RICHARD D JELSMA (MD) – Specialist, NPI 1962494419
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,187 ORTHOPEDIC SURGERY in TX
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Provider Addresses for RICHARD D JELSMA (MD)
425, North Highland Avenue, Sherman, Grayson County, Texas, 75092, United States
SUITE 110
SHERMAN, TX 750927377
Phone: (903) 868-8800
Fax: (903) 868-4405
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $228.
Total Amount is formed as General ($228) + Research ($0) + Ownership ($0) = $228.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Pylant Medical ($193).
Total Amount
$228
General + Research + Ownership
Payments
5
Total payment records
General Amount
$228
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pylant Medical | $193 |
| Smith+Nephew, Inc. | $20 |
| Stryker Corporation | $14 |
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: 2004-07-09
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 |
|---|---|---|---|---|
| I20040709000715 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 419 | 284 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 290 | 232 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 243 | 167 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 222 | 222 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 215 | 168 | $0 |
Insurance plans in this area (ZIP 75092)
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Provider's Procedures
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