DR. GERALD MARCUS FRANKLIN M.D.
NPI 1780618843
Otolaryngology in New Braunfels, TX

Q: What is Gerald Franklin's NPI number?

The NPI number for Gerald Franklin is 1780618843. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Gerald Franklin's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Franklin was last updated on October 17, 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.

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment

99.58/100

CMS Quality Rating

948 GRUENE RD, SUITE120, NEW BRAUNFELS, TX 78130(830) 627-3777(830) 627-3778 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Gerald Marcus Franklin M.d. NPPES

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

DR. GERALD MARCUS FRANKLIN M.D. (NPI 1780618843) is an individual otolaryngology provider in New Braunfels, Texas, licensed in Texas (K6761) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Hospital-san Marcos, and is a graduate of University Of Texas Medical School At San Antonio (1997).

NPPES Registry Identity

NPI1780618843

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. GERALD MARCUS FRANKLINCredential: M.D.

Location Address948 GRUENE RD, SUITE120New Braunfels, TX 78130-3919

Mailing Address948 Gruene Rd, Suite120New Braunfels, TX 78130-3919 · (830) 627-3777 · Fax (830) 627-3778

Phone(830) 627-3777

Fax(830) 627-3778

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1997

Enumeration DateJuly 11, 2006

Last NPPES UpdateOctober 17, 2013

✔ NPI 1780618843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in TX · K6761

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

948 GRUENE RD, New Braunfels, TX 78130

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Other Identifiers 3

Medicaid000955523AGA

Medicare ID-Type Unspecified04BDCKK

Medicare UPINH69686

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Dr. Gerald Marcus Franklin 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 ID143240556

PECOS Enrollment IDI20070212000509

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

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

Gmarcus Franklin M D & Associates

1.5 mi

Medical Specialty

598 N UNION AVE, STE. 230
New Braunfels, TX 78130

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: G Marcus Franklin M D & Associates
5 clinicians in this Medicare group

NPI 1669493821 (830) 627-3777

Guadalupe County Hospital Board

13 mi

Hospitalist

1215 E COURT ST
Seguin, TX 78155

Reassigned Medicare billing, Texas enrollment
40 clinicians in this Medicare group

NPI 1841512845 (830) 379-2411

Monty V. Trimble , MD, P.A

211 mi

Specialist

3455 LOCKE AVE, SUITE 210
Fort Worth, TX 76107

Reassigned Medicare billing, Texas enrollment
7 clinicians in this Medicare group

NPI 1265600639 (817) 377-5223

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 15

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 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.

474 services262 patients

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.

206 services206 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

174 services141 patients

Sleep study including heart rate, breathing, and sleep time 95800

A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.

54 services29 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

49 services39 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

37 services36 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

27 services27 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

25 services18 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

24 services24 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.

20 services14 patients

Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433

This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.

18 services13 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.

15 services15 patients

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

14 services14 patients

Simple control of nose bleed 30901

Simple control of a nose bleed involves leaning forward slightly to prevent blood from flowing down the throat. Pinch your nostrils together and breathe through your mouth. This pressure can help the blood clot and stop the bleeding. Avoid lying down or blowing your nose.

13 services13 patients

Removal of nasal sinus using an endoscope 31255

This procedure, known as endoscopic sinus surgery, involves using a small camera (endoscope) to view your nasal passages. Special tools are used to remove abnormal and obstructive tissues, improving sinus function and relieving symptoms.

11 services11 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, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450272

Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County

Emergency services Birthing friendly

Children's Hospital Of San Antonio

Childrens · San Antonio, TX

OwnershipVoluntary non-profit - Church

CMS Certification Number453315

Location333 N Santa Rosa StSan Antonio, TX 78207 · Bexar County

Emergency services

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

$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

$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.

99.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

99.17

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 12

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

Tubing with integrated heating element for use with positive airway pressure device A4604