Individual provider Active NPI

Jorge Javier Peacher, M.D.

  • Family Medicine Physician
  • Fredericksburg, TX
National Provider Identifier
1104052307
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R8256 Issued in TX
Practice address
1020 S State Highway 16
Fredericksburg, TX 78624-4471
Phone
(830) 997-4353
NPI assigned
Jun 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R8256 TX Primary

Addresses

Primary practice location

1020 S State Highway 16
Fredericksburg, TX 78624-4471

Mailing address

110 Roundup Dr
San Antonio, TX 78213-2311

Other practice location 1

13001 E 17th Pl
University of Colorado Denver School of Medicine GME
Aurora, CO 80045-2559
Phone (303) 724-6031

Other practice location 2

801 N Bedell Ave
Del Rio, TX 78840-4112
Phone (210) 488-7158

Other practice location 3

1025 Garner Field Rd
Uvalde, TX 78801
Phone (210) 488-7158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829001779 TX Practitioner - Emergency MedicinePractitioner - Family Practice 3274823315 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
92.03
Improvement activities
40
Cost
85.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Associates LLC CurrentSince Jul 1, 2019 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC CurrentSince Jun 1, 2020 Accepting new patients
Victoria Emergency Partners LLC CurrentSince May 14, 2019 Accepting new patients
Third Coast Emergency Physicians Southwest PA CurrentSince Oct 1, 2021 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Oct 1, 2021 Accepting new patients
Legacy Urgent Care, PA CurrentSince Apr 1, 2023 Accepting new patients
Basin Emergency Physicians PLLC CurrentSince Aug 1, 2018 Accepting new patients
Premier Physicians-II, P.a. CurrentSince Jan 1, 2022 Accepting new patients
Frisco Emergency Medicine Associates, PA Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

211 W Frontier Pkwy
Prosper, TX 75078
Phone (469) 868-9100

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

900 Austin Ave
Ste 1001
Waco, TX 76701
Phone (254) 224-8808

9110 Jordan Ln
Ste 200
Woodway, TX 76712
Phone (254) 399-0740

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1104052307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ROUNDUP DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S STATE HIGHWAY 16",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244471",
            "telephone_number": "830-997-4353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13001 E 17th Pl",
            "address_2": "University of Colorado Denver School of Medicine GME",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452559",
            "country_code": "US",
            "telephone_number": "303-724-6031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 N Bedell Ave",
            "address_purpose": "LOCATION",
            "city": "Del Rio",
            "state": "TX",
            "postal_code": "788404112",
            "country_code": "US",
            "telephone_number": "210-488-7158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Garner Field Rd",
            "address_purpose": "LOCATION",
            "city": "Uvalde",
            "state": "TX",
            "postal_code": "78801",
            "country_code": "US",
            "telephone_number": "210-488-7158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEACHER",
        "first_name": "JORGE",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2021-03-03",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R8256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.