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JEFF D ETHRIDGE M.D.
NPI 1154318095
Family Medicine in Bulverde, TX

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
805 KELLY CREEK RD, BULVERDE, TX 78163(830) 980-1805(830) 438-5662 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2020, May 21, 2019, Apr 22, 2019 and 1 more (4 updates tracked since 2018).

About Jeff D Ethridge M.d. NPPES

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

JEFF D ETHRIDGE M.D. (NPI 1154318095) is an individual family medicine provider in Bulverde, Texas, licensed in Texas (L6877) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Cuero Regional Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154318095
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFF D ETHRIDGECredential: M.D.
Location Address805 KELLY CREEK RDBulverde, TX 78163-3035
Mailing Address805 Kelly Creek RdBulverde, TX 78163-3035 · (830) 980-1805 · Fax (830) 438-5662
Phone(830) 980-1805
Fax(830) 438-5662
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2001
Enumeration DateOctober 5, 2005
Last NPPES UpdateAugust 21, 20204 updates tracked since enumeration
NPPES CertifiedAugust 21, 2020
✔ NPI 1154318095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L6877
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.
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License L6877 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License L6877 (TX)
805 KELLY CREEK RD, Bulverde, TX 78163
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13636 Medical DrSan Antonio, TX 78229-2183 · Phone (830) 980-1805 · Fax (830) 438-5662
Location 2111 Dallas St Fl 4San Antonio, TX 78205-1201 · Phone (830) 980-1805 · Fax (830) 438-5662
Location 35757 N KnollSan Antonio, TX 78240-2239 · Phone (830) 980-1805 · Fax (830) 438-5662

Other Identifiers 2

Medicaid167686808TX
Medicaid167684801TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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

Jeff D Ethridge 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 ID2961486485
PECOS Enrollment IDI20040614001156
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
112 services111 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
86 services85 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cuero Regional Hospital

Acute Care Hospitals · Cuero, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450597
Location2550 N EsplanadeCuero, TX 77954 · De Witt County
Emergency services Birthing friendly

Memorial Medical Center

Critical Access Hospitals · Port Lavaca, TX
OwnershipGovernment - Local
CMS Certification Number451356
Location701 N Virginia StPort Lavaca, TX 77979 · Calhoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78163 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 4

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone A4315
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$24.74 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier15 claims18 services$7.93 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers19 claims19 services$10.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers27 claims27 services$51.99 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 3

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

BULVERDE FAMILY MEDICINE PA
Hospitalist
805 KELLY CREEK RD
BULVERDE, TX 78163
Comal County (830) 980-1805
IRINE BENGZEN FOMBO
Nurse Practitioner (Family)
805 KELLY CREEK RD
BULVERDE, TX 78163
Comal County (830) 438-5662
RENEE PATLAN AGACNP-BC
Nurse Practitioner (Acute Care)
805 KELLY CREEK RD
BULVERDE, TX 78163
Comal County (830) 980-1805

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 Jeff Ethridge's NPI number?

The NPI number for Jeff Ethridge is 1154318095. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Jeff Ethridge located?

Jeff Ethridge practices at 805 Kelly Creek Rd, Bulverde, TX 78163. The listed phone number is (830) 980-1805.

What is Jeff Ethridge's specialty?

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

Is Jeff Ethridge enrolled in Medicare?

Yes. Jeff Ethridge 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 Jeff Ethridge accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Jeff Ethridge 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 Jeff Ethridge affiliated with any hospitals?

According to CMS data, Jeff Ethridge is affiliated with Cuero Regional Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Jeff Ethridge was last updated on August 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.