MR. RICHARD C MALE JR. D.O.
NPI 1134129596
Family Medicine in Georgetown, TX

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
79.17/100
CMS Quality Rating
3721 WILLIAMS DR, GEORGETOWN, TX 78628(512) 869-7310(512) 869-5616 Get Directions Write a Review

NPPES record last updated: January 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Richard C Male Jr. D.o. NPPES

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

MR. RICHARD C MALE JR. D.O. (NPI 1134129596) is an individual family medicine provider in Georgetown, Texas, licensed in Texas (H8229) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1134129596
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. RICHARD C MALE JR.Credential: D.O.
Location Address3721 WILLIAMS DRGeorgetown, TX 78628-2401
Mailing Address3721 Williams DrGeorgetown, TX 78628-2401 · (512) 869-7310 · Fax (512) 869-5616
Fax(512) 869-5616
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 28, 2005
Last NPPES UpdateJanuary 10, 2014
NPI 1134129596 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 · H8229
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.

3721 WILLIAMS DR, Georgetown, TX 78628

Other Identifiers 3

Medicare ID-Type Unspecified89M682TX
Medicare UPINE57360TX
Medicaid137536207TX

Accepted 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

Mr. Richard C Male Jr. D.o. 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 ID5698834786
PECOS Enrollment IDI20100518000577
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 17

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.
697 services261 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.
108 services17 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
89 services84 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.
86 services86 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
74 services24 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.
57 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78628 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.

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.

79.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.07
Promoting Interoperability100
Improvement Activities40
Cost52.49

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%128 patients
Advance Care Plan
51%581 patients3/55-star benchmark: 100%
Breast Cancer Screening
55%230 patients3/55-star benchmark: 93%
Cervical Cancer Screening
37%204 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
41%506 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
61%657 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
60%525 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
83%42 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
78%94 patients4/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
14%245 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
6%183 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
23%183 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,110 patients5/55-star benchmark: 100%
e-Prescribing
99%6,757 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
47%560 patients2/55-star benchmark: 100%
HIV Screening
3%658 patients1/55-star benchmark: 60%
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
6%882 patients1/55-star benchmark: 98%
Optimal Asthma Control
Patients adultCtrlNoExacRisk: 0% · 23 patients
Patients adultsNoRiskExac: 0% · 23 patients
Patients adultsWellCtrl: 0% · 23 patients
0%23 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%1,145 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
77%843 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%1,336 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 67% · 1,067 patients
Patients screened: 70% · 1,067 patients
53%75 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 35% · 882 patients
Patients screened: 38% · 882 patients
7%28 patients
Provide Patients Electronic Access to Their Health Information
89%933 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
66%199 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
68%546 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 547 patients
Patients totalRate: 18% · 588 patients
19%588 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers24 claims74 services$6.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers12 claims19 services$1.09 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 8

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

Orthopaedic Surgery (Foot and Ankle Surgery)
3721 WILLIAMS DR
GEORGETOWN, TX 78628
Physician Assistant (Surgical)
3721 WILLIAMS DR
GEORGETOWN, TX 78628
Pediatrics
3721 WILLIAMS DR
GEORGETOWN, TX 78628
Physician Assistant
3721 WILLIAMS DR
GEORGETOWN, TX 78628
Physician Assistant
3721 WILLIAMS DR
GEORGETOWN, TX 78628
Family Medicine
3721 WILLIAMS DR
GEORGETOWN, TX 78628
Surgery
3721 WILLIAMS DR
GEORGETOWN, TX 78628
Nurse Practitioner (Family)
3721 WILLIAMS DR
GEORGETOWN, TX 78628

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 Richard Male's NPI number?

The NPI number for Richard Male is 1134129596. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Richard Male located?

Richard Male practices at 3721 Williams Dr, Georgetown, TX 78628. The listed phone number is (512) 869-7310.

What is Richard Male's specialty?

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

Is Richard Male enrolled in Medicare?

Yes. Richard Male 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 Richard Male accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Richard Male 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.

When was this NPI record last updated?

The NPPES record for Richard Male was last updated on January 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.