DR. RICARDO NATHANIEL SEPULVEDA MD
NPI 1013177799
Ophthalmology in San Antonio, TX

Q: What is Ricardo Sepulveda's NPI number?

The NPI number for Ricardo Sepulveda is 1013177799. It was assigned to this individual provider in the NPPES registry on June 16, 2008. The provider is also known as Ricardo Nathaniel Sepulveda-Flores MD.

Q: What is Ricardo Sepulveda's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ricardo Sepulveda was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 16, 2008PECOS EnrolledAccepts Medicare Assignment

18.63/100

CMS Quality Rating

8002 WEST AVE, SAN ANTONIO, TX 78213(210) 904-2020(210) 348-8768 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2022, Sep 30, 2022, May 11, 2016 (3 updates tracked since 2016).

On this page

About Dr. Ricardo Nathaniel Sepulveda Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICARDO NATHANIEL SEPULVEDA MD (NPI 1013177799) is an individual ophthalmology provider in San Antonio, Texas, licensed in Texas (N4076) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Fort Duncan Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1013177799

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. RICARDO NATHANIEL SEPULVEDACredential: MD

Location Address8002 WEST AVESan Antonio, TX 78213-1865

Mailing Address8002 West AveSan Antonio, TX 78213-1865 · (210) 904-2020 · Fax (210) 348-8768

Phone(210) 904-2020

Fax(210) 348-8768

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 16, 2008

Last NPPES UpdateSeptember 30, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2025

✔ NPI 1013177799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in TX · N4076

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License N4076 (TX)

Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License N4076 (TX)

8002 WEST AVE, San Antonio, TX 78213

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Other Names 1

Other Name (5)Ricardo Nathaniel Sepulveda-flores Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ricardo Nathaniel Sepulveda Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294800090

PECOS Enrollment IDI20091116000619

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

479 services284 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

451 services276 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

241 services142 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

187 services38 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

163 services36 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

136 services106 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

95 services82 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

90 services90 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

88 services62 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

85 services85 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

74 services67 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

74 services70 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

66 services60 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

60 services58 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

46 services42 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

41 services36 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

39 services27 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

38 services35 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

34 services19 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

33 services19 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

30 services27 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fort Duncan Medical Center

Acute Care Hospitals · Eagle Pass, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450092

Location3333 N Foster Maldonado BlvdEagle Pass, TX 78852 · Maverick County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

18.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

62.1

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN LOPEZ OD

Optometrist

8002 WEST AVE
SAN ANTONIO, TX 78213

Bexar County (210) 348-8788

LASIK AND CATARACT SAN ANTONIO

Ophthalmology

8002 WEST AVE
SAN ANTONIO, TX 78213

Bexar County (210) 348-8788

HEAVENLY HANDS CHILDREN'S MEDICAL DAYCARE CENTER

Respite Care (Respite Care, Physical Disabilities, Child)

8002 WEST AVE, STE 1
CASTLE HILLS, TX 78213

Bexar County (210) 340-2566

CHRISTOPHER LEE SOULSBY LCSW

Social Worker (Clinical)

8002 WEST AVE
SAN ANTONIO, TX 78213

Bexar County (713) 686-9194

HEAVENLY HANDS CHILDREN'S MEDICAL DAYCARE CENTER

Respite Care (Respite Care, Physical Disabilities, Child)

8002 WEST AVE, SUITE 1
CASTLE HILLS, TX 78213

Bexar County (210) 560-3938

CLEAR VISION SAN ANTONIO

Ophthalmology

8002 WEST AVE
SAN ANTONIO, TX 78213

Bexar County (210) 904-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricardo Sepulveda's NPI number?

The NPI number for Ricardo Sepulveda is 1013177799. It was assigned to this individual provider in the NPPES registry on June 16, 2008. The provider is also known as Ricardo Nathaniel Sepulveda-Flores MD.

Where is Ricardo Sepulveda located?

Ricardo Sepulveda practices at 8002 West Ave, San Antonio, TX 78213. The listed phone number is (210) 904-2020.

What is Ricardo Sepulveda's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ricardo Sepulveda enrolled in Medicare?

Yes. Ricardo Sepulveda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ricardo Sepulveda accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Ricardo Sepulveda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ricardo Sepulveda affiliated with any hospitals?

According to CMS data, Ricardo Sepulveda is affiliated with Fort Duncan Medical Center.

When was this NPI record last updated?

The NPPES record for Ricardo Sepulveda was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.