Active NPI 1154498855 Individual Practitioner Male Practitioner

Dr. Edilberto R Miguel , MD

Internal Medicine • Dumas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Edilberto Miguel, MD is a registered healthcare professional specializing in Internal Medicine in Dumas, TX. Practice services are available at 317 E 2ND STREET under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

317 E 2nd Street

Dumas, TX 79029

Telephone 8069359194

Fax 8069357261

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dumas, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Dumas, TX (9538 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

41.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	475	191	$177.75	$124.98
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	296	36	$81.71	$61.53
99213 Established patient office or other outpatient visit, typically 15 minutes	128	90	$113.08	$87.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	25	$29.32	$14.07
G0008 Administration of influenza virus vaccine	39	39	$14.00	$13.41
90662 Influenza vaccine split virus, preservative free	36	36	$159.58	$66.36
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	32	20	$15.00	$6.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	27	18	$155.74	$66.47
83037 Hemoglobin a1c level, by device for home use	26	25	$38.77	$9.56
0094A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 50 mcg/0.5 ml dosage, booster dose	23	23	$79.22	$37.79
96127 Assessment of emotional or behavioral problems	23	22	$15.00	$4.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$178.14	$128.53
J2010 Injection, lincomycin hcl, up to 300 mg	17	16	$15.00	$9.95
69209 Removal of impacted ear wax by washing	17	15	$29.59	$18.67
0064A Adm sarscov2 50mcg/0.25mlbst	15	15	$78.13	$35.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	585	265	$173.16	$126.86
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	387	46	$79.86	$39.67
99213 Established patient office or other outpatient visit, typically 15 minutes	112	79	$110.23	$87.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$174.73	$128.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	29	$28.56	$13.94
0064A Adm sarscov2 50mcg/0.25mlbst	51	51	$78.00	$38.69
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	31	14	$15.00	$7.10
G0008 Administration of influenza virus vaccine	30	30	$14.00	$14.00
G0009 Administration of pneumococcal vaccine	22	22	$26.36	$16.49
90662 Influenza vaccine split virus, preservative free	19	19	$155.00	$65.26
99495 Transitional care management services for problem of at least moderate complexity	19	19	$348.05	$203.08
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$36.37	$36.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	18	12	$138.67	$67.22
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$60.38	$20.23
J2010 Injection, lincomycin hcl, up to 300 mg	14	14	$15.00	$11.29
81002 Urinalysis, manual test	13	11	$26.62	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	496	245	$168.25	$106.42
99213 Established patient office or other outpatient visit, typically 15 minutes	143	116	$107.62	$73.07
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	116	41	$79.00	$40.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$169.19	$112.90
99442 Telephone medical discussion with physician, 11-20 minutes	58	54	$216.31	$64.16
99441 Telephone medical discussion with physician, 5-10 minutes	49	46	$216.00	$38.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	26	$27.20	$13.26
J0696 Injection, ceftriaxone sodium, per 250 mg	41	11	$15.00	$0.57
99496 Transitional care management services for problem of high complexity	27	23	$481.19	$236.68
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	27	15	$149.41	$68.85
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	25	25	$54.74	$19.54
90662 Influenza vaccine split virus, preservative free	25	25	$133.84	$59.06
99495 Transitional care management services for problem of at least moderate complexity	23	21	$341.78	$181.74
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$35.68	$35.59
81002 Urinalysis, manual test	22	20	$25.55	$3.47
G0008 Administration of influenza virus vaccine	19	19	$14.00	$13.99
G0009 Administration of pneumococcal vaccine	16	16	$25.63	$16.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$78.75	$44.45
99443 Telephone medical discussion with physician, 21-30 minutes	15	14	$217.60	$93.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	755	271	$162.92	$104.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	119	56	$26.45	$15.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$165.01	$107.94
J0696 Injection, ceftriaxone sodium, per 250 mg	69	18	$15.00	$0.54
G0009 Administration of pneumococcal vaccine	59	58	$24.63	$15.90
99213 Established patient office or other outpatient visit, typically 15 minutes	55	48	$104.15	$71.94
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	51	51	$23.00	$18.65
G0008 Administration of influenza virus vaccine	48	48	$14.00	$13.72
93000 Routine ekg using at least 12 leads including interpretation and report	45	43	$92.20	$16.38
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	34	34	$34.74	$34.04
99495 Transitional care management services for problem of at least moderate complexity	30	27	$329.33	$158.64
J1040 Injection, methylprednisolone acetate, 80 mg	28	23	$25.57	$12.06
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	25	12	$15.00	$6.59
90670 Pneumococcal vaccine for injection into muscle	24	24	$289.88	$209.35
J2010 Injection, lincomycin hcl, up to 300 mg	22	21	$15.00	$11.75
99496 Transitional care management services for problem of high complexity	20	19	$469.70	$223.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	20	15	$143.20	$67.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$180.31	$104.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$76.77	$43.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	700	280	$157.53	$102.65
99213 Established patient office or other outpatient visit, typically 15 minutes	122	98	$101.03	$69.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	110	59	$25.45	$19.65
J0696 Injection, ceftriaxone sodium, per 250 mg	104	24	$15.00	$0.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	88	88	$159.69	$108.69
93000 Routine ekg using at least 12 leads including interpretation and report	80	78	$88.90	$15.77
G0009 Administration of pneumococcal vaccine	67	67	$23.54	$18.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	39	$69.56	$41.84
90670 Pneumococcal vaccine for injection into muscle	42	42	$280.43	$194.77
J1040 Injection, methylprednisolone acetate, 80 mg	25	23	$24.56	$12.49
G0008 Administration of influenza virus vaccine	22	22	$14.00	$13.72
69209 Removal of impacted ear wax by washing	21	16	$25.52	$18.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$33.95	$33.27
81002 Urinalysis, manual test	16	13	$23.50	$3.41
J2010 Injection, lincomycin hcl, up to 300 mg	15	13	$15.00	$12.65
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$50.00	$17.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	467	228	$150.05	$98.85
99213 Established patient office or other outpatient visit, typically 15 minutes	466	257	$100.00	$65.87
Q2039 Influenza virus vaccine, not otherwise specified	29	29	$31.00	$22.33
G0008 Administration of influenza virus vaccine	28	28	$14.00	$13.72
93000 Routine ekg using at least 12 leads including interpretation and report	27	27	$86.78	$15.67
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	23	14	$112.22	$41.77
G0009 Administration of pneumococcal vaccine	23	22	$23.00	$22.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$156.00	$107.18
90670 Pneumococcal vaccine for injection into muscle	16	16	$277.00	$188.79

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX G1116

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Cardiovascular Disease

NUCC Taxonomy Code: 207RC0000X

State License TX G1116

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

035380701 (TX)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Priyanka Patel , MD

Internal Medicine

NPI 1467081364

Doctor of Medicine (M.D.)

Dr. Ralph Apolinario , MD

Internal Medicine

NPI 1851896740

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 06, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 06, 2010

Registered at 317 E 2ND STREET, DUMAS, TX 79029 (Tel: 8069359194)

📍

Updated Business Mailing Address July 06, 2010

Registered at PO BOX 558, 317 E 2ND STREET, DUMAS, TX 79029 (Tel: 8069359194)

👤

Provider Name / Credentials Updated July 06, 2010

Recorded as EDILBERTO MIGUEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2010

Internal Medicine (License #G1116 in TX)

🟢

Initial NPI Registration & Enumeration November 29, 2006

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: 1154498855

Entity Type:

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

Enumeration Date: November 29, 2006

Last Update: July 06, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 558, 317 E 2nd Street

Dumas, TX 79029

Phone: 8069359194

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.