ROBERT EVERETTE FICULA D.O.
NPI 1811265085
Internal Medicine - Cardiovascular Disease in Red Oak, TX

Q: What is Robert Ficula's NPI number?

The NPI number for Robert Ficula is 1811265085. It was assigned to this individual provider in the NPPES registry on December 2, 2011.

Q: What is Robert Ficula's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Ficula was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 02, 2011PECOS EnrolledAccepts Medicare Assignment

83.66/100

CMS Quality Rating

307 E OVILLA RD, SUITE 600, RED OAK, TX 75154(469) 437-3344(844) 292-1456 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2022, Jan 16, 2020 (2 updates tracked since 2020).

On this page

About Robert Everette Ficula D.o. NPPES

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

ROBERT EVERETTE FICULA D.O. (NPI 1811265085) is an individual cardiovascular disease provider in Red Oak, Texas, licensed in Texas (N9051) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center- Waxahachie, and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2005).

NPPES Registry Identity

NPI1811265085

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameROBERT EVERETTE FICULACredential: D.O.

Location Address307 E OVILLA RD, SUITE 600Red Oak, TX 75154-3898

Mailing Address307 E Ovilla Rd Ste 600Red Oak, TX 75154-3896 · (469) 437-3344 · Fax (844) 292-1456

Phone(469) 437-3344

Fax(844) 292-1456

Sole ProprietorYes

Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2005

Enumeration DateDecember 2, 2011

Last NPPES UpdateSeptember 22, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2022

✔ NPI 1811265085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in TX · N9051

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License N9051 (TX)

307 E OVILLA RD, Red Oak, TX 75154

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Imperial Insurance Companies, Inc., Oscar Insurance Company.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

Robert Everette Ficula D.o. 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 ID5799945069

PECOS Enrollment IDI20120322000749

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 18

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

559 services282 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.

507 services257 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

324 services80 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

251 services226 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

194 services179 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

124 services85 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

109 services38 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

104 services96 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

92 services31 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

90 services89 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

83 services82 patients

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional 93224

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.

58 services58 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.

39 services39 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

37 services24 patients

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional 93272

An Electrocardiogram (ECG) is a test that records the electrical activity of your heart. For up to 30 days, a device will continuously monitor your heart's rhythm, noting any symptoms. The data is sent to a healthcare professional who reviews it and provides a report on your heart health.

19 services18 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

11 services11 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

11 services11 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450372

Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75154 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.

83.66/100

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

Individually scored

Quality

87.2

Promoting Interoperability

Improvement Activities

Cost

60.83

Reported Quality Measures

Advance Care Plan

94%674 patients4/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

49%84 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

52%840 patients3/55-star benchmark: 91%

Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

100%95 patients5/55-star benchmark: 100%

Coronary Artery Disease (CAD): Antiplatelet Therapy

81%547 patients4/55-star benchmark: 100%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

95%55 patients4/55-star benchmark: 99%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

99%200 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%3,143 patients5/55-star benchmark: 100%

e-Prescribing

98%1,165 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%636 patients1/55-star benchmark: 100%

Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)

84%31 patients4/55-star benchmark: 100%

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

93%28 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

15%1,248 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

15%877 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 99% · 945 patients

Patients screened: 100% · 945 patients

97%91 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

85%678 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

88%722 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 681 patients

Patients totalRate: 0% · 681 patients

0%681 patients5/55-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 7

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

JUSTIN SHIELDS

Specialist

307 E OVILLA RD, SUITE # 100
RED OAK, TX 75154

Ellis County (972) 576-2920

DR. CORINNE S PEARSON DENTIST

Dentist (General Practice)

307 E OVILLA RD, SUITE 400
RED OAK, TX 75154

Ellis County (972) 576-0602

DR. LORRAINE RUDDER MD

Physical Medicine & Rehabilitation

307 E OVILLA RD, SUITE 600
RED OAK, TX 75154

Ellis County (972) 576-2920

RED OAK PHYSICAL MEDICINE CLINIC PLLC

Chiropractor

307 E OVILLA RD, SUITE 100
RED OAK, TX 75154

Ellis County (972) 576-5501

NORTH TEXAS ELECTRODIAGNOSTICS AND REHABILITATION PA

Pain Medicine (Interventional Pain Medicine)

307 E OVILLA RD, SUITE 600
RED OAK, TX 75154

Ellis County (972) 576-2920

AYCOX-PEARSON & ASSOCIATES

Dentist (General Practice)

307 E OVILLA RD, SUITE 400
RED OAK, TX 75154

Ellis County (972) 576-0602

BRENDA BASKEN ROSS D.C.

Chiropractor

307 E OVILLA RD, SUITE 100
RED OAK, TX 75154

Ellis County (972) 576-5501

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 Robert Ficula's NPI number?

The NPI number for Robert Ficula is 1811265085. It was assigned to this individual provider in the NPPES registry on December 2, 2011.

Where is Robert Ficula located?

Robert Ficula practices at 307 E Ovilla Rd Suite 600, Red Oak, TX 75154. The listed phone number is (469) 437-3344.

What is Robert Ficula's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Robert Ficula enrolled in Medicare?

Yes. Robert Ficula 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 Robert Ficula accept?

Health plans from Baylor Scott and White Health Plan, Imperial Insurance Companies, Inc. and Oscar Insurance Company list Robert Ficula 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 Robert Ficula affiliated with any hospitals?

According to CMS data, Robert Ficula is affiliated with Baylor Scott & White Medical Center- Waxahachie.

When was this NPI record last updated?

The NPPES record for Robert Ficula was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.