DR. RAYMOND R REESE M.D.
NPI 1902842313
General Practice in Cuero, TX
Quality Rating: 89.35 out of 100 score
NPI Status: Active since June 22, 2006
Contact Information
2500 N ESPLANADE ST
STE 102
CUERO, TX
ZIP 77954
Phone: (361) 275-3466
Fax: (361) 275-2431
- Individual
- Male
- General Practice
- Accepts Insurance
About RAYMOND REESE
This page provides the complete NPI Profile along with additional information for Raymond Reese, a primary care provider established in Cuero, Texas with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1902842313 assigned on June 2006. The practitioner's primary taxonomy code is 208D00000X with license number C9110 (TX). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1902842313
- Provider Name
- DR. RAYMOND R REESE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2500 N ESPLANADE ST STE 102 CUERO, TX 77954
- Location Phone
- (361) 275-3466
- Location Fax
- (361) 275-2431
- Mailing Address
- 2500 N ESPLANADE ST STE 102 CUERO, TX 77954
- Mailing Phone
- (361) 275-2463
- Mailing Fax
- (361) 275-2431
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-22-2006
- Last Update Date
- 08-18-2022
- Code Navigator
A primary care provider (PCP) like Raymond Reese 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
Secondary Locations
- 113 W Main St
Kenedy, TX 78119
(830) 583-0627
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
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C9110
- License State
- TX
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- CHRISTUS Bronze - HMO
- CHRISTUS Bronze Essential - HMO
- CHRISTUS Bronze Essential Plus - HMO
- CHRISTUS Bronze Plus - HMO
- CHRISTUS Catastrophic - HMO
- CHRISTUS Gold - HMO
- CHRISTUS Gold Essential - HMO
- CHRISTUS Gold Essential Plus - HMO
- CHRISTUS Gold Plus - HMO
- CHRISTUS Silver - HMO
- CHRISTUS Silver Essential - HMO
- CHRISTUS Silver Essential Plus - HMO
- CHRISTUS Silver Plus - HMO
- CHRISTUS Standard Expanded Bronze - HMO
- CHRISTUS Standard Gold - HMO
- CHRISTUS Standard Silver - 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 |
---|---|---|---|
120302808 | MEDICAID (05) | TX | |
120302805 | MEDICAID (05) | TX | |
120302807 | MEDICAID (05) | TX | |
8P9301 | OTHER (01) | TX | BLUE CROSS BLUE SHIELD OF |
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.
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Follow-up observation care per day, typically 15 minutes
Hospital discharge day management, 30 minutes or less
Hospital observation care on day of discharge
Initial hospital inpatient care per day, typically 50 minutes
Initial hospital inpatient care per day, typically 70 minutes
Initial hospital observation care per day, typically 50 minutes
Initial hospital observation care per day, typically 70 minutes
Urinalysis, manual test
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 64 times for 19 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 23 times for 11 patientsFollow-up observation care is a daily check-up service where your health is monitored for about 15 minutes. This routine observation helps track your recovery progress or any changes in your condition. It's a crucial part of ensuring your health and well-being.
This service was performed 41 times for 21 patientsHospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
This service was performed 27 times for 21 patientsHospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.
This service was performed 34 times for 26 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 19 times for 15 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 11 times for 11 patientsInitial hospital observation care is a service where healthcare professionals monitor your health for about 50 minutes daily. This helps them understand your condition better, plan treatment, and ensure your safety. It's a routine part of hospital care.
This service was performed 16 times for 12 patientsThis service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
This service was performed 19 times for 17 patientsA urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
This service was performed 16 times for 13 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.35, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 89.35 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 68.71
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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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 | 9 | 0 | 2 | 8 | 4 | 2 | 3 | 1 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 0 | 2 | 16 | 4 | 4 | 3 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 0 + 2 + 1 + 6 + 4 + 4 + 3 + 2 + 24 = 57 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 57 = 3 | 3 |
The NPI number 1902842313 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1467493874 | DR. HARVEY RENGER M.D. Individual | Family Medicine | 2500 N ESPLANADE ST STE 101 CUERO, TX 77954 (361) 275-2381 |
1053405167 | CUERO MEDICAL ASSOCIATES, P.A. Organization | Clinic/Center (Rural Health) | 2500 N ESPLANADE ST SUITE 102 CUERO, TX 77954 (361) 275-3466 |
1740614023 | DEWITT MEDICAL DISTRICT Organization | Family Medicine | 2500 N ESPLANADE ST SUITE 101 CUERO, TX 77954 (361) 275-3561 |
1265473771 | NELDA HUBER P.A.-C Individual | Physician Assistant | 2500 N ESPLANADE ST STE 101 CUERO, TX 77954 (361) 275-2381 |
1124473616 | SUSAN MIMS Individual | Physician Assistant | 2500 N ESPLANADE ST SUITE 101 CUERO, TX 77954 (361) 275-2381 |
1316987597 | VALENTE ANTONIO BENAVIDES MD Individual | Surgery | 2500 N ESPLANADE ST SUITE 103 CUERO, TX 77954 (361) 275-9754 |
1730557026 | DEWITT MEDICAL DISTRICT Organization | Clinic/Center (Rural Health) | 2500 N ESPLANADE ST SUITE 102 CUERO, TX 77954 (361) 275-3466 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902842313, enumerated in the NPI registry as an "individual" on June 22, 2006
The provider is located at 2500 N Esplanade St Ste 102 Cuero, Tx 77954 and the phone number is (361) 275-3466
The provider's speciality is General Practice with taxonomy code 208D00000X
The provider might be accepting Accepts: CHRISTUS Health Plan, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Follow-up observation care per day, typically 15 minutes, Hospital discharge day management, 30 minutes or less, Hospital observation care on day of discharge, Initial hospital inpatient care per day, typically 50 minutes, Initial hospital inpatient care per day, typically 70 minutes, Initial hospital observation care per day, typically 50 minutes, Initial hospital observation care per day, typically 70 minutes and Urinalysis, manual test.
This NPI record was last updated on June 22, 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].
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