Richard D Jelsma, MD

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

Sex

Male

Sole proprietor

No

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.

• Richard D. Jelsma, MD, PA

  • Orthopaedic Surgery Physician
  • Sherman, TX
  • NPI 1902028244

  TX

  Medicare reassignment NPD Authorized official
• Sherman Grayson Hospital LLC

  • General Acute Care Hospital
  • Sherman, TX
  • NPI 1013957836
  NPD

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

• Ahs Sherman LLC

  • General Acute Care Hospital
  • Sherman, TX
  • NPI 1598545345

  Hospital

  Care Compare affiliation
• First Texas Home Health

  • Home Health Agency
  • Whitesboro, TX
  • NPI 1871507863
  Care Compare affiliation
• Heritage Park Surgical Hospital LLC

  • General Acute Care Hospital
  • Sherman, TX
  • NPI 1235510090

  Hospital

  Care Compare affiliation
• Uhs of Texoma, Inc

  • General Acute Care Hospital
  • Denison, TX
  • NPI 1851390967

  Hospital

  Care Compare affiliation
• Ideal Home Care, LLC

  • Home Health Agency
  • Ardmore, OK
  • NPI 1467430595
  Care Compare affiliation

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

• Heritage Park Surgical Hospital LLC

  • General Acute Care Hospital
  • Sherman, TX
  • NPI 1235510090

  5% Or Greater Direct Ownership Interest

  CMS ownership

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)

Hospital & facility affiliations

• First Texas Home Health Home health agency, Whitesboro, TX, CCN 458193
• Ideal Home Care, L.P. Home health agency, Ardmore, OK, CCN 377678
• Baylor Scott and White Surgical Hospital at Sherma Hospital, Sherman, TX, CCN 670076
• Texoma Medical Center Hospital, Denison, TX, CCN 450324
• Wilson N Jones Regional Medical Center Hospital, Sherman, TX, CCN 450469

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

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.

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 1, 2008.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "200046278",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8AW412",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sherman, TX
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.