JOE M PRUNEDA III MD
NPI 1306819602
Radiology - Diagnostic Radiology in Kerrville, TX

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
575 HILL COUNTRY DR STE 101, KERRVILLE, TX 78028(830) 258-7828 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 8, 2023, Sep 17, 2020 (2 updates tracked since 2020).

About Joe M Pruneda Iii Md NPPES

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

JOE M PRUNEDA III MD (NPI 1306819602) is an individual diagnostic radiology provider in Kerrville, Texas, licensed in Texas (H5823) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (1988).

NPPES Registry Identity

NPI1306819602
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOE M PRUNEDA IIICredential: MD
Location Address575 HILL COUNTRY DR STE 101Kerrville, TX 78028-6024
Mailing Address7026 Old Katy Rd Ste 276Houston, TX 77024-2187 · (713) 621-7436 · Fax (775) 852-6902
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1988
Enumeration DateFebruary 8, 2006
Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
NPI 1306819602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · H5823
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

575 HILL COUNTRY DR STE 101, Kerrville, TX 78028

Other Identifiers 1

Medicaid140101025TX

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

Joe M Pruneda Iii 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 ID7315978731
PECOS Enrollment IDI20071226000446
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 82

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
859 services859 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
339 services313 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
239 services239 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
230 services229 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
189 services176 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
188 services185 patients

Hospital Affiliations CMS Care Compare 3

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78028 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.

Reported Quality Measures

Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
100%23 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
75%1,321 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%644 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
70%183 patients
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 20

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

Internal Medicine (Gastroenterology)
575 HILL COUNTRY DR STE 101
KERRVILLE, TX 78028
Psychiatry & Neurology (Neurology)
575 HILL COUNTRY DR STE 101
KERRVILLE, TX 78028
Internal Medicine (Pulmonary Disease)
575 HILL COUNTRY DR STE 101
KERRVILLE, TX 78028
Internal Medicine (Rheumatology)
575 HILL COUNTRY DR STE 101
KERRVILLE, TX 78028
Nurse Anesthetist, Certified Registered
575 HILL COUNTRY DR STE 101
KERRVILLE, TX 78028
Nurse Anesthetist, Certified Registered
575 HILL COUNTRY DR STE 101
KERRVILLE, TX 78028
Anesthesiology
575 HILL COUNTRY DR STE 101
KERRVILLE, TX 78028
Nurse Anesthetist, Certified Registered
575 HILL COUNTRY DR STE 101
KERRVILLE, TX 78028

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 Joe Pruneda's NPI number?

The NPI number for Joe Pruneda is 1306819602. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Joe Pruneda located?

Joe Pruneda practices at 575 Hill Country Dr Ste 101, Kerrville, TX 78028. The listed phone number is (830) 258-7828.

What is Joe Pruneda's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Joe Pruneda enrolled in Medicare?

Yes. Joe Pruneda 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 Joe Pruneda accept?

Health plans from Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Joe Pruneda 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 Joe Pruneda affiliated with any hospitals?

According to CMS data, Joe Pruneda is affiliated with Peterson Regional Medical Center, University Health System and Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Joe Pruneda was last updated on August 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.