MANUEL J MERCADO (MD) – Internal Medicine Physician, NPI 1316919228

MANUEL J MERCADO (MD) is a healthcare provider. based in Pharr, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. L0420 (TX). The NPI Number for MANUEL J MERCADO (MD) is 1316919228

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
MANUEL J MERCADO (MD)
NPI
1316919228
Phone
(956) 702-1013
Address
502 S CAGE BLVD
Enumeration Date
3 February 2006
Last Update Date
27 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9567021013
Graduation Year
1991 (35 years ago)
PAC ID
2062549793
Professional Enrollment ID
I20100428000600
Address ID
TX785775449PH502XXBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for MANUEL J MERCADO (MD)

  • 502, South Cage Boulevard, McDaniel Colonia, Pharr, Hidalgo County, Texas, 78577, United States

    PHARR

    PHARR, TX 785775449

    Phone: (956) 702-1013

    Fax: (956) 781-5196

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 245 Open Payments records for all available years, with a total value of $3,486.

Total Amount is formed as General ($3,486) + Research ($0) + Ownership ($0) = $3,486.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Lilly USA, LLC ($544).

Total Amount

$3,486

General + Research + Ownership

Payments

245

Total payment records

General Amount

$3,486

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-04-28

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
I20100428000600IInternal MedicineTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes512128$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes21926$0
99091Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days15226$0
99443Telephone medical discussion with physician, 21-30 minutes11161$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6161$0
View full utilization report →

Insurance plans in this area (ZIP 78577)

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Provider's Procedures

MANUEL J MERCADO (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration2323

Reviews

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Frequently asked questions

What number should I use to identify MANUEL J MERCADO (MD) for billing?
Administrative and clinical systems typically use NPI 1316919228 for MANUEL J MERCADO (MD).
Is MANUEL J MERCADO (MD)'s NPI status active today?
Active status means MANUEL J MERCADO (MD)'s NPI record is not deactivated in the public file.
How should patients interpret MANUEL J MERCADO (MD)'s specialty?
The extract shows Internal Medicine Physician for MANUEL J MERCADO (MD). Clinical services aligned with this taxonomy classification.
Can patients visit MANUEL J MERCADO (MD) in Pharr, Texas?
For routing, start with Pharr, Texas for MANUEL J MERCADO (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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