1. Home
  2. Directory
  3. California
  4. Fresno
  5. Family Medicine
  6. NPI Profile

RICHARD ORAVEC MD
NPI 1265793020
Family Medicine - Sports Medicine in Fresno, CA

Active since June 07, 2012PECOS EnrolledAccepts Medicare Assignment
72.73/100
CMS Quality Rating
4770 W HERNDON AVE STE 105, FRESNO, CA 93722(559) 450-2663(559) 450-2724 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2019, Jun 13, 2018 (2 updates tracked since 2018).

About Richard Oravec Md NPPES

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

RICHARD ORAVEC MD (NPI 1265793020) is an individual sports medicine provider in Fresno, California, licensed in California (A156769) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1265793020
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameRICHARD ORAVECCredential: MD
Location Address4770 W HERNDON AVE STE 105Fresno, CA 93722-8401
Mailing Address4770 W Herndon Ave Ste 105Fresno, CA 93722-8401 · (559) 450-2663 · Fax (559) 450-2723
Phone(559) 450-2663
Fax(559) 450-2724
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 7, 2012
Last NPPES UpdateNovember 6, 20192 updates tracked since enumeration
✔ NPI 1265793020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · A156769
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD455817 (PA), MT200938 (PA)
4770 W HERNDON AVE STE 105, Fresno, CA 93722
Open in Google Maps ↗

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

Richard Oravec 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 ID5496061822
PECOS Enrollment IDI20181127000626
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 9

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.

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.
4,026 services241 patients
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
2,700 services32 patients
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.
649 services324 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
434 services193 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
191 services191 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.
162 services131 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93722 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

72.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.14
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
38%661 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
72%386 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,669 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
43%540 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%1,769 patients5/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 1,202 patients
Patients screened: 97% · 1,202 patients
63%98 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%324 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 566 patients
Patients totalRate: 4% · 575 patients
5%575 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 2

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

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812
DME-Orthotic Devices · category DF011N
1 supplier20 claims20 services$45.73 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers16 claims20 services$56.27 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 2

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

PHILLIP J KIM MD, MPH
Family Medicine
4770 W HERNDON AVE STE 105
FRESNO, CA 93722
Fresno County (559) 450-0463
MATTHEW KNEDEL MD
Orthopaedic Surgery
4770 W HERNDON AVE STE 105
FRESNO, CA 93722
Fresno County (559) 450-2663

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 Oravec's NPI number?

The NPI number for Richard Oravec is 1265793020. It was assigned to this individual provider in the NPPES registry on June 7, 2012.

Where is Richard Oravec located?

Richard Oravec practices at 4770 W Herndon Ave Ste 105, Fresno, CA 93722. The listed phone number is (559) 450-2663.

What is Richard Oravec's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Richard Oravec enrolled in Medicare?

Yes. Richard Oravec 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.

When was this NPI record last updated?

The NPPES record for Richard Oravec was last updated on November 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.