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Primary care doctors who accept Medicare in Floresville, TX
CMS lists 22 clinicians in this specialty with a practice address in Floresville. Accept Medicare assignment (the Medicare-approved amount as full payment): 22. Offer telehealth: 7.
Typical amounts Medicare approves in ZIP 78114 (2024 Medicare rates, the latest CMS has published): a new-patient visit $126, of which you pay about $32; a follow-up visit $97, of which you pay about $24 — the 20% coinsurance after the yearly Part B deductible. Clinicians who don't accept assignment can charge up to 15% more; with a Medicare Advantage plan, your plan's copay applies instead.
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Order: clinicians who accept assignment first, then by MIPS score (highest first), then by last name.
Laura S. Allen, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 1994 · Louisiana State University School of Medicine in New OrleansFemaleDrug and device company payments (2025): $124Yvette Alvarez, DO
✓ Accepts Medicare assignmentGraduated 2012 · University of North Texas HSC, College of Osteopathic MedFemaleDrug and device company payments (2025): $139Zachary M. Aybar, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 2020MaleDrug and device company payments (2025): $78Vivian M. Ayoub, MD
✓ Accepts Medicare assignmentGraduated 2000FemaleDrug and device company payments (2025): $125Jacquelin E. Castillo, MD
✓ Accepts Medicare assignmentGraduated 2010FemaleDrug and device company payments (2025): $61Daryl Currier, MD
✓ Accepts Medicare assignmentGraduated 1977 · University of Texas Medical School at San AntonioMaleDrug and device company payments (2025): $36Effiok S. Ekpenyong, MD
✓ Accepts Medicare assignmentGraduated 2010MaleDrug and device company payments (2025): $156Trini Garza, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 2008 · University of Texas Southwestern Medical School at DallasMaleOther offices in Floresville: 2Drug and device company payments (2025): $664Hugo E. Guido, MD
✓ Accepts Medicare assignmentGraduated 2008MaleDrug and device company payments (2025): $61Madeline E. Hazle, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 2022 · University of Texas Medical School at San AntonioFemaleDrug and device company payments (2025): $77Matthew A. Hendley, MD
✓ Accepts Medicare assignmentGraduated 2009 · University of Texas Medical School at San AntonioMaleDrug and device company payments (2025): $24Enrique Iglesias Jr., MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 2019 · University of Texas Medical School at San AntonioMaleDrug and device company payments (2025): $900Andrew Jatskiv, MD
✓ Accepts Medicare assignmentGraduated 2010MaleAna L. Motta, MD
✓ Accepts Medicare assignmentGraduated 2018FemaleJillian F. Patton, MD
✓ Accepts Medicare assignmentGraduated 2017 · University of Texas Medical Branch at GalvestonFemaleDrug and device company payments (2025): $452Guy J. Racette, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 1982MaleDrug and device company payments (2025): $847Javier F. Rodriguez, MD
✓ Accepts Medicare assignmentGraduated 1981MaleDrug and device company payments (2025): $262Victor G. Rosales, DO
✓ Accepts Medicare assignment✓ TelehealthGraduated 2006 · University of North Texas HSC, College of Osteopathic MedMaleDrug and device company payments (2025): $33Nafeesa Salam, MD
✓ Accepts Medicare assignmentGraduated 2016FemaleDrug and device company payments (2025): $37Michael D. Snyder, MD
✓ Accepts Medicare assignmentGraduated 2002 · Loma Linda University School of MedicineMaleOther offices in Floresville: 2Jose Torrijos, MD
✓ Accepts Medicare assignmentGraduated 2015 · Icahn School of Medicine at Mount SinaiMalePavel Valdes, MD
✓ Accepts Medicare assignmentGraduated 1990MaleDrug and device company payments (2025): $37
Before you book
This list comes from Medicare's enrollment records, not from reviews. Call the office to confirm the clinician is taking new Medicare patients. With Original Medicare, a clinician who accepts assignment can only charge you the Medicare deductible and coinsurance; one who doesn't may charge up to 15% more than the Medicare-approved amount. If you have a Medicare Advantage plan, check that the clinician is in the plan's network.
The MIPS final score (0–100) comes from Medicare's Merit-based Incentive Payment System for 2024. It combines quality measures, cost, improvement activities and use of certified health records, and it sets a payment adjustment. Clinicians who report as a group share the group's score. It is not a patient rating, and many clinicians have no published score.
Payments from drug and medical device companies come from CMS Open Payments (2025 general payments: meals, travel, consulting and speaking fees, gifts and similar), summed for each clinician. Receiving payments is legal and common and does not mean a clinician did anything wrong.
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Enrollment, addresses and scores are as reported to CMS and can change. This is not a list of in-network providers for any Medicare Advantage plan, and it is not medical advice. Source: CMS Provider Data Catalog — Doctors and Clinicians National Downloadable File, Clinician MIPS Performance 2024 and Facility Affiliation Data (released Oct 2, 2026).