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DR. JOSE M RUIZ M.D.
NPI 1093705089
Obstetrics & Gynecology in San Antonio, TX

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
4458 MEDICAL DR STE 705, SAN ANTONIO, TX 78229(210) 614-1000(210) 615-1236 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2019, May 20, 2016 (2 updates tracked since 2016).

About Dr. Jose M Ruiz M.d. NPPES

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

DR. JOSE M RUIZ M.D. (NPI 1093705089) is an individual obstetrics & gynecology provider in San Antonio, Texas, licensed in Texas (K4993) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1986).

NPPES Registry Identity

NPI1093705089
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOSE M RUIZCredential: M.D.
Location Address4458 MEDICAL DR STE 705San Antonio, TX 78229-3748
Mailing Address1355 Central S Pkwy 400San Antonio, TX 78232-5055 · (210) 349-9300 · Fax (210) 366-2558
Phone(210) 614-1000
Fax(210) 615-1236
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1986
Enumeration DateOctober 21, 2005
Last NPPES UpdateNovember 6, 20192 updates tracked since enumeration
✔ NPI 1093705089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · K4993
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4458 MEDICAL DR STE 705, San Antonio, TX 78229
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose M Ruiz 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 ID9234157660
PECOS Enrollment IDI20090722000680
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

3

Medicare enrollment records show Jose Ruiz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jose M. Ruiz MD, PLLC
Same address
Obstetrics & Gynecology
4458 MEDICAL DR STE 405
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
NPI 1194676163 (210) 440-4149
Premier Ob-Gyn Of Texas LLC
Same address
Obstetrics & Gynecology
4458 MEDICAL DR STE 450
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 33 clinicians in this Medicare group
NPI 1225807530 (210) 440-4149
Unified Women's Healthcare Of Texas PLLC
259 mi
Obstetrics & Gynecology
15303 DALLAS PKWY STE 650
Addison, TX 75001
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Unified Womens Healthcare Of Texas PLLC
  • 271 clinicians in this Medicare group
NPI 1952703373 (561) 300-2410

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 4

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.
22 services18 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
19 services19 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
16 services16 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

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 78229 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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.05
Promoting Interoperability100
Improvement Activities40
Cost53.51

Reported Quality Measures

Cervical Cancer Screening
93%153 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
97%231 patients4/55-star benchmark: 100%
e-Prescribing
95%591 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%109 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
44%209 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 165 patients
0%165 patients
Provide Patients Electronic Access to Their Health Information
98%870 patients4/55-star benchmark: 100%
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 4

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

DR. ALEJANDRO LOZANO M.D.
Obstetrics & Gynecology
4458 MEDICAL DR STE 705
SAN ANTONIO, TX 78229
Bexar County (210) 806-8250
SARAH D. WHEELER MSN, R.N., C.N.M.,
Advanced Practice Midwife
4458 MEDICAL DR STE 705
SAN ANTONIO, TX 78229
Bexar County (210) 806-8250
VINCENZO SABELLA M.D.
Obstetrics & Gynecology
4458 MEDICAL DR STE 705
SAN ANTONIO, TX 78229
Bexar County (210) 615-8585
JANA SULLIVAN CNM
Advanced Practice Midwife
4458 MEDICAL DR STE 705
SAN ANTONIO, TX 78229
Bexar County (210) 806-8250

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 Jose Ruiz's NPI number?

The NPI number for Jose Ruiz is 1093705089. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Jose Ruiz located?

Jose Ruiz practices at 4458 Medical Dr Ste 705, San Antonio, TX 78229. The listed phone number is (210) 614-1000.

What is Jose Ruiz's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jose Ruiz enrolled in Medicare?

Yes. Jose Ruiz 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 Jose Ruiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Ruiz reassigns Medicare benefits to 3 organizations: Jose M. Ruiz MD, PLLC (San Antonio, TX), Premier Ob-Gyn Of Texas LLC (San Antonio, TX) and Unified Women's Healthcare Of Texas PLLC (Addison, 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 Jose Ruiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Ruiz 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 Jose Ruiz 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 Jose Ruiz affiliated with any hospitals?

According to CMS data, Jose Ruiz is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Jose Ruiz was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.