IVAN A MEDEROS (M.D.) – Surgery Physician, NPI 1205809258

IVAN A MEDEROS (M.D.) is a healthcare provider. based in Laredo, Texas. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. J7581 (TX). The NPI Number for IVAN A MEDEROS (M.D.) is 1205809258

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
IVAN A MEDEROS (M.D.)
NPI
1205809258
Phone
(956) 795-8297
Address
PO BOX 450748
Enumeration Date
9 February 2006
Last Update Date
16 September 2020

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9567962999
Graduation Year
1988 (38 years ago)
PAC ID
8426067976
Group Practice PAC ID
1557260064
Professional Enrollment ID
I20110826000148
Address ID
TX780415528LA1710XSTXX402

Contacts

Secure Messaging
ivan.mederos.1@1902.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,644 GENERAL SURGERY in TX

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Provider Addresses for IVAN A MEDEROS (M.D.)

  • PO BOX 450748

    LAREDO, TX 780450018

    Phone: (956) 795-8297

    Fax: (956) 794-8888

    Type: Mailing

  • 1710, East Saunders Street, Laredo, Webb County, Texas, 78041, United States

    SUITE B-375

    LAREDO, TX 780415443

    Phone: (956) 795-8297

    Fax: (956) 794-8888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110826000148IGeneral SurgeryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5148$0
99203New patient office or other outpatient visit, 30-44 minutes3333$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3015$0
99213Established patient office or other outpatient visit, 20-29 minutes3027$0
99212Established patient office or other outpatient visit, 10-19 minutes2416$0
View full utilization report →

Insurance plans in this area (ZIP 78045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557260064View full group profile

Reviews

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Frequently asked questions

Does IVAN A MEDEROS (M.D.) have a public NPI I can cite?
Public records show IVAN A MEDEROS (M.D.) under NPI 1205809258.
Is IVAN A MEDEROS (M.D.)'s NPI status active today?
Active status means IVAN A MEDEROS (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits IVAN A MEDEROS (M.D.)?
NPPES ties IVAN A MEDEROS (M.D.) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit IVAN A MEDEROS (M.D.) in Laredo, Texas?
For routing, start with Laredo, Texas for IVAN A MEDEROS (M.D.), then verify phone and hours locally.
Can I export IVAN A MEDEROS (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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