Richard Pedroza, M.D.
NPI 1528402823 · Family Medicine Physician · Tomball, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Pedroza, M.D. is a Family Medicine Physician provider in Tomball, TX (NPI 1528402823).
Provider details
- NPI number
- 1528402823
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- Q9001 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 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
506 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 86 | $86 |
| Measurement of Brain Wave Activity With Video (veeg), 12-26 Hours With Intermittent Monitoring95715 | 62 | $1,020 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 49 | $60 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 49 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 45 | $121 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 39 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 72 | 62 |
| Atorvastatin Calcium | 61 | 31 |
| Lisinopril | 60 | 27 |
| Metformin Hcl | 59 | 22 |
| Levothyroxine Sodium | 45 | 17 |
| Gabapentin | 43 | 18 |
| Rosuvastatin Calcium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$115 across 5 records (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
- 2013-04-17
- Last updated
- 2025-05-08
- Certified
- 2025-05-08
Frequently asked questions
- What is Richard Pedroza's NPI number?
- Richard Pedroza's National Provider Identifier (NPI) is 1528402823, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Pedroza's specialty?
- Richard Pedroza is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Richard Pedroza located?
- Richard Pedroza's practice location on file with NPPES is 888 Graham Dr, Tomball, TX 77375-3322.
- What is Richard Pedroza's phone number?
- The practice phone number listed in the NPPES registry for Richard Pedroza is (832) 684-3909.
- Does Richard Pedroza accept Medicare?
- Richard Pedroza is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Pedroza's NPI active?
- Yes — Richard Pedroza's NPI (1528402823) is active in the NPPES registry as of the last update on 2025-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.