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DR. THOMAS HAYS RAETZSCH M.D.
NPI 1629156765
Family Medicine in Seguin, TX

Active since November 02, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0907088 · Waiver
76.73/100
CMS Quality Rating
1025 N AUSTIN ST, SEGUIN, TX 78155(830) 379-1184(830) 303-2314 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas Hays Raetzsch M.d. NPPES

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

DR. THOMAS HAYS RAETZSCH M.D. (NPI 1629156765) is an individual family medicine provider in Seguin, Texas, licensed in Texas (G5508) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 8, 2027, and is affiliated with Guadalupe Regional Medical Center.

NPPES Registry Identity

NPI1629156765
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS HAYS RAETZSCHCredential: M.D.
Location Address1025 N AUSTIN STSeguin, TX 78155-4517
Mailing Address1025 N Austin StSeguin, TX 78155-4517 · (830) 305-1595 · Fax (830) 303-2314
Phone(830) 379-1184
Fax(830) 303-2314
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1983
Enumeration DateNovember 2, 2006
Last NPPES UpdateSeptember 15, 2011
✔ NPI 1629156765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · G5508
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1025 N AUSTIN ST, Seguin, TX 78155
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Other Identifiers 3

Medicare UPINB25736TX
Medicaid110614801TX
Medicare PIN080093500TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, WellPoint.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. Thomas Hays Raetzsch 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 ID4082740113
PECOS Enrollment IDI20100329000514
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0907088

Thomas H Raetzsch · Seguin, TX
Active · expires Oct 8, 2027
CLIA Number45D0907088
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorThomas H. Raetzsch
Laboratory Phone(830) 379-1184
Laboratory LocationThomas H Raetzsch1025 N Austin, Seguin, TX 78155
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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 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.
451 services226 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.
406 services222 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
79 services69 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.
50 services39 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
44 services38 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78155 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

76.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.14
Improvement Activities40
Cost43.57

Reported Quality Measures

Advance Care Plan
49%593 patients2/55-star benchmark: 100%
Breast Cancer Screening
71%231 patients4/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
2%421 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
66%515 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
72%445 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
10%175 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%175 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%1,735 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
29%489 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
11%616 patients1/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%252 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 483 patients
Patients totalRate: 12% · 509 patients
11%509 patients3/55-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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers73 claims147 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers31 claims31 services$1.05 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers13 claims13 services$32.02 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers18 claims80 services$1.89 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$14.08 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers26 claims26 services$61.55 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 4

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

CCCST - SEGUIN
Internal Medicine (Hematology & Oncology)
1025 N AUSTIN ST
SEGUIN, TX 78155
Guadalupe County (830) 379-8688
MARILYNN WOMACK APRN,FNP-C
Nurse Practitioner (Family)
1025 N AUSTIN ST
SEGUIN, TX 78155
Guadalupe County (830) 379-1184
ERIN MICHELLE WITTE FUDGE
Nurse Practitioner (Family)
1025 N AUSTIN ST
SEGUIN, TX 78155
Guadalupe County (830) 379-1184
EYE SPECIALISTS OF AUSTIN, PA
Ophthalmology (Glaucoma Specialist)
1025 N AUSTIN ST
SEGUIN, TX 78155
Guadalupe County (830) 379-1184

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 Thomas Raetzsch's NPI number?

The NPI number for Thomas Raetzsch is 1629156765. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Thomas Raetzsch located?

Thomas Raetzsch practices at 1025 N Austin St, Seguin, TX 78155. The listed phone number is (830) 379-1184.

What is Thomas Raetzsch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Raetzsch enrolled in Medicare?

Yes. Thomas Raetzsch 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.

Does Thomas Raetzsch hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0907088) is associated with this NPI, valid through October 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thomas Raetzsch accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and WellPoint list Thomas Raetzsch 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 Thomas Raetzsch affiliated with any hospitals?

According to CMS data, Thomas Raetzsch is affiliated with Guadalupe Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Raetzsch was last updated on September 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.