David Perches, M.D.
NPI 1275517450 · Anesthesiology Physician · Seguin, TX
Enrolled with Medicare as Practitioner - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
David Perches, M.D. is a Anesthesiology Physician provider in Seguin, TX (NPI 1275517450).
Provider details
- NPI number
- 1275517450
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- K2171 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
147 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Lens Surgery00142 | 55 | $119 |
| Anesthesia for Procedure on Nerves, Muscles, Tendons, and Tissue of Forearm, Wrist, and Hand01810 | 34 | $110 |
| Anesthesia for Other Procedure on Lower Leg, Ankle, and Foot Bones01480 | 33 | $178 |
| Injection of Anesthetic Agent And/Or Steroid Into Thigh Nerve (femoral Nerve)64447 | 14 | $53 |
| Injection of Anesthetic Agent And/Or Steroid Into Arm Nerve Bundle (brachial Plexus)64415 | 11 | $66 |
Typical Medicare-allowed amounts for these services range $53–$178 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$123 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-01
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Frequently asked questions
- What is David Perches's NPI number?
- David Perches's National Provider Identifier (NPI) is 1275517450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is David Perches's specialty?
- David Perches is listed in the NPPES registry with a primary specialty of Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is David Perches located?
- David Perches's practice location on file with NPPES is 1215 E Court St, Seguin, TX 78155-5129.
- What is David Perches's phone number?
- The practice phone number listed in the NPPES registry for David Perches is (830) 379-5867.
- Does David Perches accept Medicare?
- David Perches is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is David Perches's NPI active?
- Yes — David Perches's NPI (1275517450) is active in the NPPES registry as of the last update on 2024-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.