Juan Pablo Sarmiento, M.D.
NPI 1568625432 · Pulmonary Disease Physician · Mcallen, TX
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Juan Pablo Sarmiento, M.D. is a Pulmonary Disease Physician provider in Mcallen, TX (NPI 1568625432).
Provider details
- NPI number
- 1568625432
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- TRN12410 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
602 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 246 | $203 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 117 | $112 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 92 | $117 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 32 | $164 |
| Ultrasound Scan of Chest76604 | 28 | $54 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 22 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 45 | — |
| Apixabanbrand: Eliquis | 33 | — |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 32 | — |
| Gabapentin | 26 | — |
| Prednisone | 23 | 13 |
| Torsemide | 22 | — |
| Fluticasone/Vilanterol |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$802 across 38 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 5501 S Mccoll RdEdinburg, TX 78539-5503Phone: (956) 362-8677Fax: (956) 362-7253
- 1112 E Griffin Pkwy Ste DMission, TX 78572-2408Phone: (956) 450-3093Fax: (956) 631-9822
Registry dates
- Enumerated
- 2008-07-09
- Last updated
- 2023-05-11
- Certified
- 2023-05-11
Frequently asked questions
- What is Juan Pablo Sarmiento's NPI number?
- Juan Pablo Sarmiento's National Provider Identifier (NPI) is 1568625432, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Juan Pablo Sarmiento's specialty?
- Juan Pablo Sarmiento is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Juan Pablo Sarmiento located?
- Juan Pablo Sarmiento's practice location on file with NPPES is 5300 N G St Ste 110, Mcallen, TX 78504-6550.
- What is Juan Pablo Sarmiento's phone number?
- The practice phone number listed in the NPPES registry for Juan Pablo Sarmiento is (956) 540-9766.
- Does Juan Pablo Sarmiento accept Medicare?
- Juan Pablo Sarmiento is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Juan Pablo Sarmiento's NPI active?
- Yes — Juan Pablo Sarmiento's NPI (1568625432) is active in the NPPES registry as of the last update on 2023-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.