ERICA PROPP
NPI 1801267497
Nurse Practitioner - Family in San Antonio, TX

Active since October 08, 2015PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
5282 MEDICAL DR STE 240, SAN ANTONIO, TX 78229(210) 358-8820(210) 702-4340 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2023, May 25, 2021, Feb 10, 2021 and 1 more (4 updates tracked since 2021).

About Erica Propp NPPES

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

ERICA PROPP (NPI 1801267497) is an individual family provider in San Antonio, Texas, licensed in Texas (AP129283) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1801267497
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA PROPP
Location Address5282 MEDICAL DR STE 240San Antonio, TX 78229-4849
Mailing AddressPo Box 734812Dallas, TX 75373-4812 · (210) 358-9500 · Fax (210) 358-9183
Fax(210) 702-4340
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 8, 2015
Last NPPES UpdateJuly 14, 20234 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
NPI 1801267497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP129283
5282 MEDICAL DR STE 240, San Antonio, TX 78229

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

Erica Propp 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 ID5294035440
PECOS Enrollment IDI20151120000080
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.

Hospital Affiliations CMS Care Compare

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

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · 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
$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.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

Other Providers at the Same Location NPPES 12

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

Allergy & Immunology
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229
Pediatrics
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229
Obstetrics & Gynecology
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229
Pediatrics
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229
Social Worker (Clinical)
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229
Pediatrics
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229
Pediatrics
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229

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 Erica Propp's NPI number?

The NPI number for Erica Propp is 1801267497. It was assigned to this individual provider in the NPPES registry on October 8, 2015.

Where is Erica Propp located?

Erica Propp practices at 5282 Medical Dr Ste 240, San Antonio, TX 78229. The listed phone number is (210) 358-8820.

What is Erica Propp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erica Propp enrolled in Medicare?

Yes. Erica Propp 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 Erica Propp accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and WellPoint list Erica Propp 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 Erica Propp affiliated with any hospitals?

According to CMS data, Erica Propp is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Erica Propp was last updated on July 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.