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Active NPI 1265407696 Individual Practitioner Male Practitioner

Dr. Tomasz Rogula , MD, PhD

Surgery • Edinburg, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tomasz Rogula, MD, PhD is a certified Surgery practicing in Edinburg, TX. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Rogula delivers high-quality medical care to the local community at 5500 RAPHAEL DR.

Dr. Rogula is affiliated with Renaissance Bmi and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5500 Raphael Dr

Edinburg, TX 785391407

Telephone 9563625673
Fax 9563622038
Associated Practice Facility / Clinic
🏢 Renaissance Bmi Facility NPI 1295163327

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 Edinburg, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs +10.1 yrs vs City Avg
City Avg: 22.9 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Edinburg, TX (2342 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rogula (33 Years) 33 Yrs
Edinburg Specialty Average (22.9 Years) 22.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
11 11 $305.00 $185.71

Medical Specialties & State Licenses

CMS Verified: 2023-03-28
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX T9973

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
101099127 (PA)

Hospital & Practice Group Affiliations

Renaissance Bmi

5500 Raphael Dr, Edinburg, TX 785391407

Phone: 9563625673

Secondary Practice Locations

4770 N Expressway Ste 303

Brownsville, TX 785263108

Phone: 9563623715

Practice Associates & Co-Workers

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

13 Associated Practitioners
Kristina Schmidt , RD, LD

Dietitian, Registered

NPI 1043063878

Registered Dietitian, Licensed Dietitian

Felix Saavedra , RDLD

Dietitian, Registered

NPI 1073737169
NPI 1104314954

Doctor of Medicine (M.D.)

Melinda Rodriguez , RN, FNP

Nurse Practitioner - Family

NPI 1255365714

Registered Nurse, Family Nurse Practitioner

NPI 1295231744

Doctor of Medicine (M.D.)

NPI 1346202033

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 10, 2022

Registered at 5500 RAPHAEL DR, EDINBURG, TX 785391407 (Tel: 9563625673)

📍
Updated Business Mailing Address October 10, 2022

Registered at PO BOX 5358, MCALLEN, TX 785025358 (Tel: 9563625673)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2022

Surgery (License #T9973 in TX)

NPI Profile Active August 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2011

Registered at 9500 EUCLID AVE, CLEVELAND CLINIC - DEPARTMENT OF SURGERY M66-06, CLEVELAND, OH 441950001 (Tel: 2164450255)

📍
Updated Business Mailing Address August 22, 2011

Registered at 9500 EUCLID AVE, CLEVELAND CLINIC - DEPARTMENT OF SURGERY M66-06, CLEVELAND, OH 441950001 (Tel: 2164450255)

👤
Provider Name / Credentials Updated August 22, 2011

Recorded as TOMASZ ROGULA, MD, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2011

Specialist (License #LT000555 in PA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2011

General Acute Care Hospital (License #35.088475 in OH)

🟢
Initial NPI Registration & Enumeration February 21, 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: 1265407696
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2006
Last Update: March 28, 2023
Sole Proprietor: No

Mailing Address

Po Box 5358

Mcallen, TX 785025358

Phone: 9563625673

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.