NPPES file of Aug 9, 2026

David Perches, M.D.

Anesthesiology Physician · Seguin, TX

David Perches, M.D. is an anesthesiology physician with a practice address in Seguin, Texas, and NPI 1275517450, issued on Dec 1, 2005. Check the license (Texas K2171, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1275517450
Name
David Perches
Credential
M.D.
Primary taxonomy
Anesthesiology Physician 207L00000X
License number
K2171 TX
Self-reported in NPPES; status is on the state search
Practice location
1215 E Court St, Seguin, TX 78155
Phone
(830) 379-5867
Enumerated
Dec 1, 2005
Record last updated
Sep 5, 2024
Fax
(830) 401-4035
Medicaid ID
0464521-02 TX
Medicare enrollment
Enrolled (PECOS I20100824000600); accepts Medicare assignment
Medical or professional school
University Of Texas Medical School At San Antonio, 1994
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1215 E Court St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Olga Ali, P.A.Physician Assistant1477553626
  2. Juan Arenas-Herrera, M.DInternal Medicine Physician1447510011
  3. Megan Brodeur, PHARMDPharmacist1407747546
  4. Sterling Brown, MD, MSEmergency Medicine Physician1689101099
  5. David Burns, CRNACertified Registered Nurse Anesthetist1952320228
  6. Lucretia Burton, LCSWClinical Social Worker1538366653

Verify David Perches in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license K2171
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 93.5 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score97.2
  2. Costout of 100 · 30%83.6
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $123.40

1 payment: food and beverage; the largest payer was Pacira Pharmaceuticals Incorporated. The 17,774 providers of this specialty with any payment received $669.59 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. David Perches$123.40
  2. Specialty average$669.59

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Anesthesia Associates OF Seguin PLLCSeguin, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

David Perches among 4,635 anesthesiology physician records in Texas

David Perches, M.D. is one of 4,635 anesthesiology physician records with a practice address in Texas. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 85% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 71% of these records are
  • Graduated1994 · median 2005 among the 3,293 with a school on file
  • Record last updated2024 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207L00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

9 anesthesiology physician records list a practice address in Seguin

They are 9 of the 427 NPPES records with a practice address in Seguin, and 4,635 anesthesiology physician records in Texas.

The 8 anesthesiology physician records with the nearest ZIP codes

  1. James Garza, D.O.Seguin, TX 781551922081892
  2. Bruce Kennedy, M.D.Seguin, TX 781551386627461
  3. John Longanecker, D.O,Seguin, TX 781551609160159
  4. Dolores Major, M.D.Seguin, TX 781551326063124
  5. Ronald Mayhorn, M.D.Seguin, TX 781551649295536
  6. Matthew Osborn, MDSeguin, TX 781551568081511
  7. Daniel Pina, M.D.Seguin, TX 781551871518647
  8. Kenneth Schronk, M.D.Seguin, TX 781551184815540

Common questions

What is David Perches, M.D.'s NPI number?

David Perches, M.D.'s National Provider Identifier (NPI) is 1275517450, issued on Dec 1, 2005. An NPI identifies a provider in billing; it is not a license.

Where is David Perches, M.D. located?

The NPPES record lists a practice address at 1215 E Court St, Seguin, TX, 78155. Phone: (830) 379-5867. Providers update this record themselves, so call before visiting.

How can I verify David Perches, M.D.'s license?

NPPES lists Texas license number K2171, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is David Perches, M.D.'s MIPS final score?

The 2023 MIPS final score is 93.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.