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RITA TSAI MD
NPI 1609085042
Obstetrics & Gynecology in Austin, TX

Active since May 22, 2007PECOS Enrolled
72.52/100
CMS Quality Rating
313 E 12TH ST, SUITE 304, AUSTIN, TX 78701(512) 324-8670(512) 324-9651 Get Directions Write a Review

NPPES record last updated: January 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rita Tsai Md NPPES

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

RITA TSAI MD (NPI 1609085042) is an individual obstetrics & gynecology provider in Austin, Texas, licensed in Texas (N3360) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609085042
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameRITA TSAICredential: MD
Location Address313 E 12TH ST, SUITE 304Austin, TX 78701-1954
Mailing Address1601 Rio Grande St, Suite 340Austin, TX 78701-1137 · (512) 324-8960
Phone(512) 324-8670
Fax(512) 324-9651
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateJanuary 18, 2013
✔ NPI 1609085042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in TX · N3360✔ Licensed in OH · 57.010942
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
313 E 12TH ST, Austin, TX 78701
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Other Identifiers 2

Medicaid206837101TX
Medicare PIN8L18057TX

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, Moda Health Plan, Inc. 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 (PECOS)

Rita Tsai Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Breast Cancer Screening
83%59 patients4/55-star benchmark: 93%
Cervical Cancer Screening
96%411 patients4/55-star benchmark: 98%
Chlamydia Screening for Women
25%72 patients
Closing the Referral Loop: Receipt of Specialist Report
39%97 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
69%87 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
35%23 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
90%946 patients4/55-star benchmark: 100%
e-Prescribing
100%202 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
5%22 patients1/55-star benchmark: 100%
HIV Screening
62%451 patients5/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
40%306 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
20%394 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
49%826 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 79% · 535 patients
78%535 patients
Provide Patients Electronic Access to Their Health Information
100%256 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
66%32 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 21 patients
Patients totalRate: 5% · 21 patients
5%21 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.

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.

SCOTT J WEINER MD
Pediatrics
313 E 12TH ST, STE 104
AUSTIN, TX 78701
Travis County (409) 772-2222
KIMBERLY CHERYL BUTRUM RN GNP
Nurse Practitioner (Gerontology)
313 E 12TH ST, SUITE 101
AUSTIN, TX 78701
Travis County (512) 324-9660
ZACHARY A CHIPMAN M.D.
Obstetrics & Gynecology
313 E 12TH ST, SUITE 101
AUSTIN, TX 78701
Travis County (512) 324-9650
UTMB FACULTY GROUP PRACTICE
Clinic/Center (Multi-Specialty)
313 E 12TH ST
AUSTIN, TX 78701
Travis County (409) 772-2222
GEORGE AMBROSE EDWARDS MD
Pediatrics
313 E 12TH ST, STE 104
AUSTIN, TX 78701
Travis County (409) 772-2222
ELIZABETH NELSON MD
Internal Medicine
313 E 12TH ST, STE 101
AUSTIN, TX 78701
Travis County (512) 324-9650
UNIVERSITY OF TEXAS MEDICAL BRANCH, AUSTIN INITIATIVES AT UTMB
Internal Medicine
313 E 12TH ST
AUSTIN, TX 78701
Travis County (409) 772-2222
DR. DIANA YUN-GUAN WANG MD
Obstetrics & Gynecology
313 E 12TH ST, SUITE 101
AUSTIN, TX 78701
Travis County (512) 324-9650

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 Rita Tsai's NPI number?

The NPI number for Rita Tsai is 1609085042. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Rita Tsai located?

Rita Tsai practices at 313 E 12th St Suite 304, Austin, TX 78701. The listed phone number is (512) 324-8670.

What is Rita Tsai's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rita Tsai enrolled in Medicare?

Yes. Rita Tsai is registered in the Medicare PECOS enrollment system.

What insurance does Rita Tsai accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Rita Tsai 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 Rita Tsai was last updated on January 18, 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.