RUDRICK VILLOSO LEDESMA (M.D.) – Nephrology Physician, NPI 1306125836
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,168 NEPHROLOGY in TX
Provider Addresses for RUDRICK VILLOSO LEDESMA (M.D.)
1133 MEDICAL DR
TYLER, TX 757012130
Phone: (903) 595-5486
Fax: (903) 595-5128
Type: Location
4002 S Loop 256 Ste R
Palestine, TX 758018498
Phone: (903) 595-5486
Fax: (903) 595-5128
Type: Location
203 Nacogdoches St Ste 240
Jacksonville, TX 757662465
Phone: (903) 595-5486
Fax: (903) 595-5128
Type: Location
1336 S Palestine St
Athens, TX 757513621
Phone: (903) 595-5486
Fax: (903) 595-5128
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $1,444.
Total Amount is formed as General ($1,444) + Research ($0) + Ownership ($0) = $1,444.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Amgen Inc. ($216).
Total Amount
$1,444
General + Research + Ownership
Payments
38
Total payment records
General Amount
$1,444
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $216 |
| Fresenius USA Marketing, Inc. | $212 |
| Novo Nordisk Inc | $155 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $141 |
| Travere Therapeutics, Inc. | $116 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-07-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160707002403 | I | Nephrology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 396 | 134 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 325 | 257 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 243 | 113 | $0 |
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 241 | 14 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 122 | 81 | $0 |
Insurance plans in this area (ZIP 75701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Critical Care (Intensivists), Pulmonary Disease | TX | |
| Orthopedic Surgery | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| Physician Assistant | TX |
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