DUANE RUSSELL HOSPENTHAL MD, PHD
NPI 1013907831
Internal Medicine - Infectious Disease in San Antonio, TX

Q: What is Duane Hospenthal's NPI number?

The NPI number for Duane Hospenthal is 1013907831. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Q: What is Duane Hospenthal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Duane Hospenthal was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 October 24, 2005PECOS EnrolledAccepts Medicare Assignment

59.06/100

CMS Quality Rating

8715 VILLAGE DR STE 514, SAN ANTONIO, TX 78217(210) 370-9922(210) 545-5616 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2025, Nov 19, 2020 (2 updates tracked since 2020).

On this page

About Duane Russell Hospenthal Md, Phd NPPES

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

DUANE RUSSELL HOSPENTHAL MD, PHD (NPI 1013907831) is an individual infectious disease provider in San Antonio, Texas, licensed in Texas (P2264) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Michigan State University College Of Human Medicine (1991).

NPPES Registry Identity

NPI1013907831

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDUANE RUSSELL HOSPENTHALCredential: MD, PHD

Location Address8715 VILLAGE DR STE 514San Antonio, TX 78217-5407

Mailing Address7940 Floyd Curl Dr Ste 560San Antonio, TX 78229-3907 · (210) 614-8100 · Fax (210) 615-7233

Phone(210) 370-9922

Fax(210) 545-5616

Sole ProprietorYes

Medical School CMSMichigan State University College Of Human MedicineGraduated 1991

Enumeration DateOctober 24, 2005

Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration

NPPES CertifiedMarch 24, 2025

✔ NPI 1013907831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Licenses✔ Licensed in TX · P2264✔ Licensed in MI · 4301062322

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

8715 VILLAGE DR STE 514, San Antonio, TX 78217

Open in Google Maps ↗

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

Duane Russell Hospenthal Md, Phd 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 ID3476700865

PECOS Enrollment IDI20130227000394

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

576 services151 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

263 services103 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

165 services160 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.

125 services59 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450058

Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County

Emergency services Birthing friendly

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450237

Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450388

Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78217 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

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

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.

59.06/100

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

Scored as part of a group practice

Quality

54.53

Promoting Interoperability

Improvement Activities

Cost

67.02

Other Providers at the Same Location NPPES 3

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

GINO GUILLERMO TAPIA ZEGARRA MD

Internal Medicine (Infectious Disease)

8715 VILLAGE DR STE 514
SAN ANTONIO, TX 78217

Bexar County (210) 370-9922

CAROLINE C DEWITT MD

Internal Medicine (Infectious Disease)

8715 VILLAGE DR STE 514
SAN ANTONIO, TX 78217

Bexar County (210) 370-9922

DR. GEMMA ALMIRA BERLANGA M.D.

Internal Medicine (Infectious Disease)

8715 VILLAGE DR STE 514
SAN ANTONIO, TX 78217

Bexar County (210) 370-9922

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 Duane Hospenthal's NPI number?

The NPI number for Duane Hospenthal is 1013907831. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Duane Hospenthal located?

Duane Hospenthal practices at 8715 Village Dr Ste 514, San Antonio, TX 78217. The listed phone number is (210) 370-9922.

What is Duane Hospenthal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Duane Hospenthal enrolled in Medicare?

Yes. Duane Hospenthal 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 Duane Hospenthal 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 7 other insurers list Duane Hospenthal 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 Duane Hospenthal affiliated with any hospitals?

According to CMS data, Duane Hospenthal is affiliated with Baptist Medical Center, Christus Santa Rosa Medical Center and Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Duane Hospenthal was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.