DR. TIBOR ANTHONY RACZ M.D.
NPI 1942287248
Pain Medicine - Interventional Pain Medicine in Rockwall, TX

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
74.23/100
CMS Quality Rating
810 E RALPH HALL PKWY STE 110, ROCKWALL, TX 75032(214) 817-4225(972) 674-2788 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2025, Apr 5, 2021 (2 updates tracked since 2021).

About Dr. Tibor Anthony Racz M.d. NPPES

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

DR. TIBOR ANTHONY RACZ M.D. (NPI 1942287248) is an individual interventional pain medicine provider in Rockwall, Texas, licensed in Texas (J4458) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1942287248
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. TIBOR ANTHONY RACZCredential: M.D.
Location Address810 E RALPH HALL PKWY STE 110Rockwall, TX 75032-6879
Mailing Address7668 Eldorado Pkwy Ste 300Mckinney, TX 75070-5753
Fax(972) 674-2788
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1992
Enumeration DateDecember 28, 2005
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1942287248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in TX · J4458
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiologyTaxonomy 207L00000X · License J4458 (TX)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License J4458 (TX)
Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X · License J4458 (TX)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License J4458 (TX)
810 E RALPH HALL PKWY STE 110, Rockwall, TX 75032

Secondary Practice Locations 6

Location 11320 N Galloway Ave Ste 106Mesquite, TX 75149-2461 · Phone (214) 817-4225 · Fax (972) 674-2788
Location 21701 N US Highway 75 Ste 100Sherman, TX 75090-2838 · Phone (214) 817-4225 · Fax (972) 674-2788
Location 33151 W 15th St Ste BPlano, TX 75075-7731 · Phone (214) 817-4225 · Fax (972) 674-2788
Location 41111 Raintree Cir Ste 170Allen, TX 75013-4902 · Phone (214) 817-4225 · Fax (972) 674-2788
Location 59456 State Highway 121 Ste 100Frisco, TX 75035-6067 · Phone (214) 817-4225 · Fax (972) 674-2788
Location 67668 Eldorado Pkwy Ste 100McKinney, TX 75070-5753 · Phone (214) 817-4225 · Fax (972) 674-2788

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. Tibor Anthony Racz 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 ID4587565650
PECOS Enrollment IDI20040120000937
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.

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.
1,305 services264 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
854 services230 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
852 services229 patients
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.
821 services125 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.
102 services81 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.
76 services76 patients

Hospital Affiliations CMS Care Compare

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75032 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
$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.

74.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality48.46
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
35%43 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
32%541 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
50%42 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
63%2,640 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%769 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%778 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%2,243 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 653 patients
0%653 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
61%23 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 416 patients
Patients totalRate: 15% · 416 patients
15%416 patients3/55-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

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

Anesthesiology (Pain Medicine)
810 E RALPH HALL PKWY STE 110
ROCKWALL, TX 75032

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 Tibor Racz's NPI number?

The NPI number for Tibor Racz is 1942287248. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Tibor Racz located?

Tibor Racz practices at 810 E Ralph Hall Pkwy Ste 110, Rockwall, TX 75032. The listed phone number is (214) 817-4225.

What is Tibor Racz's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Tibor Racz enrolled in Medicare?

Yes. Tibor Racz 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 Tibor Racz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare and 2 other insurers list Tibor Racz 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 Tibor Racz affiliated with any hospitals?

According to CMS data, Tibor Racz is affiliated with Hunt Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tibor Racz was last updated on August 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.