Individual provider Active NPI

Richard M Wupperman, MD

  • Orthopaedic Surgery of the Spine Physician
  • Austin, TX
National Provider Identifier
1760539647
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
M8440 Issued in TX
Practice address
3000 N Interstate 35 Ste 708
Austin, TX 78705-1860
Phone
(512) 347-7463
Fax
(737) 202-2561
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X M8440 TX Primary

Addresses

Primary practice location

3000 N Interstate 35 Ste 708
Austin, TX 78705-1860

Mailing address

3000 N Interstate 35 Ste 708
Austin, TX 78705-1860
Phone (512) 347-7463

Other identifiers 1

IdentifierTypeStateIssuer
P00760229OtherMEDICARE RETIREMENT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RICHARD.WUPPERMAN@hca8.eclinicaldirectplus.com

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
I20081211000375 TX Practitioner - Orthopedic Surgery 7719072339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. David's Ortho Neuro and Rehab PLLCGroup PAC ID 5799948857, 60 clinicians

Practice addresses (Care Compare)

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

919 E 32ND St
Austin, TX 78705-2703
Phone (412) 476-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.64 of 100Reported as individual
Quality
79.97
Promoting interoperability
100
Improvement activities
40
Cost
65.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion397
Laminectomy or laminotomy (partial removal of spine bones)84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8440TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. David's Ortho, Neuro and Rehab, PLLC CurrentSince Dec 1, 2016 Accepting new patients
Kurt Von Rueden, MD, PA Orthopaedic Surgery of the Spine Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

3003 Bee Caves Rd
Ste 202
Austin, TX 78746
Phone (512) 371-6398

Interoperability endpoints

  • Direct secure messaging: 428-wupperman-richard@direct.leadingreach.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1760539647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N INTERSTATE 35 STE 708",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051860",
            "telephone_number": "512-347-7463",
            "fax_number": "737-202-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N INTERSTATE 35 STE 708",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051860",
            "telephone_number": "512-347-7463",
            "fax_number": "737-202-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUPPERMAN",
        "first_name": "RICHARD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-01-26",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "M8440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RETIREMENT",
            "identifier": "P00760229",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RICHARD.WUPPERMAN@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3000 N Interstate 35 Ste 708",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787051860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.