DR. RICHARD ANTHONY SANTUCCI MD
NPI 1669412565
Urology in West Lake Hills, TX
NPI Status: Active since June 08, 2006
Contact Information
4407 BEE CAVES RD STE 612
WEST LAKE HILLS, TX
ZIP 78746
Phone: (512) 446-9486
Fax: (512) 597-0402
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Urology
- PECOS Enrolled
- Opted-Out Medicare
About RICHARD SANTUCCI
This page provides the complete NPI Profile along with additional information for Richard Santucci, a provider established in West Lake Hills, Texas with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1669412565 assigned on June 2006. The practitioner's primary taxonomy code is 208800000X with license number R5205 (TX). The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1669412565
- Provider Name
- DR. RICHARD ANTHONY SANTUCCI MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4407 BEE CAVES RD STE 612 WEST LAKE HILLS, TX 78746
- Location Phone
- (512) 446-9486
- Location Fax
- (512) 597-0402
- Mailing Address
- 4407 BEE CAVES RD STE 612 WEST LAKE HILLS, TX 78746
- Mailing Phone
- (512) 446-9486
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-08-2006
- Last Update Date
- 07-30-2025
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Richard Santucci opted out of Medicare effective on 07-15-2018 until 07-15-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 5495 Arapahoe Ave Ste 200
Boulder, CO 80303
(303) 381-2909 - 575 Sir Francis Drake Blvd Ste 1
Greenbrae, CA 94904
(415) 625-3230
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R5205
- License State
- TX
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208800000X | Allopathic & Osteopathic Physicians | Urology | A63723 (CA) |
| 2 | 208800000X | Allopathic & Osteopathic Physicians | Urology | CDR.0002011 (CO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1669412565 | MEDICAID (05) | MI | |
| 4220951 | MEDICAID (05) | MI |
Medicare Participation & PECOS Enrollment Status
Richard Santucci is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-15-2018
Opt-Out End Date: 07-15-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78746 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $131.95
- Minimum New Patient Price $57.88
- Maximum New Patient Price $174
- Average New Patient Copayment $32.98
- Minimum New Patient Copayment $14.47
- Maximum New Patient Copayment $43.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.95
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.23
- Average Established Patient Copayment $17.98
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.55
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 4 | 1 | 2 | 5 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 8 | 1 | 4 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 8 + 1 + 4 + 5 + 1 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1669412565 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720370760 | LAUREN NICOLE SEDERHOLM PA Individual | Physician Assistant (Surgical) | 4407 BEE CAVES RD STE 612 WEST LAKE HILLS, TX 78746 (512) 446-9486 |
| 1679076731 | CRANE SURGICAL SERVICES Organization | Specialist | 4407 BEE CAVES RD STE 612 WEST LAKE HILLS, TX 78746 (512) 446-9486 |
| 1174948368 | STEVEN LEONARD MAYA PA-C Individual | Physician Assistant (Surgical) | 4407 BEE CAVES RD STE 612 WEST LAKE HILLS, TX 78746 (512) 446-9486 |
| 1316042047 | DR. CURTIS CRANE M.D. Individual | Surgery (Plastic and Reconstructive Surgery) | 4407 BEE CAVES RD STE 612 WEST LAKE HILLS, TX 78746 (512) 446-9486 |
| 1932491719 | DR. ASHLEY NICOLE DELEON M.D., PHARM.D. Individual | Surgery | 4407 BEE CAVES RD STE 612 WEST LAKE HILLS, TX 78746 (512) 446-9486 |
| 1932601960 | KATLYN RAE SPRINGER PA-C Individual | Physician Assistant | 4407 BEE CAVES RD STE 612 WEST LAKE HILLS, TX 78746 (512) 446-9486 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669412565, enumerated in the NPI registry as an "individual" on June 08, 2006
The provider is located at 4407 Bee Caves Rd Ste 612 West Lake Hills, Tx 78746 and the phone number is (512) 446-9486
The provider's speciality is Urology with taxonomy code 208800000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $131.95 with an average copayment of $32.98 for new patient appointments. Established patients should expect a typical charge of $71.95 and an average copayment of 17.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on July 15, 2018 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 15, 2026.
This NPI record was last updated on June 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.