NPIMap

Individual provider Active NPI

Richard D Jelsma, MD

  • Specialist
  • Sherman, TX
National Provider Identifier
1962494419
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J8284 Issued in TX
Practice address
425 N Highland Ave
Suite 110
Sherman, TX 75092-7377
Phone
(903) 868-8800
Fax
(903) 868-4405
NPI assigned
Aug 19, 2005
Last updated
May 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J8284 TX Primary

Addresses

Primary practice location

425 N Highland Ave
Suite 110
Sherman, TX 75092-7377

Mailing address

425 N Highland Ave
Suite 110
Sherman, TX 75092-7377
Phone (903) 868-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709000715 TX Practitioner - Orthopedic Surgery 9335127059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Columbia University College of Physicians and Surgeons, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 Medical Dr
Suite 100
Sherman, TX 75092-6372
Phone (903) 868-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.48 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
58.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement29
Lower limb (leg) arthroscopy (minimally invasive joint repair)31
Upper limb (arm) arthroscopy (minimally invasive joint repair)166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8284TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Grayson Hospital LLC Current Accepting new patients
Richard D. Jelsma, MD, PA CurrentSince Mar 2, 2000 Accepting new patients

Locations

204 Medical Dr
Ste 100
Sherman, TX 75092
Phone (214) 452-7705

425 N Highland Ave
Ste 110
Sherman, TX 75092
Phone (903) 251-3252

Interoperability endpoints

  • Direct secure messaging: richardjelsma@wnjrmc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baylor Scott & White Surgical Hospital at ShermanSherman, TX, CCN 670076 Hospital 5% Or Greater Direct Ownership Interest (5.89%) May 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1962494419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N HIGHLAND AVE",
            "address_2": "SUITE 110",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927377",
            "telephone_number": "903-868-8800",
            "fax_number": "903-868-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N HIGHLAND AVE",
            "address_2": "SUITE 110",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927377",
            "telephone_number": "903-868-8800",
            "fax_number": "903-868-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELSMA",
        "first_name": "RICHARD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J8284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.