DR. RICHARD LOUIS URSONE MD
NPI 1528059722
Orthopaedic Surgery in San Antonio, TX

Q: What is Richard Ursone's NPI number?

The NPI number for Richard Ursone is 1528059722. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Q: What is Richard Ursone's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Richard Ursone was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment

76/100

CMS Quality Rating

400 CONCORD PLAZA DR, SUITE 300, SAN ANTONIO, TX 78216(210) 396-5246(210) 396-5249 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Richard Louis Ursone Md NPPES

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

DR. RICHARD LOUIS URSONE MD (NPI 1528059722) is an individual orthopaedic surgery provider in San Antonio, Texas, licensed in Texas (M7713) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of University Of Texas Medical School At Houston (2000).

NPPES Registry Identity

NPI1528059722

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. RICHARD LOUIS URSONECredential: MD

Location Address400 CONCORD PLAZA DR, SUITE 300San Antonio, TX 78216-6991

Mailing Address400 Concord Plaza Drive, Suite 300San Antonio, TX 78216-6991 · (210) 396-5246 · Fax (210) 396-5249

Phone(210) 396-5246

Fax(210) 396-5249

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2000

Enumeration DateNovember 4, 2005

Last NPPES UpdateNovember 25, 2014

✔ NPI 1528059722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in TX · M7713✔ Licensed in LA · 14776R

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.

400 CONCORD PLAZA DR, San Antonio, TX 78216

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Other Identifiers 5

Other7054807TX · Aetna

Other1528059722Npi

Other00594RMedicare Group Ptan

Other5288879TX · Cigna

Medicare PIN8L12028TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..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

Dr. Richard Louis Ursone 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 ID2769561265

PECOS Enrollment IDI20090428000331

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 22

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.

5,336 services372 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.

1,087 services612 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

689 services440 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.

583 services386 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.

357 services303 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

220 services172 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

205 services148 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.

168 services168 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

116 services113 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

106 services103 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

54 services52 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

53 services34 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

50 services48 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

41 services39 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

25 services25 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

24 services24 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

24 services24 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

23 services23 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

17 services17 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services17 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450058

Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County

Emergency services Birthing friendly

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number450104

Location1215 E Court StSeguin, TX 78155 · Guadalupe County

Emergency services Birthing friendly

Resolute Health Hospital

Acute Care Hospitals · New Braunfels, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number670098

Location555 Creekside Xing,New Braunfels, TX 78130 · Comal County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78216 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.

76/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

72.75

Promoting Interoperability

Improvement Activities

Cost

51.42

Reported Quality Measures

Advance Care Plan

4%1,435 patients1/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

60%739 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

0%1,388 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

68%71 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

95%21 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

92%3,968 patients4/55-star benchmark: 100%

e-Prescribing

96%609 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

2%1,399 patients1/55-star benchmark: 100%

Functional Status Assessment for Total Hip Replacement

0%67 patients

Osteoporosis Management in Women Who Had a Fracture

28%50 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

18%2,105 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%2,090 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

20%3,339 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 52% · 1,594 patients

Patients screened: 55% · 1,594 patients

5%59 patients1/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients screened: 2% · 1,075 patients

2%1,075 patients

Provide Patients Electronic Access to Their Health Information

80%1,070 patients4/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.02%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

85%123 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,451 patients

Patients totalRate: 3% · 1,451 patients

2%1,451 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 8

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier73 claims73 services$42.22 avg. paid by Medicare

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier12 claims12 services$7.45 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

1 supplier44 claims44 services$46.67 avg. paid by Medicare

Continuous passive motion exercise device for use on knee only E0935

DME-Other DME · category DE000N

2 suppliers39 claims781 services$21.82 avg. paid by Medicare

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660

DME-Orthotic Devices · category DF000N

2 suppliers13 claims13 services$78.52 avg. paid by Medicare

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

3 suppliers45 claims45 services$87.51 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 20

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

JAMES ANTHONY BIASIOLLI

Occupational Therapist

400 CONCORD PLAZA DR, 130
SAN ANTONIO, TX 78216

Bexar County (210) 804-5536

MICHAEL THOMAS BORTON AA

Anesthesiologist Assistant

400 CONCORD PLAZA DR, SUITE 200
SAN ANTONIO, TX 78216

Bexar County (210) 253-2660

ORTHOPAEDIC SURGERY CENTER OF SAN ANTONIO LP

Clinic/Center (Ambulatory Surgical)

400 CONCORD PLAZA DR, SUITE 200
SAN ANTONIO, TX 78216

Bexar County (210) 253-2660

GREGORY LANE NAUGHER MD

Orthopaedic Surgery (Sports Medicine)

400 CONCORD PLAZA DR, SUITE 300
SAN ANTONIO, TX 78216

Bexar County (210) 396-5240

DANIELLE EARL

Anesthesiologist Assistant

400 CONCORD PLAZA DR
SAN ANTONIO, TX 78216

Bexar County (210) 804-5416

THE SAN ANTONIO ORTHOPAEDIC GROUP, LLP

Podiatrist (Foot & Ankle Surgery)

400 CONCORD PLAZA DR, SUITE 300
SAN ANTONIO, TX 78216

Bexar County (210) 804-5400

MRS. KATHRYN MARGUERITE SHEERAN A-GNP-BC

Nurse Practitioner (Adult Health)

400 CONCORD PLAZA DR
SAN ANTONIO, TX 78216

Bexar County (210) 804-5502

CHRISTOPHER J TROYER

Physical Therapist

400 CONCORD PLAZA DR, 300
SAN ANTONIO, TX 78216

Bexar County (210) 804-5530

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 Ursone's NPI number?

The NPI number for Richard Ursone is 1528059722. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Richard Ursone located?

Richard Ursone practices at 400 Concord Plaza Dr Suite 300, San Antonio, TX 78216. The listed phone number is (210) 396-5246.

What is Richard Ursone's specialty?

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

Is Richard Ursone enrolled in Medicare?

Yes. Richard Ursone 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 Richard Ursone accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Richard Ursone 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 Richard Ursone affiliated with any hospitals?

According to CMS data, Richard Ursone is affiliated with Baptist Medical Center, Guadalupe Regional Medical Center and Resolute Health Hospital.

When was this NPI record last updated?

The NPPES record for Richard Ursone was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.