Active NPI 1316919228 Individual Practitioner Male Practitioner

Dr. Manuel J Mercado , MD

Internal Medicine • Pharr, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Manuel Mercado, MD is a certified Internal Medicine practicing in Pharr, TX. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Mercado delivers high-quality medical care to the local community at 502 S CAGE BLVD.

Dr. Mercado accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, management using the results of remote vital sign monitoring per calendar month, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

502 S Cage Blvd
Pharr

Pharr, TX 785775449

Telephone 9567021013

Fax 9567815196

Associated Practice Facility / Clinic

🏢 Manuel J Mercado Md Pa Facility NPI 1427020676

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pharr, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs -3.3 yrs vs City Avg

City Avg: 38.3 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Pharr, TX (9538 Statewide)

Telehealth Adoption Rate

60.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mercado (35 Years) 35 Yrs

Pharr Specialty Average (38.3 Years) 38.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	414	104	$210.00	$122.26
99443 Telephone medical discussion with physician, 21-30 minutes	81	48	$220.86	$99.21
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	80	14	$90.00	$46.39
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	71	14	$96.00	$43.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$313.00	$123.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	19	$67.00	$13.59
90658 Influenza vaccine, trivalent, 0.5 ml dosage	24	24	$20.40	$19.99
G0008 Administration of influenza virus vaccine	18	18	$55.00	$31.03
93000 Routine ekg using at least 12 leads including interpretation and report	13	11	$57.00	$13.52

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	512	128	$210.00	$122.58
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	219	26	$90.00	$46.41
99091 Collection and interpretation of physical parameters stored in computers minimum of 30 minutes	152	26	$114.00	$52.04
99443 Telephone medical discussion with physician, 21-30 minutes	111	61	$220.86	$93.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$309.58	$123.23
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	49	17	$96.00	$46.82
90756 Vaccine for influenza for injection into muscle	37	36	$46.00	$31.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	18	$67.00	$13.54
G0008 Administration of influenza virus vaccine	36	35	$55.00	$29.51
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	31	16	$117.00	$39.46
J0696 Injection, ceftriaxone sodium, per 250 mg	28	11	$20.00	$0.52
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$57.00	$13.81

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	662	166	$209.84	$123.83
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	314	35	$90.00	$47.86
99091 Collection and interpretation of physical parameters stored in computers minimum of 30 minutes	298	36	$114.00	$53.88
99443 Telephone medical discussion with physician, 21-30 minutes	174	97	$220.86	$95.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	66	66	$313.00	$126.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg	63	17	$5.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	28	$67.00	$13.87
G0008 Administration of influenza virus vaccine	37	37	$55.00	$28.38
90756 Vaccine for influenza for injection into muscle	37	37	$46.00	$29.97
J1885 Injection, ketorolac tromethamine, per 15 mg	33	14	$5.00	$0.51
82570 Creatinine level to test for kidney function or muscle injury	33	27	$20.00	$5.13
82044 Urine microalbumin (protein) analysis	33	27	$15.00	$6.17
81003 Automated urinalysis test	33	27	$10.00	$2.23
J0696 Injection, ceftriaxone sodium, per 250 mg	23	13	$20.00	$0.50
93000 Routine ekg using at least 12 leads including interpretation and report	22	18	$57.00	$13.76
93922 Ultrasound study of arm and leg arteries	16	16	$314.00	$79.91
99442 Telephone medical discussion with physician, 11-20 minutes	16	13	$152.30	$64.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$462.00	$162.07

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	779	179	$210.00	$126.50
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	719	125	$100.00	$39.76
99443 Telephone medical discussion with physician, 21-30 minutes	308	119	$220.86	$97.48
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	286	32	$90.00	$49.09
99091 Collection and interpretation of physical parameters stored in computers minimum of 30 minutes	227	29	$114.00	$55.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	92	92	$313.00	$128.96
G0008 Administration of influenza virus vaccine	69	67	$55.00	$16.45
90756 Vaccine for influenza for injection into muscle	69	67	$46.00	$28.30
81003 Automated urinalysis test	50	43	$10.00	$2.25
82570 Creatinine level to test for kidney function or muscle injury	50	43	$20.00	$5.18
82044 Urine microalbumin (protein) analysis	50	43	$15.00	$6.23
93000 Routine ekg using at least 12 leads including interpretation and report	41	36	$57.00	$14.34
J0696 Injection, ceftriaxone sodium, per 250 mg	33	12	$20.00	$0.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	24	$67.00	$13.80
99213 Established patient office or other outpatient visit, typically 15 minutes	30	23	$145.00	$89.05
93922 Ultrasound study of arm and leg arteries	22	22	$314.00	$83.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$462.00	$163.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,059	116	$100.00	$40.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	913	245	$210.00	$105.92
99443 Telephone medical discussion with physician, 21-30 minutes	438	156	$220.08	$78.34
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	342	38	$90.00	$49.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg	161	30	$5.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	138	88	$145.00	$72.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	121	61	$67.00	$13.81
99422 Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes	112	28	$90.00	$29.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	111	111	$313.00	$112.36
G0008 Administration of influenza virus vaccine	87	87	$55.00	$16.22
90756 Vaccine for influenza for injection into muscle	87	87	$46.00	$27.70
J0696 Injection, ceftriaxone sodium, per 250 mg	80	34	$20.00	$0.59
J1885 Injection, ketorolac tromethamine, per 15 mg	78	27	$5.00	$0.57
93000 Routine ekg using at least 12 leads including interpretation and report	57	45	$57.00	$16.40
82044 Urine microalbumin (protein) analysis	48	36	$15.00	$6.17
81003 Automated urinalysis test	48	36	$10.00	$2.23
82570 Creatinine level to test for kidney function or muscle injury	48	36	$20.00	$5.13
93922 Ultrasound study of arm and leg arteries	32	32	$314.00	$81.72
99497 Advance care planning, first 30 minutes	31	30	$240.00	$83.77
99442 Telephone medical discussion with physician, 11-20 minutes	25	22	$151.41	$52.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$462.00	$160.66

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	1,429	329	$209.93	$106.16
J1100 Injection, dexamethasone sodium phosphate, 1 mg	317	54	$5.00	$0.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	304	48	$100.00	$40.66
99213 Established patient office or other outpatient visit, typically 15 minutes	300	136	$145.00	$72.37
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	295	35	$90.00	$49.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	235	105	$67.00	$16.20
J0696 Injection, ceftriaxone sodium, per 250 mg	217	73	$20.00	$0.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	180	$313.00	$113.54
90756 Vaccine for influenza for injection into muscle	164	156	$46.00	$25.67
G0008 Administration of influenza virus vaccine	163	155	$55.00	$15.90
93000 Routine ekg using at least 12 leads including interpretation and report	101	82	$57.00	$16.38
81003 Automated urinalysis test	98	78	$10.00	$2.44
82044 Urine microalbumin (protein) analysis	96	78	$15.00	$6.11
82570 Creatinine level to test for kidney function or muscle injury	96	78	$20.00	$5.63
J1885 Injection, ketorolac tromethamine, per 15 mg	81	34	$5.00	$0.50
93922 Ultrasound study of arm and leg arteries	63	61	$314.00	$82.75
99497 Advance care planning, first 30 minutes	31	31	$240.00	$83.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$462.00	$160.73

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	1,301	371	$210.00	$104.01
99213 Established patient office or other outpatient visit, typically 15 minutes	643	236	$145.00	$70.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg	455	85	$5.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	324	143	$67.00	$19.62
J0696 Injection, ceftriaxone sodium, per 250 mg	243	86	$20.00	$0.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	197	197	$313.00	$112.32
G0008 Administration of influenza virus vaccine	151	151	$54.80	$19.51
90756 Vaccine for influenza for injection into muscle	151	151	$46.00	$22.33
J1885 Injection, ketorolac tromethamine, per 15 mg	146	55	$5.00	$0.57
82044 Urine microalbumin (protein) analysis	126	93	$15.00	$6.11
82570 Creatinine level to test for kidney function or muscle injury	126	93	$20.00	$6.26
81003 Automated urinalysis test	126	93	$10.00	$2.71
93000 Routine ekg using at least 12 leads including interpretation and report	113	92	$57.00	$16.12
99497 Advance care planning, first 30 minutes	83	83	$240.00	$82.26
93922 Ultrasound study of arm and leg arteries	48	47	$314.00	$83.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$462.00	$159.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,264	331	$164.65	$69.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,243	427	$249.55	$102.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	443	164	$55.43	$24.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	208	208	$251.21	$110.49
J0696 Injection, ceftriaxone sodium, per 250 mg	200	112	$20.00	$0.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg	189	98	$5.00	$0.12
82044 Urine microalbumin (protein) analysis	170	129	$15.00	$6.15
82570 Creatinine level to test for kidney function or muscle injury	170	129	$20.00	$6.96
81003 Automated urinalysis test	169	128	$10.00	$3.02
G0008 Administration of influenza virus vaccine	162	161	$55.00	$23.91
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	162	161	$47.59	$17.34
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	150	45	$101.13	$39.42
93000 Routine ekg using at least 12 leads including interpretation and report	140	119	$45.26	$16.11
93922 Ultrasound study of arm and leg arteries	115	113	$240.64	$83.02
J1885 Injection, ketorolac tromethamine, per 15 mg	80	55	$5.00	$0.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$386.31	$157.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	28	$127.72	$51.36
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$320.00	$159.00
94060 Test to measure expiratory airflow and volume changes before and after medication administration	11	11	$140.00	$57.33

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX L0420

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

030866002 (TX)

Commercial Insurance / Payer ID Bcbs

0087ET (TX)

Commercial Insurance / Payer ID Railroad Medicare

P00191876 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

0087ET (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Maximiliano Hernandez , MD

Internal Medicine

NPI 1477525384

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 January 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2012

Registered at 502 S CAGE BLVD, PHARR, PHARR, TX 785775449 (Tel: 9567021013)

📍

Updated Business Mailing Address January 27, 2012

Registered at 502 S CAGE BLVD, PHARR, PHARR, TX 785775449 (Tel: 9567021013)

👤

Provider Name / Credentials Updated January 27, 2012

Recorded as MANUEL MERCADO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2012

Internal Medicine (License #L0420 in TX)

🟢

Initial NPI Registration & Enumeration February 03, 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: 1316919228

Entity Type:

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

Enumeration Date: February 03, 2006

Last Update: January 27, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

502 S Cage Blvd, Pharr

Pharr, TX 785775449

Phone: 9567021013

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.