THOMAS W ERTZNER MD
NPI 1013902071
Radiology - Diagnostic Radiology in Corpus Christi, TX

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
83.13/100
CMS Quality Rating
3226 S ALAMEDA ST, CORPUS CHRISTI, TX 78404(361) 888-6684(361) 888-6686 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas W Ertzner Md NPPES

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

THOMAS W ERTZNER MD (NPI 1013902071) is an individual diagnostic radiology provider in Corpus Christi, Texas, licensed in Texas (H3031) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Laredo Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1981).

NPPES Registry Identity

NPI1013902071
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTHOMAS W ERTZNERCredential: MD
Location Address3226 S ALAMEDA STCorpus Christi, TX 78404-2508
Mailing Address3226 Reid DrCorpus Christi, TX 78404-2552 · (361) 853-4503 · Fax (361) 853-4454
Fax(361) 888-6686
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1981
Enumeration DateSeptember 15, 2005
Last NPPES UpdateDecember 9, 2011
✔ NPI 1013902071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · H3031
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3226 S ALAMEDA ST, Corpus Christi, TX 78404

Other Identifiers 3

Medicare ID-Type Unspecified83R009
Medicare UPINA99934
Medicaid118302201TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas W Ertzner 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 ID3678471950
PECOS Enrollment IDI20031223000610, I20170816000691
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Ertzner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1700 E SAUNDERS ST
Laredo, TX 78041
  • Reassigned Medicare billing, Colorado and Texas enrollments
Diagnostic Radiology
9250 PINECROFT DR
Shenandoah, TX 77380
  • Reassigned Medicare billing, Colorado and Texas enrollments
  • Also billed through NPI 1487811766 (Texas)
  • 53 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 25

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,304 services1,085 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
395 services374 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
278 services268 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
129 services128 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
75 services74 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
60 services55 patients

Hospital Affiliations CMS Care Compare 5

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

Laredo Medical Center

Acute Care Hospitals · Laredo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450029
Location1700 East SaundersLaredo, TX 78044 · Webb County
Emergency services Birthing friendly

Christus Spohn Hospital Corpus Christi

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County
Emergency services Birthing friendly

Christus Spohn Hospital Beeville

Acute Care Hospitals · Beeville, TX
OwnershipVoluntary non-profit - Church
CMS Certification Number450082
Location1500 E Houston HwyBeeville, TX 78102 · Bee County
Emergency services Birthing friendly

Corpus Christi Medical Center,the

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450788
Location6629 Woodridge RoadCorpus Christi, TX 78414 · Nueces County
Emergency services Birthing friendly

Christus Spohn Hospital Alice

Acute Care Hospitals · Alice, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450828
Location2500 E Main StreetAlice, TX 78332 · Jim Wells County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78404 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

83.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.16
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Radiology (Diagnostic Radiology)
3226 S ALAMEDA ST
CORPUS CHRISTI, TX 78404
Radiology (Diagnostic Radiology)
3226 S ALAMEDA ST
CORPUS CHRISTI, TX 78404
Radiology (Diagnostic Radiology)
3226 S ALAMEDA ST
CORPUS CHRISTI, TX 78404
Radiology (Diagnostic Radiology)
3226 S ALAMEDA ST
CORPUS CHRISTI, TX 78404
Radiology (Diagnostic Radiology)
3226 S ALAMEDA ST
CORPUS CHRISTI, TX 78404
Radiology (Diagnostic Radiology)
3226 S ALAMEDA ST
CORPUS CHRISTI, TX 78404
Radiology (Diagnostic Radiology)
3226 S ALAMEDA ST
CORPUS CHRISTI, TX 78404
Radiology (Diagnostic Radiology)
3226 S ALAMEDA ST
CORPUS CHRISTI, TX 78404

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 Thomas Ertzner's NPI number?

The NPI number for Thomas Ertzner is 1013902071. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Thomas Ertzner located?

Thomas Ertzner practices at 3226 S Alameda St, Corpus Christi, TX 78404. The listed phone number is (361) 888-6684.

What is Thomas Ertzner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Thomas Ertzner enrolled in Medicare?

Yes. Thomas Ertzner 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.

Which organizations bill Medicare for Thomas Ertzner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Ertzner reassigns Medicare benefits to 2 organizations: Deliverrad PLLC (Laredo, TX) and Singleton Associates PA (Shenandoah, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Ertzner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Ertzner accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Thomas Ertzner 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 Thomas Ertzner affiliated with any hospitals?

According to CMS data, Thomas Ertzner is affiliated with Laredo Medical Center, Christus Spohn Hospital Corpus Christi, Christus Spohn Hospital Beeville, Corpus Christi Medical Center,the and Christus Spohn Hospital Alice.

When was this NPI record last updated?

The NPPES record for Thomas Ertzner was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.