SUSAN BADIDI MD
NPI 1184989642
Family Medicine in Breckenridge, TX

Active since July 11, 2012PECOS EnrolledAccepts Medicare Assignment
91.96/100
CMS Quality Rating
101 S HARTFORD ST, BRECKENRIDGE, TX 76424(254) 559-3363(254) 559-2572 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 23, 2016, Jan 21, 2016 (2 updates tracked since 2016).

About Susan Badidi Md NPPES

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

SUSAN BADIDI MD (NPI 1184989642) is an individual family medicine provider in Breckenridge, Texas, licensed in Texas (Q5745) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1184989642
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN BADIDICredential: MD
Location Address101 S HARTFORD STBreckenridge, TX 76424-4711
Mailing Address101 S Hartford StBreckenridge, TX 76424-4711 · (254) 559-3363 · Fax (254) 559-2572
Fax(254) 559-2572
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 11, 2012
Last NPPES UpdateJune 7, 20162 updates tracked since enumeration
✔ NPI 1184989642 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 · Q5745
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.
101 S HARTFORD ST, Breckenridge, TX 76424

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Badidi 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 ID8224331913
PECOS Enrollment IDI20160130000031
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Susan Badidi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 985 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
66 services33 patients

Hospital Affiliations CMS Care Compare

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

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76424 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.

91.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.78
Promoting Interoperability100
Improvement Activities40
Cost56.81

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
43%87 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
22%183 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
24%29 patients1/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
13%536 patients1/55-star benchmark: 88%
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.

Other Providers at the Same Location NPPES 11

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

Family Medicine
101 S HARTFORD ST
BRECKENRIDGE, TX 76424
Family Medicine
101 S HARTFORD ST
BRECKENRIDGE, TX 76424
Family Medicine
101 S HARTFORD ST, SUITE B
BRECKENRIDGE, TX 76424
Clinic/Center (Rural Health)
101 S HARTFORD ST
BRECKENRIDGE, TX 76424
Clinic/Center
101 S HARTFORD ST
BRECKENRIDGE, TX 76424
Family Medicine
101 S HARTFORD ST, SUITE A
BRECKENRIDGE, TX 76424
Nurse Practitioner (Family)
101 S HARTFORD ST
BRECKENRIDGE, TX 76424
Family Medicine
101 S HARTFORD ST
BRECKENRIDGE, TX 76424

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 Susan Badidi's NPI number?

The NPI number for Susan Badidi is 1184989642. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Susan Badidi located?

Susan Badidi practices at 101 S Hartford St, Breckenridge, TX 76424. The listed phone number is (254) 559-3363.

What is Susan Badidi's specialty?

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

Is Susan Badidi enrolled in Medicare?

Yes. Susan Badidi 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.

Which organizations bill Medicare for Susan Badidi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Badidi reassigns Medicare benefits to 2 organizations: Acclaim Physician Group, Inc (Fort Worth, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Badidi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Badidi 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 4 other insurers list Susan Badidi 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 Susan Badidi affiliated with any hospitals?

According to CMS data, Susan Badidi is affiliated with Jps Health Network.

When was this NPI record last updated?

The NPPES record for Susan Badidi was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.