GILBERT RUIZ M.D.
NPI 1104825041
Otolaryngology in San Antonio, TX

Q: What is the provider's specialty?

The provider's specialty is Otolaryngology with taxonomy code 207Y00000X.

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment

85.87/100

CMS Quality Rating

4775 HAMILTON WOLFE RD STE 1, SAN ANTONIO, TX 78229(210) 616-0283(210) 616-0071 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Gilbert Ruiz M.d. NPPES

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

GILBERT RUIZ M.D. (NPI 1104825041) is an individual otolaryngology provider in San Antonio, Texas, licensed in Texas (F4455) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1104825041

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameGILBERT RUIZCredential: M.D.

Location Address4775 HAMILTON WOLFE RD STE 1San Antonio, TX 78229-3456

Mailing Address10740 N Gessner Rd Ste 310Houston, TX 77064-1240 · (281) 897-0416 · Fax (800) 346-9037

Phone(210) 616-0283

Fax(210) 616-0071

Sole ProprietorNo

Medical School CMSOtherGraduated 1979

Enumeration DateJuly 20, 2005

Last NPPES UpdateSeptember 18, 2023

NPPES CertifiedSeptember 18, 2023

✔ NPI 1104825041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in TX · F4455

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.

4775 HAMILTON WOLFE RD STE 1, San Antonio, TX 78229

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Other Identifiers 1

Medicaid130254905TX

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

Gilbert 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 ID9830231729

PECOS Enrollment IDI20100114000585

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 25

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.

592 services444 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

268 services219 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

184 services33 patients

New patient office or other outpatient visit, 45-59 minutes 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.

164 services164 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

154 services152 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

141 services140 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

139 services126 patients

New patient office or other outpatient visit, 30-44 minutes 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.

130 services130 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

88 services14 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

80 services73 patients

Injection of medication into nasal air passage 30200

This procedure involves administering medication directly into your nasal passage. A special device or syringe is used to spray the medicine into your nose. It's a quick, effective way to deliver medication to the specific area needed, typically for conditions like allergies or nasal congestion.

42 services28 patients

Established patient office or other outpatient visit, 40-54 minutes 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services20 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.

22 services21 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

22 services16 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

19 services18 patients

Repositioning exercises of head for treatment of dizziness, each day 95992

Repositioning exercises of the head help manage dizziness by training your brain to cope with the signals that trigger this sensation. Daily, gentle movements of the head and body can reduce symptoms and improve balance.

18 services17 patients

Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433

This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.

15 services13 patients

Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report 92653

This procedure examines how your brain responds to sound, aiding in the diagnosis of nervous system disorders. It involves playing sounds and monitoring brain activity, followed by an expert interpretation and report.

15 services15 patients

New patient office or other outpatient visit, 60-74 minutes 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

14 services13 patients

Test to assess electrical potentials generated in the inner ear as a result of sound stimulation 92584

This test, known as an auditory brainstem response test, checks how your inner ear responds to sound. It measures the electrical signals your ear sends to your brain when it hears a noise. It's a simple, non-invasive procedure that helps identify hearing issues.

14 services14 patients

Incision, aspiration, and/or inflation of eardrum 69420

This procedure involves making a small cut in the eardrum to relieve pressure, remove fluid, or insert a tiny tube. It can help in conditions like chronic ear infections or hearing loss. It's a common, quick, and typically painless procedure.

12 services11 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.

12 services12 patients

Established patient office or other outpatient visit, 10-19 minutes 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Upper gastrointestinal (GI) endoscopy for acid reflux NAN12

An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.

0 services1 patient

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 Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450272

Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays 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 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.

85.87/100

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

Scored as part of a group practice

Quality

91.13

Promoting Interoperability

Improvement Activities

Cost

63.43

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

12 suppliers61 claims61 services$30.97 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

3 suppliers21 claims635 services$4.50 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

14 suppliers79 claims79 services$71.11 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

13 suppliers82 claims214 services$27.49 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

11 suppliers63 claims369 services$16.11 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

8 suppliers50 claims285 services$12.78 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

13 suppliers116 claims116 services$49.11 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

19 suppliers111 claims111 services$15.02 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

5 suppliers11 claims11 services$8.01 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

18 suppliers131 claims131 services$10.45 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

20 suppliers186 claims1,056 services$1.76 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

11 suppliers24 claims24 services$5.42 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

14 suppliers79 claims79 services$10.70 avg. paid by Medicare

Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each A7520

DME-Orthotic Devices · category DF000N

5 suppliers22 claims22 services$42.51 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

5 suppliers27 claims691 services$3.15 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers12 claims12 services$78.64 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers15 claims15 services$118.16 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers37 claims37 services$12.09 avg. paid by Medicare

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

3 suppliers22 claims22 services$33.24 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

11 suppliers163 claims163 services$29.36 avg. paid by Medicare

Tracheostomy speaking valve L8501

DME-Orthotic Devices · category DF000N

2 suppliers19 claims19 services$100.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

ROBERT P. SPEARS M.D.

Otolaryngology

4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229

Bexar County (210) 616-0283

MISS CELESTE THORNTON P.A.

Physician Assistant (Medical)

4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229

Bexar County (210) 616-0283

ANNE WRIGHT

Speech-Language Pathologist

4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229

Bexar County (210) 616-0283

GERALD P LAURSEN MD

Otolaryngology

4775 HAMILTON WOLFE RD STE 1, STE. 220
SAN ANTONIO, TX 78229

Bexar County (210) 616-0283

DR. HARRY SCHILLING M.D.

Otolaryngology

4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229

Bexar County (210) 614-1326

SETH ANDREWS AU.D.

Audiologist

4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229

Bexar County (210) 616-0283

DIANA H HENDERSON M.D.

Otolaryngology

4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229

Bexar County (210) 616-0283

LAURA FLORES

Hearing Instrument Specialist

4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229

Bexar County (210) 616-0283

GILBERT RUIZ M.D.
NPI 1104825041
Otolaryngology in San Antonio, TX

About Gilbert Ruiz M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 1

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Areas of Expertise CMS Part B claims 25

Hospital Affiliations CMS Care Compare 3

Baptist Medical Center

Christus Santa Rosa Hospital-San Marcos

Methodist Hospital

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Referred Medical Equipment & Supplies CMS DME claims 21

Other Providers at the Same Location NPPES 19

Frequently Asked Questions

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