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RICHELLE UPSHAW MD
NPI 1124551973
Family Medicine in Cleburne, TX

Active since April 09, 2017PECOS EnrolledAccepts Medicare Assignment
2010 W KATHERINE P RAINES RD STE 500, CLEBURNE, TX 76033(817) 556-7785(817) 556-7786 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2023, Aug 3, 2020 (2 updates tracked since 2020).

About Richelle Upshaw Md NPPES

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

RICHELLE UPSHAW MD (NPI 1124551973) is an individual family medicine provider in Cleburne, Texas, licensed in Texas (S6967) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Cleburne, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2016).

NPPES Registry Identity

NPI1124551973
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRICHELLE UPSHAWCredential: MD
Location Address2010 W KATHERINE P RAINES RD STE 500Cleburne, TX 76033-7464
Mailing Address2010 W Katherine P Raines Rd Ste 500Cleburne, TX 76033-7464 · (817) 556-7785 · Fax (817) 556-7786
Phone(817) 556-7785
Fax(817) 556-7786
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2016
Enumeration DateApril 9, 2017
Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1124551973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · S6967
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2010 W KATHERINE P RAINES RD STE 500, Cleburne, TX 76033
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richelle Upshaw 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 ID345665394
PECOS Enrollment IDI20200807000590
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 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.
138 services75 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
46 services38 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
27 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.
21 services15 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Harris Methodist Hospital Cleburne

Acute Care Hospitals · Cleburne, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450148
Location201 Walls DriveCleburne, TX 76033 · Johnson County
Emergency services Birthing friendly

Texas Health Huguley Hospital Fort Worth South

Acute Care Hospitals · Burleson, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450677
Location11801 South FreewayBurleson, TX 76028 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76033 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
$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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers15 claims15 services$206.54 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 2

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

JONATHAN PATRICK ANGEL M.D.
Family Medicine
2010 W KATHERINE P RAINES RD STE 500
CLEBURNE, TX 76033
Johnson County (817) 761-0063
ZULEMA ALCARAZ APRN, FNP-BC
Nurse Practitioner (Family)
2010 W KATHERINE P RAINES RD STE 500
CLEBURNE, TX 76033
Johnson County (817) 556-7785

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 Richelle Upshaw's NPI number?

The NPI number for Richelle Upshaw is 1124551973. It was assigned to this individual provider in the NPPES registry on April 9, 2017.

Where is Richelle Upshaw located?

Richelle Upshaw practices at 2010 W Katherine P Raines Rd Ste 500, Cleburne, TX 76033. The listed phone number is (817) 556-7785.

What is Richelle Upshaw's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Richelle Upshaw enrolled in Medicare?

Yes. Richelle Upshaw 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 Richelle Upshaw accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Richelle Upshaw 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 Richelle Upshaw affiliated with any hospitals?

According to CMS data, Richelle Upshaw is affiliated with Texas Health Harris Methodist Hospital Cleburne and Texas Health Huguley Hospital Fort Worth South.

When was this NPI record last updated?

The NPPES record for Richelle Upshaw was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.