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RONALD B KUPPERSMITH M.D.
NPI 1013959287
Otolaryngology in College Station, TX

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
1730 BIRMINGHAM DR, COLLEGE STATION, TX 77845(979) 693-6000(979) 693-1900 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ronald B Kuppersmith M.d. NPPES

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

RONALD B KUPPERSMITH M.D. (NPI 1013959287) is an individual otolaryngology provider in College Station, Texas, licensed in Texas (L5799) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Regional Hospital, and is a graduate of University Of Michigan Medical School (1993).

NPPES Registry Identity

NPI1013959287
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameRONALD B KUPPERSMITHCredential: M.D.
Location Address1730 BIRMINGHAM DRCollege Station, TX 77845-4063
Mailing AddressPo Box 10194College Station, TX 77842-0194 · (979) 693-6000 · Fax (979) 693-1900
Phone(979) 693-6000
Fax(979) 693-1900
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1993
Enumeration DateJune 12, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1013959287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TX · L5799
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License L5799 (TX)
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License L5799 (TX)
1730 BIRMINGHAM DR, College Station, TX 77845
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Other Identifiers 1

OtherX0127267TX · Dps

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Ronald B Kuppersmith M.d. 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 ID345279360
PECOS Enrollment IDI20050810000678
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 8

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 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.
109 services91 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services29 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
29 services28 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
29 services28 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
19 services19 patients
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.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450011
Location2801 Franciscan DrBryan, TX 77802 · Brazos County
Emergency services Birthing friendly

Physicians Centre,the

Acute Care Hospitals · Bryan, TX
OwnershipProprietary
CMS Certification Number450834
Location3131 University Drive EastBryan, TX 77802 · Brazos County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77845 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
28%592 patients2/55-star benchmark: 92%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
32%63 patients2/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%2,572 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,105 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%551 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
78%2,904 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
23%995 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
86%2,078 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
17%435 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 66% · 92 patients
Patients tobacco: 95% · 761 patients
99%761 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
65%2,904 patients3/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
2%2,904 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. KELLOUS ANDREW PRICE M.D.
Otolaryngology
1730 BIRMINGHAM DR
COLLEGE STATION, TX 77845
Brazos County (979) 693-6000
DR. MICHAEL F MCMAHON M.D.
Otolaryngology
1730 BIRMINGHAM DR
COLLEGE STATION, TX 77845
Brazos County (979) 693-6000
GENNA LECHLER FNP-C
Nurse Practitioner (Family)
1730 BIRMINGHAM DR
COLLEGE STATION, TX 77845
Brazos County (979) 693-6000
ANDREW L DEJONG M.D.
Otolaryngology (Pediatric Otolaryngology)
1730 BIRMINGHAM DR
COLLEGE STATION, TX 77845
Brazos County (979) 693-6000
KATHRYN L SOSSEN FNP
Nurse Practitioner (Family)
1730 BIRMINGHAM DR, SUITE 100
COLLEGE STATION, TX 77845
Brazos County (979) 774-7587
LORIN V CATALENA P.A.
Physician Assistant
1730 BIRMINGHAM DR
COLLEGE STATION, TX 77845
Brazos County (979) 693-6000

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 Ronald Kuppersmith's NPI number?

The NPI number for Ronald Kuppersmith is 1013959287. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Ronald Kuppersmith located?

Ronald Kuppersmith practices at 1730 Birmingham Dr, College Station, TX 77845. The listed phone number is (979) 693-6000.

What is Ronald Kuppersmith's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Ronald Kuppersmith enrolled in Medicare?

Yes. Ronald Kuppersmith 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 Ronald Kuppersmith accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Ronald Kuppersmith 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 Ronald Kuppersmith affiliated with any hospitals?

According to CMS data, Ronald Kuppersmith is affiliated with Chi St Joseph Health Regional Hospital and Physicians Centre,the.

When was this NPI record last updated?

The NPPES record for Ronald Kuppersmith was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.