DR. SERGIO VIROSLAV M.D.
NPI 1760424790
Orthopaedic Surgery in San Antonio, TX

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
72.28/100
CMS Quality Rating
400 CONCORD PLAZA DR STE 300, SAN ANTONIO, TX 78216(210) 804-5400(210) 396-5385 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 13, 2017 (2 updates tracked since 2017).

About Dr. Sergio Viroslav M.d. NPPES

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

DR. SERGIO VIROSLAV M.D. (NPI 1760424790) is an individual orthopaedic surgery provider in San Antonio, Texas, licensed in Texas (K1948) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1989).

NPPES Registry Identity

NPI1760424790
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. SERGIO VIROSLAVCredential: M.D.
Location Address400 CONCORD PLAZA DR STE 300San Antonio, TX 78216-6991
Mailing Address400 Concord Plaza Dr Ste 300San Antonio, TX 78216-6991 · (210) 804-5400 · Fax (210) 396-5385
Fax(210) 396-5385
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1989
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1760424790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · K1948
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

400 CONCORD PLAZA DR STE 300, San Antonio, TX 78216

Other Identifiers 5

Medicaid041763602TX
Other2795443TX · Cigna
OtherP00015173TX · Railroad Medicare
Other4515213TX · Aetna
Other8H3633TX · Bcbs

Accepted 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. Sergio Viroslav 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 ID7618002833
PECOS Enrollment IDI20100312000780
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 20

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,935 services294 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.
659 services407 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
457 services311 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
241 services188 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
197 services148 patients
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.
166 services123 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Connally Memorial Medical Center

Acute Care Hospitals · Floresville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450108
Location499 10th StreetFloresville, TX 78114 · Wilson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78216 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.

72.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.73
Promoting Interoperability90
Improvement Activities40
Cost52.22

Reported Quality Measures

Advance Care Plan
8%1,832 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
47%821 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
0%1,819 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
61%75 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
94%51 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%4,876 patients4/55-star benchmark: 100%
e-Prescribing
99%398 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
3%1,780 patients1/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%58 patients
Osteoporosis Management in Women Who Had a Fracture
17%70 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
14%2,710 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%2,685 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%4,515 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 49% · 1,969 patients
Patients screened: 53% · 1,969 patients
3%99 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 1% · 1,329 patients
1%1,329 patients
Provide Patients Electronic Access to Their Health Information
52%1,296 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%128 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,858 patients
Patients totalRate: 1% · 1,858 patients
1%1,858 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers33 claims33 services$41.73 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier20 claims20 services$47.88 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
2 suppliers11 claims224 services$21.86 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
2 suppliers12 claims12 services$103.13 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
3 suppliers11 claims11 services$89.68 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 20

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

Nurse Practitioner
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216
Nurse Anesthetist, Certified Registered
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216
Physical Medicine & Rehabilitation (Pain Medicine)
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216
Physician Assistant
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216
Physician Assistant
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216
Physician Assistant (Surgical)
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216
Anesthesiologist Assistant
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216
Physical Therapy Assistant
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216

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 Sergio Viroslav's NPI number?

The NPI number for Sergio Viroslav is 1760424790. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Sergio Viroslav located?

Sergio Viroslav practices at 400 Concord Plaza Dr Ste 300, San Antonio, TX 78216. The listed phone number is (210) 804-5400.

What is Sergio Viroslav's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Sergio Viroslav enrolled in Medicare?

Yes. Sergio Viroslav 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 Sergio Viroslav accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Sergio Viroslav 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 Sergio Viroslav affiliated with any hospitals?

According to CMS data, Sergio Viroslav is affiliated with Baptist Medical Center and Connally Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Sergio Viroslav was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.