JOHN A RIBEIRO MD
NPI 1245295732
Orthopaedic Surgery in Decatur, TX

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
80.48/100
CMS Quality Rating
1101 W EAGLE DR, SUITE B, DECATUR, TX 76234(940) 627-1770(940) 627-2233 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John A Ribeiro Md NPPES

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

JOHN A RIBEIRO MD (NPI 1245295732) is an individual orthopaedic surgery provider in Decatur, Texas, licensed in Texas (K7089) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and is a graduate of University Of Washington School Of Medicine (1991).

NPPES Registry Identity

NPI1245295732
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN A RIBEIROCredential: MD
Location Address1101 W EAGLE DR, SUITE BDecatur, TX 76234-3721
Mailing Address1101 W Eagle Dr, Suite BDecatur, TX 76234-3721 · (940) 627-1770 · Fax (940) 627-2233
Fax(940) 627-2233
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1991
Enumeration DateApril 19, 2006
Last NPPES UpdateJune 6, 2019
NPI 1245295732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · K7089
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1101 W EAGLE DR, Decatur, TX 76234

Other Identifiers 2

Other8CC361TX · Bcbs
Medicaid030470103TX

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

John A Ribeiro 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 ID4385533181
PECOS Enrollment IDI20040430000171
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 27

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.

Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg J7328
Gelsyn-3 is a treatment involving injections of a substance called hyaluronan into the joint space. Hyaluronan is naturally present in healthy joint fluid, aiding in lubrication and shock absorption. This treatment helps relieve joint pain, often in conditions like osteoarthritis.
16,930 services37 patients
Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322
Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.
3,984 services69 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.
2,023 services237 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,091 services411 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
735 services253 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
177 services121 patients

Hospital Affiliations CMS Care Compare 3

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

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Nocona General Hospital

Acute Care Hospitals · Nocona, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450641
Location100 Park RoadNocona, TX 76255 · Montague County
Emergency services

Baylor Medical Center At Trophy Club

Acute Care Hospitals · Trophy Club, TX
OwnershipProprietary
CMS Certification Number450883
Location2850 E State Highway 114Trophy Club, TX 76262 · Denton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76234 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

80.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality60.96
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%166 patients
Documentation of Current Medications in the Medical Record
69%3,678 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%1,448 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%3,677 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 1,110 patients
Patients screened: 99% · 1,110 patients
86%77 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 851 patients
Patients totalRate: 4% · 851 patients
4%851 patients4/55-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

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

Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier12 claims202 services$22.00 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 4

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

Dentist
1101 W EAGLE DR, STE. A
DECATUR, TX 76234
Pharmacy (Community/Retail Pharmacy)
1101 W EAGLE DR, SUITE C
DECATUR, TX 76234
Orthopaedic Surgery
1101 W EAGLE DR, SUITE B
DECATUR, TX 76234
Pharmacy (Community/Retail Pharmacy)
1101 W EAGLE DR, SUITE C
DECATUR, TX 76234

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 John Ribeiro's NPI number?

The NPI number for John Ribeiro is 1245295732. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is John Ribeiro located?

John Ribeiro practices at 1101 W Eagle Dr Suite B, Decatur, TX 76234. The listed phone number is (940) 627-1770.

What is John Ribeiro's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Ribeiro enrolled in Medicare?

Yes. John Ribeiro 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 John Ribeiro accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list John Ribeiro 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 John Ribeiro affiliated with any hospitals?

According to CMS data, John Ribeiro is affiliated with Medical City Denton, Nocona General Hospital and Baylor Medical Center At Trophy Club.

When was this NPI record last updated?

The NPPES record for John Ribeiro was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.