OSCAR TIJERINA MD
NPI 1588646145
Emergency Medicine in Mission, TX
NPI Status: Active since November 18, 2005
- Individual
- Male
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About OSCAR TIJERINA
This page provides the complete NPI Profile along with additional information for Oscar Tijerina, a provider established in Mission, Texas with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1588646145 assigned on November 2005. The practitioner's primary taxonomy code is 207P00000X with license number J1798 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1588646145
- Provider Name
- OSCAR TIJERINA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 900 S BRYAN RD MISSION, TX 78572
- Location Phone
- (956) 580-9000
- Mailing Address
- 2001 BRAZOS CT MISSION, TX 78572
- Mailing Phone
- (956) 581-2364
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-18-2005
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- J1798
- License State
- TX
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00815J | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | |
| 8R0708 | OTHER (01) | TX | BCBS |
| E72151 | MEDICARE UPIN (02) | TX | |
| 8C1100 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | |
| 8F1324 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX |
Medicare Participation & PECOS Enrollment Status
Oscar Tijerina is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 49 times for 49 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 259 times for 233 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 63 times for 43 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 171 times for 157 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78572 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.92
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.05
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $24.26
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 8 | 8 | 6 | 4 | 6 | 1 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 12 | 4 | 12 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 1 + 2 + 4 + 1 + 2 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1588646145 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326020207 | NICHOLAS ANTHONY KEVIN METCALF MD Individual | Emergency Medicine | 900 S BRYAN RD MISSION, TX 78572 (956) 580-9000 |
| 1548242324 | JORGE ALEJANDRO ROQUE MD Individual | Emergency Medicine | 900 S BRYAN RD MISSION, TX 78572 (956) 580-9000 |
| 1447232194 | MICHAEL DOUGLAS SHAWN MD Individual | Emergency Medicine | 900 S BRYAN RD MISSION, TX 78572 (956) 580-9000 |
| 1720060338 | REBECCA ANN CARTER MD Individual | Emergency Medicine | 900 S BRYAN RD MISSION, TX 78572 (956) 580-9000 |
| 1992787568 | WALTER JOHN ZAWISLAK MD Individual | Emergency Medicine | 900 S BRYAN RD MISSION, TX 78572 (956) 580-9000 |
| 1164405544 | TED SHAWN STURDIVANT MD Individual | Emergency Medicine | 900 S BRYAN RD MISSION, TX 78572 (956) 580-9000 |
| 1689659054 | OLGA YURYEVNA LANGLEY MD Individual | Emergency Medicine | 900 S BRYAN RD MISSION, TX 78572 (956) 580-9000 |
| 1588688378 | MR. JOSEPH RAYMOND BALLARD CRNA Individual | Nurse Anesthetist, Certified Registered | 900 S BRYAN RD MISSION, TX 78572 (956) 323-1808 |
| 1174547863 | MR. GARY STEPHEN CROWE CRNA Individual | Nurse Anesthetist, Certified Registered | 900 S BRYAN RD MISSION, TX 78572 (956) 323-1808 |
| 1376635987 | JACK P RHEINER FNP Individual | Nurse Practitioner | 900 S BRYAN RD MISSION, TX 78572 (956) 580-9000 |
| 1730308339 | MRS. DALINDA E. LIGUEZ M.S. CCC-SLP Individual | Speech-Language Pathologist | 900 S BRYAN RD MISSION, TX 78572 (956) 323-1571 |
| 1295928422 | AMY NICHOLS CPTA Individual | Physical Therapy Assistant | 900 S BRYAN RD MISSION, TX 78572 (956) 323-1552 |
| 1144406828 | JASON ALAN RIMINI P.T. Individual | Physical Therapist | 900 S BRYAN RD MISSION, TX 78572 (956) 323-1553 |
| 1396908638 | PRIMO ABEL MAYHUA Organization | Internal Medicine | 900 S BRYAN RD MISSION, TX 78572 (956) 383-9800 |
| 1841438785 | ACEMA GROUP, PA Organization | Anesthesiology | 900 S BRYAN RD MISSION, TX 78572 (956) 323-9000 |
| 1730445222 | PRINCESITA DIAZ HERNANDEZ PT Individual | Physical Therapist | 900 S BRYAN RD SUITE 207 MISSION, TX 78572 (956) 323-1570 |
| 1174817803 | MR. JONATHAN H DE GUZMAN PT Individual | Physical Therapist | 900 S BRYAN RD STE. 207 MISSION, TX 78572 (956) 323-1570 |
| 1952796856 | DOMICIANO ESPINOSA PA-C, MPAS Individual | Physician Assistant (Medical) | 900 S BRYAN RD MISSION, TX 78572 (956) 323-1070 |
| 1295233138 | MRS. ELIZABETH OLIVAREZ AGACNP-BC Individual | Nurse Practitioner (Acute Care) | 900 S BRYAN RD MISSION, TX 78572 (956) 323-9000 |
| 1598246951 | MIGUEL ANGEL GARCIA PTA Individual | Physical Therapy Assistant | 900 S BRYAN RD MISSION, TX 78572 (956) 323-9000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588646145, enumerated in the NPI registry as an "individual" on November 18, 2005
The provider is located at 900 S Bryan Rd Mission, Tx 78572 and the phone number is (956) 580-9000
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.92 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.05 and an average copayment of 24.26. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.
This NPI record was last updated on November 18, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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