RICHARD D JELSMA MD
NPI 1962494419
Specialist in Sherman, TX

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
8.87/100
CMS Quality Rating
425 N HIGHLAND AVE, SUITE 110, SHERMAN, TX 75092(903) 868-8800(903) 868-4405 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard D Jelsma Md NPPES

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

RICHARD D JELSMA MD (NPI 1962494419) is an individual specialist in Sherman, Texas, licensed in Texas (J8284) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (1988).

NPPES Registry Identity

NPI1962494419
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameRICHARD D JELSMACredential: MD
Location Address425 N HIGHLAND AVE, SUITE 110Sherman, TX 75092-7377
Mailing Address425 N Highland Ave, Suite 110Sherman, TX 75092-7377 · (903) 868-8800 · Fax (903) 868-4405
Fax(903) 868-4405
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1988
Enumeration DateAugust 19, 2005
Last NPPES UpdateMay 1, 2008
NPI 1962494419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · J8284
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
425 N HIGHLAND AVE, Sherman, TX 75092

Other Identifiers 6

Other8AW412TX · Blue Cross Blue Shield
Medicare NSC4777260001TX
Other200046278TX · Railroad Medicare Ptan
Medicare UPINF82812TX
Medicaid100126503TX
Medicare PIN8A3872TX

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

Richard D Jelsma Md 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 ID9335127059
PECOS Enrollment IDI20040709000715
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 22

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.
912 services188 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
367 services263 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.
279 services225 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
257 services204 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.
228 services228 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
179 services145 patients

Hospital Affiliations CMS Care Compare 2

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

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Baylor Scott And White Surgical Hospital At Sherma

Acute Care Hospitals · Sherman, TX
2/5 CMS rating
OwnershipPhysician
CMS Certification Number670076
Location3601 Calais DriveSherman, TX 75090 · Grayson County
Emergency services

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.

8.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality7.48
Improvement Activities0
Cost19.58

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers16 claims16 services$56.60 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier12 claims12 services$9.15 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers16 claims16 services$67.29 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
2 suppliers37 claims747 services$21.04 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers52 claims52 services$88.57 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier19 claims19 services$45.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Cardiovascular Disease)
425 N HIGHLAND AVE, STE 120
SHERMAN, TX 75092
Thoracic Surgery (Cardiothoracic Vascular Surgery)
425 N HIGHLAND AVE, SUITE 250
SHERMAN, TX 75092
Specialist
425 N HIGHLAND AVE, SUITE 130
SHERMAN, TX 75092
Internal Medicine (Gastroenterology)
425 N HIGHLAND AVE, # 130
SHERMAN, TX 75092
Nurse Practitioner (Family)
425 N HIGHLAND AVE
SHERMAN, TX 75092
Internal Medicine (Gastroenterology)
425 N HIGHLAND AVE, # 130
SHERMAN, TX 75092
Specialist
425 N HIGHLAND AVE, #130
SHERMAN, TX 75092
Specialist
425 N HIGHLAND AVE
SHERMAN, TX 75092

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 Richard Jelsma's NPI number?

The NPI number for Richard Jelsma is 1962494419. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Richard Jelsma located?

Richard Jelsma practices at 425 N Highland Ave Suite 110, Sherman, TX 75092. The listed phone number is (903) 868-8800.

What is Richard Jelsma's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Richard Jelsma enrolled in Medicare?

Yes. Richard Jelsma 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 Richard Jelsma accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Richard Jelsma 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 Richard Jelsma affiliated with any hospitals?

According to CMS data, Richard Jelsma is affiliated with Texoma Medical Center and Baylor Scott And White Surgical Hospital At Sherma.

When was this NPI record last updated?

The NPPES record for Richard Jelsma was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.