Physician

Pedro E Mcdougal, M.D. F.A.C.P.

According to 2025 Medicare claims, Pedro Mcdougal, M.D. F.A.C.P. (NPI: 1144275355) practices internal medicine in the McAllen-Edinburg-Mission, TX market, with the plurality of this provider's patient population coming from Hidalgo, TX. This provider's primary affiliated billing organization is RIO GRANDE VALLEY ADULT & INTERNAL MEDICINE SPECIALISTS PLLC (NPI: 1528039120; TIN: 470874059) and primary practice location at 78596-6644. Mcdougal is affiliated with the RGV ACO Health Providers, LLC (ACO ID: D0257), participating under the REACH model.

Mcdougal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,526 traditional Medicare patients, billed 15,889 HCPCS/CPT codes, and received $714,299 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 13,722 prescription claims across 2,607 beneficiaries totaling $1,542,142 in drug costs, led by Ozempic (Semaglutide). DME data shows 172 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $846,898 and ending at $714,299. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $30,678 to $3,336.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,729	20,250	$846,898
2016	2,166	27,990	$1,168,545
2017	2,101	27,301	$1,160,800
2018	1,872	24,663	$922,952
2019	1,704	21,818	$818,007
2020	2,118	21,684	$898,720
2021	2,876	25,742	$1,046,276
2022	2,107	29,747	$1,303,963
2023	1,630	15,144	$634,784
2024	1,526	15,889	$714,299

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	1,550	19,541	$1,526,066
2016	1,755	14,129	$1,161,446
2017	1,787	15,309	$1,375,105
2018	1,759	14,819	$1,488,236
2019	1,858	15,834	$1,596,613
2020	1,750	10,642	$1,130,758
2021	1,665	9,542	$1,196,226
2022	1,896	9,743	$1,160,911
2023	2,373	12,365	$1,693,491
2024	2,607	13,722	$1,542,142

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	550	1,225	$33,397
2016	693	1,464	$38,643
2017	524	1,375	$27,322
2018	445	1,066	$43,600
2019	312	771	$24,845
2020	137	633	$17,864
2021	117	347	$9,172
2022	166	434	$12,319
2023	110	332	$18,939
2024	50	172	$7,724

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	466	466	$123
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	768	1,375	$81
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	658	1,155	$58
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,188	3,629	$44
99439	Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	520	953	$36

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	150	6,026	$162,840
Jardiance	Empagliflozin	92	6,750	$126,629
Tradjenta	Linagliptin	77	5,280	$80,369
Eliquis	Apixaban	63	4,020	$80,321
Januvia	Sitagliptin Phosphate	62	4,355	$74,092

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	24	$4,394
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	24	$2,153
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	27	55	$764
K0001	Standard wheelchair	Y	N/R	21	$363
A4259	Lancets, per box of 100	N	23	48	$51

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Pedro E. Mcdougal, M.D. F.A.C.P.?

Tedicare shows public-source Medicare data for Pedro E. Mcdougal, M.D. F.A.C.P. (NPI 1144275355), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Pedro E. Mcdougal, M.D. F.A.C.P. have ACO affiliation data?

Pedro E. Mcdougal, M.D. F.A.C.P. is shown with ACO affiliation data for RGV ACO Health Providers, LLC (REACH, ACO ID D0257).

What billing organization is linked to Pedro E. Mcdougal, M.D. F.A.C.P.?

Pedro E. Mcdougal, M.D. F.A.C.P. is linked to RIO GRANDE VALLEY ADULT & INTERNAL MEDICINE SPECIALISTS PLLC (billing NPI 1528039120) in the available physician profile data.

Does Pedro E. Mcdougal, M.D. F.A.C.P. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.