Active NPI 1356335855 Individual Practitioner Male Practitioner

Dr. Edgar E Moncada , MD

Surgery • Brownsville, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edgar Moncada, MD is a certified Surgery practicing in Brownsville, TX. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Moncada delivers high-quality medical care to the local community at 100 E ALTON GLOOR BLVD.

Dr. Moncada is affiliated with Brownsville Surgery Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 E Alton Gloor Blvd
Bldg. B Ste 260

Brownsville, TX 785263328

Telephone 9563503901

Fax 9563503900

Associated Practice Facility / Clinic

🏢 Columbia Valley Healthcare System, L.p. Facility NPI 1336186402

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Brownsville, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +5.6 yrs vs City Avg

City Avg: 27.4 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

14 Specialists

Practicing in Brownsville, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moncada (33 Years) 33 Yrs

Brownsville Specialty Average (27.4 Years) 27.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$217.82	$110.60
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$158.21	$90.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$208.00	$107.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$268.00	$125.00
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$139.00	$86.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$208.00	$105.45
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$139.00	$86.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$268.00	$129.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$208.00	$109.20
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$139.00	$83.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$268.00	$131.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	22	$139.00	$71.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$208.00	$104.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	39	$139.00	$69.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$208.00	$104.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$268.00	$133.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	16	$78.00	$38.31
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$198.00	$98.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	53	$139.00	$67.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$208.00	$99.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	13	$78.00	$37.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$268.00	$129.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$320.00	$154.93
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$2268.00	$679.05
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1106.00	$296.93
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$198.00	$95.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	52	$139.00	$69.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$208.00	$103.11
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$198.00	$98.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$268.00	$132.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$141.00	$70.09

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX L7487

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

164543402 (TX)

Hospital & Practice Group Affiliations

Brownsville Surgery Pllc

100 E Alton Gloor Blvd, Brownsville, TX 785263389

Phone: 9563503901

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Linda Delafuente , FNP

Nurse Practitioner - Family

NPI 1396267498

Family Nurse Practitioner

Dr. Dominique Vande Maele , MD

Surgery

NPI 1437256815

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location February 08, 2022

Registered at 100 E ALTON GLOOR BLVD, BLDG. B STE 260, BROWNSVILLE, TX 785263328 (Tel: 9563503901)

📍

Updated Business Mailing Address February 08, 2022

Registered at 100 E ALTON GLOOR BLVD, BLDG. B STE 260, BROWNSVILLE, TX 785263328 (Tel: 9563503901)

✅

NPI Profile Active November 15, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 15, 2012

Registered at 100 E ALTON GLOOR BLVD, BLDG. B, STE 260, BROWNSVILLE, TX 785263328 (Tel: 9563503901)

📍

Updated Business Mailing Address November 15, 2012

Registered at 100 E ALTON GLOOR BLVD, BLDG. B, STE 260, BROWNSVILLE, TX 785263328 (Tel: 9563503901)

👤

Provider Name / Credentials Updated November 15, 2012

Recorded as EDGAR MONCADA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2012

Surgery (License #L7487 in TX)

🟢

Initial NPI Registration & Enumeration September 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356335855

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 12, 2005

Last Update: February 08, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 E Alton Gloor Blvd, Bldg. B Ste 260

Brownsville, TX 785263328

Phone: 9563503901

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.