DR. RICHARD LOUIS URSONE MD
NPI 1528059722
Orthopaedic Surgery in San Antonio, TX
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
Specialties & Licenses
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.
Other Identifiers 5
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
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.
Areas of Expertise CMS Part B claims 37
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Medical Center
Acute Care Hospitals · San Antonio, TXPhysician 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.
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.
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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Advance Care Plan | 4% | 1435 |
| Closing the Referral Loop: Receipt of Specialist Report | 60% | 739 |
| Colorectal Cancer Screening | 0% | 1388 |
| Controlling High Blood Pressure | 68% | 71 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 95% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 21 |
| Documentation of Current Medications in the Medical Record | 92% | 3968 |
| e-Prescribing | 96% | 609 |
| Falls: Screening for Future Fall Risk | 2% | 1399 |
| Functional Status Assessment for Total Hip Replacement | 0% | 67 |
| Osteoporosis Management in Women Who Had a Fracture | 28% | 50 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 18% | 2105 |
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 0% | 2090 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 20% | 3339 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 52% | 1594 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 5% | 59 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 55% | 1594 |
| Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 2% | 1075 |
| Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 2% | 1075 |
| Provide Patients Electronic Access to Their Health Information | 80% | 1070 |
| 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) | 0.02% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | |
| Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 85% | 123 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 1451 |
| Use of High-Risk Medications in Older Adults | 2% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 1451 |
| Use of High-Risk Medications in Older Adults | 3% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 1451 |
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.
SAN ANTONIO, TX 78216
SAN ANTONIO, TX 78216
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528059722, enumerated as an "individual" on November 04, 2005.
The provider is located at 400 CONCORD PLAZA DR SUITE 300 SAN ANTONIO, TX 78216 and the phone number is (210) 396-5246.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Imperial. Please consult your insurance carrier or call the provider to verify.
Richard Ursone is affiliated with: BAPTIST MEDICAL CENTER.
