RICARDO HINOJOS FRANCO M.D.
NPI 1558894030
Internal Medicine - Pulmonary Disease in Baltimore, MD

Q: What is Ricardo Franco's NPI number?

The NPI number for Ricardo Franco is 1558894030. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Q: What is Ricardo Franco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Ricardo Franco was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 11, 2017PECOS EnrolledAccepts Medicare Assignment

5501 HOPKINS BAYVIEW CIRCLE JHAAC RM4B74, BALTIMORE, MD 21264(410) 550-2590(410) 550-4259 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2023, Mar 8, 2022, Dec 3, 2021 and 1 more (4 updates tracked since 2017).

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About Ricardo Hinojos Franco M.d. NPPES

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

RICARDO HINOJOS FRANCO M.D. (NPI 1558894030) is an individual pulmonary disease provider in Baltimore, Maryland, licensed in Maryland (D98030) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with University Medical Center, and maintains a secondary practice location in Kalispell.

NPPES Registry Identity

NPI1558894030

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameRICARDO HINOJOS FRANCOCredential: M.D.

Location Address5501 HOPKINS BAYVIEW CIRCLE JHAAC RM4B74Baltimore, MD 21264-3167

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423

Phone(410) 550-2590

Fax(410) 550-4259

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2017

Enumeration DateApril 11, 2017

Last NPPES UpdateAugust 24, 20234 updates tracked since enumeration

NPPES CertifiedAugust 24, 2023

✔ NPI 1558894030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in MD · D98030✔ Licensed in MT · MED-PHYS-LIC-100152

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License T4364 (TX)

5501 HOPKINS BAYVIEW CIRCLE JHAAC RM4B74, Baltimore, MD 21264

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Secondary Practice Location 1

Location 1350 Heritage Way Ste 2100Kalispell, MT 59901-3167 · Phone (406) 257-8992 · Fax (406) 257-8996

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Mountain Health CO-OP.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ricardo Hinojos Franco M.d. 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 ID7517230394

PECOS Enrollment IDI20220315001997

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 Reassignments

Medicare enrollment records show Ricardo Franco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Tech University Health Sciences Center Lubbock

1,455 mi

Anatomic Pathology

3601 4TH ST STE 1A115
Lubbock, TX 79430

Reassigned Medicare billing, Texas enrollment
685 clinicians in this Medicare group

NPI 1063461358 (806) 743-2155

Lubbock County Hospital District

1,460 mi

Hospitalist

602 INDIANA AVE
Lubbock, TX 79415

Reassigned Medicare billing, Texas enrollment
64 clinicians in this Medicare group

NPI 1487993630 (806) 775-8200

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 14

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

85 services41 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

64 services59 patients

Drainage of fluid from chest cavity with insertion of indwelling tube 32556

This procedure, known as thoracentesis, involves inserting a small tube into the chest to remove excess fluid. This can ease breathing and improve heart function. The tube may stay in place for a while to prevent fluid buildup. It's a common, safe procedure.

58 services49 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

40 services28 patients

Aspiration of fluid from chest cavity 32554

Aspiration of fluid from the chest cavity is a procedure where a needle is carefully inserted into the space between your chest wall and lungs to remove excess fluid. This can relieve pressure, making it easier to breathe.

37 services32 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

30 services28 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

22 services21 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

21 services21 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes 31653

This procedure involves using a special scope and ultrasound to examine your lung airways and sample tissue from 3 or more lymph nodes. It aids in diagnosing lung conditions and checking lymph node health.

20 services20 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.

19 services19 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

18 services18 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

15 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Lubbock, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450686

Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21264 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

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 Ricardo Franco's NPI number?

The NPI number for Ricardo Franco is 1558894030. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Ricardo Franco located?

Ricardo Franco practices at 5501 Hopkins Bayview Circle Jhaac Rm4b74, Baltimore, MD 21264. The listed phone number is (410) 550-2590.

What is Ricardo Franco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ricardo Franco enrolled in Medicare?

Yes. Ricardo Franco 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.

Which organizations bill Medicare for Ricardo Franco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Franco reassigns Medicare benefits to 2 organizations: Texas Tech University Health Sciences Center Lubbock (Lubbock, TX) and Lubbock County Hospital District (Lubbock, TX). Each 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 Ricardo Franco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ricardo Franco accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and Mountain Health CO-OP list Ricardo Franco 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 Ricardo Franco affiliated with any hospitals?

According to CMS data, Ricardo Franco is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Ricardo Franco was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.