DR. RICHARD FRANK OPPELTZ MD
NPI 1720263775
Surgery in New Braunfels, TX
Active since January 08, 2008PECOS EnrolledAccepts Medicare Assignment
About Dr. Richard Frank Oppeltz Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RICHARD FRANK OPPELTZ MD (NPI 1720263775) is an individual surgery provider in New Braunfels, Texas, licensed in Texas (P7016) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Hospital-san Marcos, and maintains a secondary practice location in Columbia.
NPPES Registry Identity
NPI1720263775
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RICHARD FRANK OPPELTZCredential: MD
Location Address730 N HOUSTON AVENew Braunfels, TX 78130-4132
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Phone(830) 620-5393
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 8, 2008
Last NPPES UpdateJune 23, 20213 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1720263775 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in TX · P7016✔ Licensed in IL · 036135141✔ Licensed in MO · 2019025576
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
730 N HOUSTON AVE, New Braunfels, TX 78130
Secondary Practice Location 1
Location 11 Hospital DriveColumbia, MO 65212-0001 · Phone (573) 882-8454 · Fax (573) 884-6054
Other Identifiers 2
OtherP02587397TX · Rr Mcr
Medicaid419163701TX
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.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 Frank Oppeltz 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.
PECOS PAC ID8628297207
PECOS Enrollment IDI20201124000106
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.
Areas of Expertise CMS Part B claims 8
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.
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 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.
30 services28 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.
23 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
15 services15 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
12 services12 patients
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Santa Rosa Hospital-San Marcos
Acute Care Hospitals · San Marcos, TXOwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly
Resolute Health Hospital
Acute Care Hospitals · New Braunfels, TXOwnershipProprietary
CMS Certification Number670098
Location555 Creekside Xing,New Braunfels, TX 78130 · Comal County
Emergency services Birthing friendly
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78130 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.
Reported Quality Measures
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
1%98 patients1/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
2%126 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
6%32 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
56%195 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
7%43 patients1/55-star benchmark: 100%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
23%43 patients1/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
77%43 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
94%670 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
68%147 patients3/55-star benchmark: 99%
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.
94%86 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.
88%159 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
41%147 patients2/55-star benchmark: 90%
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…
37%395 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
17%132 patients1/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
1%327 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 93% · 292 patients
Patients tobacco: 40% · 65 patients
82%292 patients4/55-star benchmark: 98%
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…
86%159 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…
14%159 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 147 patients
1%147 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
730 N HOUSTON AVE, SUITE C
NEW BRAUNFELS, TX 78130
NEW BRAUNFELS, TX 78130
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 Richard Oppeltz's NPI number?
The NPI number for Richard Oppeltz is 1720263775. It was assigned to this individual provider in the NPPES registry on January 8, 2008.
Where is Richard Oppeltz located?
Richard Oppeltz practices at 730 N Houston Ave, New Braunfels, TX 78130. The listed phone number is (830) 620-5393.
What is Richard Oppeltz's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Richard Oppeltz enrolled in Medicare?
Yes. Richard Oppeltz 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.
What insurance does Richard Oppeltz accept?
Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Richard Oppeltz 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 Richard Oppeltz affiliated with any hospitals?
According to CMS data, Richard Oppeltz is affiliated with Christus Santa Rosa Hospital-San Marcos and Resolute Health Hospital.
When was this NPI record last updated?
The NPPES record for Richard Oppeltz was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Richard Frank Oppeltz, MD · NPI 1720263775
Surgery physician in New Braunfels, Texas. Individual provider, active in the CMS NPPES registry since January 8, 2008.
## Identity
- **NPI:** 1720263775 (Entity type: Individual)
- **Enumerated:** January 8, 2008
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** P7016 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 730 N HOUSTON AVE, New Braunfels, TX 78130-4132
- **Phone:** (830) 620-5393
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** June 23, 2021
- **Other identifiers:** Other P02587397 (TX); Medicaid 419163701 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1720263775) · Data from the CMS NPPES public registry.