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JAY M HOELSCHER M.D.
NPI 1649221540
Internal Medicine in San Antonio, TX

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
7622 LOUIS PASTEUR DR STE 100, SAN ANTONIO, TX 78229(210) 614-7840(210) 562-2252 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2024, Jan 9, 2017 (2 updates tracked since 2017).

About Jay M Hoelscher M.d. NPPES

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

JAY M HOELSCHER M.D. (NPI 1649221540) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (L3340) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of University Of Nebraska College Of Medicine (1999).

NPPES Registry Identity

NPI1649221540
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAY M HOELSCHERCredential: M.D.
Location Address7622 LOUIS PASTEUR DR STE 100San Antonio, TX 78229-4019
Mailing Address7622 Louis Pasteur Dr Ste 100San Antonio, TX 78229-4019 · (210) 614-7840 · Fax (210) 562-2252
Phone(210) 614-7840
Fax(210) 562-2252
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1999
Enumeration DateMay 15, 2006
Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1649221540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · L3340
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7622 LOUIS PASTEUR DR STE 100, San Antonio, TX 78229
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Other Identifiers 1

Medicaid152367201TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Jay M Hoelscher 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 ID547340549
PECOS Enrollment IDI20080103000287
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

3

Medicare enrollment records show Jay Hoelscher reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellmed Networks, Inc.
Same address
Cardiovascular Disease
7622 LOUIS PASTEUR, SUITE 100
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 233 clinicians in this Medicare group
NPI 1386948677 (210) 588-0122
Wellmed Medical Group, PA
1.4 mi
Internal Medicine
4438 CENTERVIEW
San Antonio, TX 78228
  • Reassigned Medicare billing, Texas enrollment
  • 762 clinicians in this Medicare group
NPI 1437156486 (210) 280-0040
Texas Health Care, P.L.L.C.
225 mi
Surgery
11803 SOUTH FREEWAY, SUITE 211
Burleson, TX 76028
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Health Care PLLC
  • 511 clinicians in this Medicare group
NPI 1164589941 (817) 336-6012

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 6

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.
228 services157 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
202 services132 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.
51 services47 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
15 services15 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
14 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Lake Granbury Medical Center

Acute Care Hospitals · Granbury, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450596
Location1310 Paluxy RdGranbury, TX 76048 · Hood County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Southwest F

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450779
Location6100 Harris PkwyFort Worth, TX 76132 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
51%2,747 patients2/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
5%193 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
88%156 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
50%233 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%279 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%233 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%233 patients1/55-star benchmark: 79%
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 6

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
5 suppliers14 claims59 services$7.20 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers11 claims11 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims31 services$1.23 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier14 claims14 services$3.14 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers13 claims13 services$43.18 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$6.42 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 3

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

DR. SHASHI MITTAL M.D.
Family Medicine
7622 LOUIS PASTEUR DR STE 100
SAN ANTONIO, TX 78229
Bexar County (210) 614-7840
MIKE MARTINEZ PA
Physician Assistant (Medical)
7622 LOUIS PASTEUR DR STE 100
SAN ANTONIO, TX 78229
Bexar County (210) 614-7840
JASON MATTHEW JACKSON PA-C
Physician Assistant (Medical)
7622 LOUIS PASTEUR DR STE 100
SAN ANTONIO, TX 78229
Bexar County (210) 610-3859

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 Jay Hoelscher's NPI number?

The NPI number for Jay Hoelscher is 1649221540. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Jay Hoelscher located?

Jay Hoelscher practices at 7622 Louis Pasteur Dr Ste 100, San Antonio, TX 78229. The listed phone number is (210) 614-7840.

What is Jay Hoelscher's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jay Hoelscher enrolled in Medicare?

Yes. Jay Hoelscher 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 Jay Hoelscher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Hoelscher reassigns Medicare benefits to 3 organizations: Wellmed Networks, Inc. (San Antonio, TX), Wellmed Medical Group, PA (San Antonio, TX) and Texas Health Care, P.L.L.C. (Burleson, 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 Jay Hoelscher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jay Hoelscher accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jay Hoelscher 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 Jay Hoelscher affiliated with any hospitals?

According to CMS data, Jay Hoelscher is affiliated with Texas Health Harris Methodist Hospital Fort Worth, Lake Granbury Medical Center and Texas Health Harris Methodist Hospital Southwest F.

When was this NPI record last updated?

The NPPES record for Jay Hoelscher was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.