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DONALD RALPH GLADDEN DO
NPI 1356398168
Emergency Medicine in Austin, TX

Active since May 27, 2006PECOS Enrolled
75/100
CMS Quality Rating
6300 LA CALMA DRIVE, STE. 200, LA COSTA CENTER, AUSTIN, TX 78752(512) 452-8533 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donald Ralph Gladden Do NPPES

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

DONALD RALPH GLADDEN DO (NPI 1356398168) is an individual emergency medicine provider in Austin, Texas, licensed in New Mexico (A1217-03) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356398168
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDONALD RALPH GLADDENCredential: DO
Location Address6300 LA CALMA DRIVE, STE. 200, LA COSTA CENTERAustin, TX 78752
Mailing Address6300 La Calma Dr Ste 200, La Costa CentreAustin, TX 78752-3825 · (512) 452-8533
Phone(512) 452-8533
Sole ProprietorYes
Enumeration DateMay 27, 2006
Last NPPES UpdateMarch 19, 2013
✔ NPI 1356398168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NM · A1217-03
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6300 LA CALMA DRIVE, STE. 200, Austin, TX 78752
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Other Identifiers 11

Medicare PIN8F6604TX
Medicare PIN8L4244TX
Medicaid178092602TX
Medicare PIN8J5179TX
Medicare PIN8J5180TX
Medicaid178092606TX
Medicaid178092607TX
Medicare PIN8J6960TX
Medicaid178092604TX
Medicaid178092605TX
Medicare PIN8J5178TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Harbor Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald Ralph Gladden Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Donald Gladden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Travis County Emergency Physicians PA
2.9 mi
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
NPI 1962440933 (330) 493-4443

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 4

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.

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.
330 services287 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.
305 services297 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
123 services119 patients
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.
61 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78752 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Donald Gladden's NPI number?

The NPI number for Donald Gladden is 1356398168. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Donald Gladden located?

Donald Gladden practices at 6300 La Calma Drive, Ste. 200 La Costa Center, Austin, TX 78752. The listed phone number is (512) 452-8533.

What is Donald Gladden's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Donald Gladden enrolled in Medicare?

Yes. Donald Gladden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Gladden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Gladden reassigns Medicare benefits to Travis County Emergency Physicians PA (Austin, TX). The 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 Donald Gladden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Gladden accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Harbor Health, Molina Healthcare and Sendero Health Plans, Local Nonprofit and 1 other insurer list Donald Gladden 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.

When was this NPI record last updated?

The NPPES record for Donald Gladden was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.