JORGE C ZAMORA-QUEZADA, M.D.

NPI 1326042003, individual, Edinburg, TX, Internal Medicine, Rheumatology

Evidence tier

adjudicated in a public enforcement record

Adjudicated (sentenced) per a Department of Justice release dated May 21, 2025.
No Medicaid payments in the last 12 observed months.

Public enforcement record: Texas Doctor Who Falsely Diagnosed Patients Sentenced to 10 Years’ Imprisonment in Connection with $118M in Fraudulent Health Care Claims

score 90 of 100, rank 536, $0 at stake

Public list actions

Medicare revocation effective May 23, 2025, barred from re-enrolling until May 23, 2035

424.535(a)(3) felonies, Practitioner - Rheumatology, TX

OIG exclusion October 20, 2025 under section 1128a1

Physician (MD, DO), Rheumatology, Beaumont, TX

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	JORGE C ZAMORA-QUEZADA, M.D.
Type	Individual, sole proprietor
Status	Active
NPI issued	June 9, 2005, last updated November 21, 2016
Practice location	2601 CORNERSTONE BLVD, Edinburg, TX 78539-8479, 956-664-1400
Specialties	Internal Medicine, Rheumatology (207RR0500X, primary, license J0739 TX)

In this area

39 providers in Hidalgo County, TX carry an indicator in the public record, with $73.7M at stake between them. The most common is more hours than a day holds, on 26 of them, followed by part of a provider network on 7. 4 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	EUGENE S MACKIE MD PA Edinburg, TX, ranked 161	$74K	Listed on the Medicare revocation list since September 7, 2018. Medicaid still paid claims in 33 later months, $74,283 in total.
1	EUGENE MACKIE Edinburg, TX, ranked 167	$68K	Listed on the Medicare revocation list since September 7, 2018. Medicaid still paid claims in 33 later months, $67,762 in total.
1	ALL STARS LLC Pharr, TX, ranked 225	$26K	Listed on the Medicare revocation list since June 5, 2024. Medicaid still paid claims in 6 later months, $26,090 in total.
1	OSAMA NAHAS Edinburg, TX, ranked 375	$2K	Listed on a Department of Justice release since March 1, 2024. Medicaid still paid claims in 7 later months, $1,625 in total. and 1 more
3	AMERICARE NURSING SERVICES, P.L.L.C. San Juan, TX, ranked 895	$10.2M	Part of provider network D1-00019, ranked 19 nationally.
3	PAZ HOME HEALTH LLC Mcallen, TX, ranked 1388	$71K	Part of provider network D1-00019, ranked 19 nationally.
3	STATE OF TEXAS VETERANS LAND BOARD Mcallen, TX, ranked 1889	$0	Part of provider network D1-00040, ranked 40 nationally.
3	PAZ HOME HEALTH LLC DBA PAZ HOME HEALTH II LLC Mcallen, TX, ranked 2105	$0	Part of provider network D1-00019, ranked 19 nationally.

All 39 in TX

Recent enforcement in TX

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementAug 26, 2026

Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations

Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.

DOJConvictedAug 12, 2026

Scammer pharmacist guilty in $20 million healthcare kickback scheme

Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.

DOJIndictedJun 24, 2026

U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas

Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.

DOJIndictedJun 23, 2026

Nine charged in SDTX as part of national health care fraud takedown

Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.

DOJChargedJun 23, 2026

Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million

Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.

Referral packet

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