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MR. MICHAEL ROBERT LEDOUX PA-C
NPI 1790223568
Physician Assistant in San Antonio, TX

Active since February 01, 2017PECOS EnrolledAccepts Medicare Assignment
72.28/100
CMS Quality Rating
2829 BABCOCK RD, SUITE 700, SAN ANTONIO, TX 78229(210) 593-1485(210) 804-5418 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Robert Ledoux Pa-c NPPES

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

MR. MICHAEL ROBERT LEDOUX PA-C (NPI 1790223568) is an individual physician assistant in San Antonio, Texas, licensed in Texas (PA10969) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790223568
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL ROBERT LEDOUXCredential: PA-C
Location Address2829 BABCOCK RD, SUITE 700San Antonio, TX 78229-6028
Mailing Address400 Concord Plaza Dr, Suite 300San Antonio, TX 78216-6905 · (210) 804-5416 · Fax (210) 678-4142
Phone(210) 593-1485
Fax(210) 804-5418
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 1, 2017
✔ NPI 1790223568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA10969
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2829 BABCOCK RD, San Antonio, TX 78229
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Other Identifiers 1

OtherPA10969TX · Texas Medical Board

Accepted Insurance

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

Mr. Michael Robert Ledoux Pa-c 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 ID3476838822
PECOS Enrollment IDI20170327001140
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 13

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.
806 services97 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.
110 services89 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
108 services104 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.
81 services72 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.
70 services69 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
62 services57 patients

Hospital Affiliations CMS Care Compare

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

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
$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

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.
93%281 patients4/55-star benchmark: 99%
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…
42%137 patients2/55-star benchmark: 88%
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.
89%128 patients2/55-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.
99%757 patients5/55-star benchmark: 97%
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…
96%360 patients4/55-star benchmark: 97%
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…
88%757 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…
11%757 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
46%757 patients
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 20

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

DR. RAUL M MONTEMAYOR M.D.
Internal Medicine
2829 BABCOCK RD, SUITE 110
SAN ANTONIO, TX 78229
Bexar County (210) 614-5855
RAUL CARRILLO
Counselor (Professional)
2829 BABCOCK RD, SIXTH FLOOR, TOWER 1
SAN ANTONIO, TX 78229
Bexar County (210) 261-3286
DR. DAVID HUGHES DPM
Podiatrist (Foot & Ankle Surgery)
2829 BABCOCK RD, STE 700
SAN ANTONIO, TX 78229
Bexar County (210) 593-1435
SCOTT M THOMAS MD
Family Medicine
2829 BABCOCK RD, SUITE 236C
SAN ANTONIO, TX 78229
Bexar County (210) 298-9901
JOHN M MOHRMANN INC
Pharmacy
2829 BABCOCK RD, SUITE 125
SAN ANTONIO, TX 78229
Bexar County (210) 692-7726
BRANT DEWAYNE RHODES
Occupational Therapist (Hand)
2829 BABCOCK RD, 710
SAN ANTONIO, TX 78229
Bexar County (210) 396-5270
JOSEPHINE RUIZ-HEALY MD LLC
Pediatrics
2829 BABCOCK RD, SUITE 438
SAN ANTONIO, TX 78229
Bexar County (210) 692-9471
IRELAND BUCKLEY BANNER MD
Student in an Organized Health Care Education/Training Program
2829 BABCOCK RD
SAN ANTONIO, TX 78229
Bexar County (210) 450-6570

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 Michael Ledoux's NPI number?

The NPI number for Michael Ledoux is 1790223568. It was assigned to this individual provider in the NPPES registry on February 1, 2017.

Where is Michael Ledoux located?

Michael Ledoux practices at 2829 Babcock Rd Suite 700, San Antonio, TX 78229. The listed phone number is (210) 593-1485.

What is Michael Ledoux's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Ledoux enrolled in Medicare?

Yes. Michael Ledoux 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 Michael Ledoux accept?

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

According to CMS data, Michael Ledoux is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Ledoux was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.