ROBERT JAY FREEMAN MD
NPI 1861492787
Family Medicine in San Antonio, TX
NPI Status: Active since July 22, 2005
Contact Information
2455 NE LOOP 410
STE 100
SAN ANTONIO, TX
ZIP 78217
Phone: (210) 599-6000
Fax: (210) 657-5586
- Individual
- Male
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
About ROBERT FREEMAN
This page provides the complete NPI Profile along with additional information for Robert Freeman, a primary care provider established in San Antonio, Texas with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1861492787 assigned on July 2005. The practitioner's primary taxonomy code is 207Q00000X with license number H7057 (TX). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1861492787
- Provider Name
- ROBERT JAY FREEMAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2455 NE LOOP 410 STE 100 SAN ANTONIO, TX 78217
- Location Phone
- (210) 599-6000
- Location Fax
- (210) 657-5586
- Mailing Address
- 2455 NE LOOP 410 STE 100 SAN ANTONIO, TX 78217
- Mailing Phone
- (210) 599-6000
- Mailing Fax
- (210) 657-5586
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-22-2005
- Last Update Date
- 10-17-2016
- Code Navigator
A primary care provider (PCP) like Robert Freeman sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- H7057
- License State
- TX
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
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.
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 |
---|---|---|---|
8G5640 | OTHER (01) | TX | WELLMED MEDICARE |
1362949-10 | OTHER (01) | TX | WELLMED MEDICAID |
E43861 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Robert Freeman 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
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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
1 DME suppliers used 13 Medicare Claims 13 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Insertion of needle into vein for collection of blood sample
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 36 times for 29 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 160 times for 77 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 170 times for 79 patientsPhysician 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 78217 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.92
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.05
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $24.26
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* 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 | 8 | 6 | 1 | 4 | 9 | 2 | 7 | 8 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 12 | 1 | 8 | 9 | 4 | 7 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 2 + 1 + 8 + 9 + 4 + 7 + 1 + 6 + 24 = 73 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 73 = 7 | 7 |
The NPI number 1861492787 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1073510806 | HUGH EXCELL LOTHERY PA Individual | Physician Assistant (Medical) | 2455 NE LOOP 410 SUITE 100 SAN ANTONIO, TX 78217 (210) 599-6000 |
1093712705 | DENNIS EARL WILLIS MD Individual | Family Medicine | 2455 NE LOOP 410 STE 100 SAN ANTONIO, TX 78217 (210) 599-6000 |
1841276524 | EDWARD MAXWELL REED MD Individual | Family Medicine | 2455 NE LOOP 410 SUITE 100 SAN ANTONIO, TX 78217 (210) 599-6000 |
1982656534 | DR. AVANINDRA JAIN Individual | Specialist | 2455 NE LOOP 410 SUITE NUMBER 235 SAN ANTONIO, TX 78217 (210) 637-0091 |
1346279189 | RICHARD JOHN GONG MD Individual | Surgery | 2455 NE LOOP 410 STE 245 SAN ANTONIO, TX 78217 (210) 654-0866 |
1427227958 | SHYAM PURSWANI, M.D. P.A. Organization | Pain Medicine (Interventional Pain Medicine) | 2455 NE LOOP 410 SUITE 101 SAN ANTONIO, TX 78217 (210) 590-9080 |
1356644561 | RICHARD J GONG, MD PA Organization | Surgery | 2455 NE LOOP 410 SUITE 245 SAN ANTONIO, TX 78217 (210) 654-0866 |
1811283179 | SLEEP THERAPY & RESEARCH CENTER Organization | Physiological Laboratory | 2455 NE LOOP 410 SUITE 150 SAN ANTONIO, TX 78217 (210) 614-6000 |
1649510215 | SOUTH TEXAS PAIN SPECIALISTS, PA Organization | Physical Medicine & Rehabilitation (Pain Medicine) | 2455 NE LOOP 410 SUITE 249 SAN ANTONIO, TX 78217 (210) 236-5558 |
1932307733 | ALAMO AREA HEART RHYTHM CONSULTANTS, PLLC Organization | Internal Medicine (Cardiovascular Disease) | 2455 NE LOOP 410 SUITE 242 SAN ANTONIO, TX 78217 (210) 656-8800 |
1669479366 | VAN EMMET PERRY MD Individual | Dermatology | 2455 NE LOOP 410 STE 100 SAN ANTONIO, TX 78217 (210) 659-2635 |
1811994056 | VALENTIN GEORGE SALCHER MD Individual | Family Medicine | 2455 NE LOOP 410 STE 100 SAN ANTONIO, TX 78217 (210) 599-6000 |
1033116736 | BRADY MITCHELL HARRISON PA Individual | Physician Assistant (Medical) | 2455 NE LOOP 410 SUITE 100 SAN ANTONIO, TX 78217 (210) 599-6000 |
1821160938 | DR. THILINA PRANEETHBOGATEGEDARA MARASINGHE MD Individual | Internal Medicine | 2455 NE LOOP 410 SUITE 100 SAN ANTONIO, TX 78217 (210) 599-6000 |
1144292467 | MS. NORMA M VALLES-LEBRON MD Individual | Internal Medicine | 2455 NE LOOP 410 STE 100 SAN ANTONIO, TX 78217 (210) 599-6000 |
1184742041 | AVANINDRA JAIN, M.D.P.A. Organization | Specialist | 2455 NE LOOP 410 SUITE 235 SAN ANTONIO, TX 78217 (210) 637-0091 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861492787, enumerated in the NPI registry as an "individual" on July 22, 2005
The provider is located at 2455 Ne Loop 410 Ste 100 San Antonio, Tx 78217 and the phone number is (210) 599-6000
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Aetna CVS Health, WellMed, 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 $84.92 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.05 and an average copayment of 24.26. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes and Insertion of needle into vein for collection of blood sample.
This NPI record was last updated on July 22, 2005. 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].
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