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2026 NPPES data Specialist NPI 1962494419 MD
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Richard Jelsma, MD

Specialist in Sherman, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,567 in Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
331
Medicare Part D claims · 190 beneficiaries · Specialist avg: 2K
MIPS score
8.9/100
▼ 75 pts below national avg 83.5 · Penalty band
Industry payments
$166.86
2 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Richard Jelsma, MD reported a CMS MIPS final score of 8.9/100 - below the 83.5 national average - and filed 331 Medicare Part D claims in 2024.

8.9/100
MIPS score · -75 vs avg
331
Part D claims, 2024
$166.86
industry payments (Sunshine Act)
≥2nd
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Richard Jelsma, MD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1962494419), first enumerated 08/19/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 331 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 8.9/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Industry payment transparency

    $166.86 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Richard Jelsma, MD's individual license status. Verify directly with the state medical board.

    Source: TMB annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1962494419 · Specialist

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1962494419
  • ENUM-LEGACY 2005
  • TAX-MEGA 70K Specialist
  • MIPS-LOW 8.9/100
  • RX-LIGHT 331
  • BOOK-LIGHT 2,380 in Texas
  • PHOTO-FINISH Gary Drillings · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Richard Jelsma, MD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

9 ≥ 2nd percentile 2% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). This entry sits in this band. 10–20: 3,008 measured providers (1%). Above this entry. 20–30: 3,069 measured providers (1%). Above this entry. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Richard Jelsma, MD sits

This provider among specialist peers

Across the 4,261 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Richard Jelsma, MD writes more Part D claims than 31% of them and scores higher on MIPS quality than 8% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 0Richard Jelsma, MD, Part D claim volume, percentile in specialty: 31 · MIPS quality, percentile: 8
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is Richard Jelsma, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Richard Jelsma, MD?

Below national average

NPI registry status

Active

Issued 08/19/2005

NPI 1962494419

Primary specialty

Specialist

High-volume

69,567 US NPIs in this specialty

Medicare Part D claims

331 78% vs specialty avg

2024 prescription claims

Specialty avg: 1,524

MIPS final score

8.9/100 74.6 pts vs avg

Penalty band band

vs 83.5 national avg

Specialty distribution in Texas

How Specialist compares to other specialties among Texas providers

Texas providers
Behavior Technician6%Student in an Organized Heal…5.3%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.3%Speech-Language Pathologist3.9%Specialist0.5%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Richard Jelsma, MD's 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
8.9/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%8.9%
MIPS final score (Specialist) - 8.9/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

425 N HIGHLAND AVE
Sherman, TX 75092
(903) 868-8800

Provider Details

NPI 1962494419
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 08/19/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

8.8701
Final Score
Measured-score avg: 83.5
7.4889
Quality
19.582
Cost

Reporting: Individual

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Richard Jelsma, MD. Source: openpaymentsdata.cms.gov.

Total received

$167

Largest payer

Pylant Medical

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Texas TMB 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Richard Jelsma, MD. To verify Richard Jelsma, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

331
Total Claims
$2K
Total Drug Cost
190
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
334
Total Day Supply
4,100
Brand Drug Cost
$0
Generic Drug Cost
$2K
Opioid Claims
214 (64.7% rate)
Antibiotic Claims
14

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
0.94
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Richard Jelsma, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
188
Meloxicam
 82
Tramadol Hcl
 25

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Specialist in TX → All providers in Texas → Compare specialties →

Specialist Overview

How Richard Jelsma, MD fits within the Specialist landscape nationally.

69,567
Specialist Providers in US
55
States with Specialist
1,524
Avg Claims per Provider

Richard Jelsma, MD's 331 claims are below the specialty average of 1,524.

Nationwide Specialist peers with similar MIPS or enrollment year

Two federal-record peer sets for Jelsma, both outside Texas so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (8.9 here).

John Kim 8.9 NJ Gary Drillings 8.9 NJ Nabila El Zind 8.8 OK Ivor Geft 8.9 CA

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Sanford Dolgin Tampa, FL Tamim Al-Kharrat Canton, GA Charles Wiseman Beverly Hills, CA Richard Franklin Owings Mills, MD

Nearby Specialist Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Jelsma.

One of 2,380 Specialist providers enrolled in Texas, 5 are shown here.

Beverly Abbott
Longview, TX
Dr. Magdy Abdelsayed
M.D.
Baytown, TX
Robin Abels
OTR
Carrollton, TX
Dr. Amr Abouleish
M.D.
Galveston, TX
Paul Abrell
ATC, L
El Paso, TX

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is Richard Jelsma, MD's specialty? ▼
Richard Jelsma, MD specializes in Specialist and practices in Sherman, Texas. Credentials: MD.
How much does Richard Jelsma, MD prescribe under Medicare Part D? ▼
In 2024, Richard Jelsma, MD wrote 331 Medicare Part D claims totaling $2K in drug costs for 190 beneficiaries.
What is Richard Jelsma, MD's Medicare quality score? ▼
Richard Jelsma, MD has a CMS MIPS Final Score of 8.9/100 (Quality: 7.5, Cost: 19.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Richard Jelsma, MD located? ▼
Richard Jelsma, MD is located at 425 N HIGHLAND AVE, Sherman, TX, 75092. Phone: (903) 868-8800.
What is Richard Jelsma, MD's NPI number? ▼
Richard Jelsma, MD's National Provider Identifier (NPI) is 1962494419, issued on 08/19/2005.
Does Richard Jelsma, MD prescribe opioids? ▼
Yes, Richard Jelsma, MD had 214 opioid claims in 2024 with an opioid prescribing rate of 64.7%.
How many Specialist providers are there in the US? ▼
There are 69,567 Specialist providers across 55 states in the US. The average Specialist provider writes 1,524 Medicare Part D claims per year.
What drugs does Richard Jelsma, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Richard Jelsma, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Meloxicam, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Richard Jelsma, MD accept Medicare? ▼
Richard Jelsma, MD appears in CMS Medicare data with 331 Part D claims and 190 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Richard Jelsma, MD's credentials? ▼
Richard Jelsma, MD's NPI is 1962494419 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.