Abanto was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 07, 2009PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

2101 S M ST STE A, MCALLEN, TX 78503(956) 317-4044(956) 800-4275 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2026, Feb 8, 2024, May 9, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Pedro Ruben Abanto M.d. NPPES

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

PEDRO RUBEN ABANTO M.D. (NPI 1982840393) is an individual undersea and hyperbaric medicine provider in Mcallen, Texas, licensed in Texas (N4228) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1982840393

Entity TypeIndividualMale

Primary Taxonomy2083P0011X

Provider Legal NamePEDRO RUBEN ABANTOCredential: M.D.

Location Address2101 S M ST STE AMcallen, TX 78503-1590

Mailing Address4302 S Sugar Rd Ste 101Edinburg, TX 78539-9140 · (956) 388-2700 · Fax (956) 388-2710

Phone(956) 317-4044

Fax(956) 800-4275

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJanuary 7, 2009

Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1982840393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0011X

License✔ Licensed in TX · N4228

Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Also ListedInternal MedicineTaxonomy 207R00000X · License N4228 (TX)

Also ListedHospitalistTaxonomy 208M00000X · License N4228 (TX)

2101 S M ST STE A, Mcallen, TX 78503

Open in Google Maps ↗

Other Identifiers 6

Other8GW840TX · Bcbs

Medicaid206548405TX

Medicaid2065484-03TX

Other206548406TX · Medicaid Cshcn

Other8FA610TX · Bcbs

Other407274ZX0STX · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pedro Ruben Abanto 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 ID9931245933

PECOS Enrollment IDI20091005000738

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.

Medicare Billing Reassignments

Medicare enrollment records show Pedro Abanto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wound Care Institute Of Texas, PLLC

Same address

Undersea and Hyperbaric Medicine

2101 S M ST STE A
Mcallen, TX 78503

Reassigned Medicare billing, Texas enrollment
9 clinicians in this Medicare group

NPI 1275142622 (956) 317-4044

Mcallen Hospitalist Group, PLLC

7.3 mi

Internal Medicine

1400 W TRENTON RD
Edinburg, TX 78539

Reassigned Medicare billing, Texas enrollment
143 clinicians in this Medicare group

NPI 1356361976 (956) 388-2187

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

687 services161 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.

608 services103 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

309 services102 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

205 services84 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.

168 services68 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

125 services37 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

85 services17 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

81 services41 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

72 services31 patients

Therapy procedure using ultrasound 97610

Ultrasound therapy is a treatment used to heal and relieve pain. It involves using sound waves to stimulate body tissues, promoting healing and reducing inflammation. It's non-invasive, painless, and typically used for muscle, ligament injuries, or chronic pain.

65 services13 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.

51 services49 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

45 services17 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

34 services34 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.

25 services24 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

22 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

Fluorescence wound imaging for bacteria, first anatomic site 0598T

Fluorescence wound imaging for bacteria is a non-invasive procedure that helps identify bacteria in a wound. A special device emits a safe, light glow onto the wound. This light causes bacteria to fluoresce, or shine, making them visible. It aids in targeted treatment planning.

15 services13 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

12 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

11 services11 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 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

$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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

6 suppliers31 claims4,612 services$0.37 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

6 suppliers26 claims2,886 services$0.11 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

5 suppliers28 claims3,528 services$0.37 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

WOUND CARE INSTITUTE OF TEXAS, PLLC

Preventive Medicine (Undersea and Hyperbaric Medicine)

2101 S M ST STE A
MCALLEN, TX 78503

Hidalgo County (956) 317-4044

KRISAY ANN SANCHEZ FNP

Nurse Practitioner (Family)

2101 S M ST STE A
MCALLEN, TX 78503

Hidalgo County (956) 317-4043

MRS. ZHILI NIE FNP

Nurse Practitioner (Family)

2101 S M ST STE A
MCALLEN, TX 78503

Hidalgo County (956) 317-4043

CASSANDRA PINON FNP

Nurse Practitioner (Family)

2101 S M ST STE A
MCALLEN, TX 78503

Hidalgo County (956) 317-4043

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 Pedro Abanto's NPI number?

The NPI number for Pedro Abanto is 1982840393. It was assigned to this individual provider in the NPPES registry on January 7, 2009.

Where is Pedro Abanto located?

Pedro Abanto practices at 2101 S M St Ste A, Mcallen, TX 78503. The listed phone number is (956) 317-4044.

What is Pedro Abanto's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

Is Pedro Abanto enrolled in Medicare?

Yes. Pedro Abanto 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.

Which organizations bill Medicare for Pedro Abanto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Abanto reassigns Medicare benefits to 2 organizations: Wound Care Institute Of Texas, PLLC (Mcallen, TX) and Mcallen Hospitalist Group, PLLC (Edinburg, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pedro Abanto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pedro Abanto 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 4 other insurers list Pedro Abanto 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 Pedro Abanto affiliated with any hospitals?

According to CMS data, Pedro Abanto is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Pedro Abanto was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.