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BRUCE WILLIAM RAJALA D.O.
NPI 1427013200
Obstetrics & Gynecology - Obstetrics in Mckinney, TX

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
5236 W UNIVERSITY DR, SUITE 3700, MCKINNEY, TX 75071(214) 491-6070(214) 491-6084 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bruce William Rajala D.o. NPPES

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

BRUCE WILLIAM RAJALA D.O. (NPI 1427013200) is an individual obstetrics provider in Mckinney, Texas, licensed in Texas (H5352) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1982).

NPPES Registry Identity

NPI1427013200
Entity TypeIndividualMale
Primary Taxonomy207VX0000X
Provider Legal NameBRUCE WILLIAM RAJALACredential: D.O.
Location Address5236 W UNIVERSITY DR, SUITE 3700Mckinney, TX 75071-7889
Mailing AddressPo Box 1510Mckinney, TX 75070-8154 · (972) 747-4848 · Fax (972) 747-4949
Phone(214) 491-6070
Fax(214) 491-6084
Sole ProprietorYes
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1982
Enumeration DateApril 17, 2006
Last NPPES UpdateApril 13, 2016
✔ NPI 1427013200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in TX · H5352
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
5236 W UNIVERSITY DR, Mckinney, TX 75071
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified89X420
Medicaid121154203TX
Medicare UPINE20220

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, UnitedHealthcare and more.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

Bruce William Rajala D.o. 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 ID840324059
PECOS Enrollment IDI20100813000036
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 2

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.
15 services15 patients
Stool analysis for blood, by fecal hemoglobin determination by immunoassay 82274
A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75071 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
89%166 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
97%1,438 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%948 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 88% · 1,663 patients
Patients tobacco: 13% · 137 patients
82%1,663 patients4/55-star benchmark: 98%
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.

DR. RAJESH V PUTCHA M.D.
Internal Medicine (Gastroenterology)
5236 W UNIVERSITY DR, #3300
MCKINNEY, TX 75071
Collin County (972) 562-4430
RYAN DANIEL BURKART M.D.
Surgery
5236 W UNIVERSITY DR, SUITE 2200
MCKINNEY, TX 75071
Collin County (469) 800-5036
SYED ABDUL SARMAST M.D.
Internal Medicine (Cardiovascular Disease)
5236 W UNIVERSITY DR, SUITE 4900
MCKINNEY, TX 75071
Collin County (469) 800-6100
BAYLOR MEDICAL CENTERS AT GARLAND AND MCKINNEY
Nurse Practitioner
5236 W UNIVERSITY DR, STE 1500
MCKINNEY, TX 75071
Collin County (469) 764-2273
DR. GABRIEL RENDON M.D.
Internal Medicine (Gastroenterology)
5236 W UNIVERSITY DR, SUITE 3300
MCKINNEY, TX 75071
Collin County (972) 562-4430
MS. ASHLEY KAY WIGINTON PA
Physician Assistant
5236 W UNIVERSITY DR, SUITE 3300
MCKINNEY, TX 75071
Collin County (972) 562-4430
KATIE MICHELE OFFIELD PT
Physical Therapist
5236 W UNIVERSITY DR
MCKINNEY, TX 75071
Collin County (469) 952-5082
BUENALYN BELEN BELEN OTR, MS, CLT
Occupational Therapist
5236 W UNIVERSITY DR, BAYLOR INSTITUTE FOR REHABILITATION SUITE 3500
MCKINNEY, TX 75071
Collin County (469) 952-5082

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 Bruce Rajala's NPI number?

The NPI number for Bruce Rajala is 1427013200. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Bruce Rajala located?

Bruce Rajala practices at 5236 W University Dr Suite 3700, Mckinney, TX 75071. The listed phone number is (214) 491-6070.

What is Bruce Rajala's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Bruce Rajala enrolled in Medicare?

Yes. Bruce Rajala 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 Bruce Rajala accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, UnitedHealthcare and WellPoint list Bruce Rajala 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 Bruce Rajala affiliated with any hospitals?

According to CMS data, Bruce Rajala is affiliated with Medical Center Of Mckinney.

When was this NPI record last updated?

The NPPES record for Bruce Rajala was last updated on April 13, 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.