MR. RICHARD C MALE JR. D.O. NPI 1134129596

Family Medicine in Georgetown, TX

Individual Male Family Medicine PECOS Enrolled Accepts Medicare Years Experience 21

About RICHARD MALE

Richard Male is a provider in Georgetown, TX with more than 21 years of experience. The NPI number assigned to this provider is 1134129596. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 5 years ago. Richard Male is registered with Medicare and accepts claims assignment.

NPI

1134129596

Provider NameMR. RICHARD C MALE JR. D.O.
Provider Location Address3721 WILLIAMS DR GEORGETOWN, TX 78628
Provider Mailing Address3721 WILLIAMS DR GEORGETOWN, TX 78628
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1998
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date07-28-2005
Last Update Date01-10-2014

Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.H8229
License StateTX
Taxonomy DescriptionFamily 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.

Business Address

MR. RICHARD C MALE JR. D.O.
3721 WILLIAMS DR
GEORGETOWN, TX
ZIP 78628
Phone: (512) 869-7310
Fax: (512) 869-5616

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Mailing Address

MR. RICHARD C MALE JR. D.O.
3721 WILLIAMS DR
GEORGETOWN, TX
ZIP 78628
Phone: (512) 869-7310
Fax: (512) 869-5616

Medicare Participation

Registered in PECOS? Yes Additional informationCallout TooltipWhat is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5698834786
PECOS Enrollment IDI20100518000577
Accepts Medicare Assignment? Yes Additional informationCallout Tooltip"What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2016. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 365Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 190Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 94Automated urinalysis test (HCPCS:81003)
  • 45Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 40Administration of influenza virus vaccine (HCPCS:G0008)
  • 27Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 16Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter (HCPCS:G0434)
  • 13Removal of impact ear wax, one ear (HCPCS:69210)
  • 12Administration of pneumococcal vaccine (HCPCS:G0009)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
89M682MEDICARE ID-TYPE UNSPECIFIED (04)TX
E57360MEDICARE UPIN (02)TX
137536207MEDICAID (05)TX

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043638943 RYAN CORLEY D.C.
Individual
Chiropractor3721 WILLIAMS DR
GEORGETOWN, TX 78628
(512) 869-7310
1174523450MR. LEROY T SOTO M.D.
Individual
Pediatrics3721 WILLIAMS DR
GEORGETOWN, TX 78628
(512) 869-7310
1336656867 JULIA CASE PA-C
Individual
Physician Assistant3721 WILLIAMS DR
GEORGETOWN, TX 78628
(512) 869-7310
1407368772 DEANNA POTTS FNP
Individual
Nurse Practitioner (Family)3721 WILLIAMS DR
GEORGETOWN, TX 78628
(512) 869-7310
1629189527 SUSIE L.F. TOWNLEY PA
Individual
Physician Assistant3721 WILLIAMS DR
GEORGETOWN, TX 78628
(512) 869-7310
1841265915PHYSICIANS CENTER PA
Organization
Family Medicine3721 WILLIAMS DR
GEORGETOWN, TX 78628
(512) 869-7310

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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