Active NPI 1275517450 Individual Practitioner Male Practitioner

Dr. David Perches , MD

Anesthesiology • Seguin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Perches, MD is a certified Anesthesiology practicing in Seguin, TX. With approximately 32 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 1994, Dr. Perches delivers high-quality medical care to the local community at 1215 E COURT ST.

Dr. Perches is affiliated with Anesthesia Associates Of Seguin Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for lens surgery, anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand, anesthesia for open procedure on bones of lower leg, ankle and foot. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1215 E Court St

Seguin, TX 781555129

Telephone 8303795867

Fax 8304014035

Associated Practice Facility / Clinic

🏢 Guadalupe County Hospital Board Facility NPI 1720088123

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Seguin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +6.1 yrs vs City Avg

City Avg: 25.9 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

9 Specialists

Practicing in Seguin, TX (4818 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Perches (32 Years) 32 Yrs

Seguin Specialty Average (25.9 Years) 25.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	55	53	$1712.51	$118.89
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	34	32	$1519.85	$110.02
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	33	33	$2306.00	$178.32
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	14	14	$1362.86	$53.06
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	11	11	$1028.36	$65.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	74	72	$1781.15	$120.83
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	27	26	$2387.67	$164.54
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	24	23	$1750.88	$117.42
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	16	16	$1666.00	$53.15
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	11	11	$1969.36	$124.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	88	79	$1838.86	$124.99
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	30	30	$2288.10	$161.75
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	20	$1067.00	$30.18
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	20	20	$1657.35	$111.01
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	13	13	$1666.00	$47.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	60	59	$1809.60	$126.04
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	27	27	$1067.00	$30.63
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	18	18	$2291.00	$162.14
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	17	17	$1658.12	$110.89
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	14	14	$1666.00	$39.05
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	12	12	$1904.00	$62.24
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	11	11	$2111.73	$134.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	85	78	$1793.22	$129.06
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	24	24	$2294.63	$163.22
36620 Insertion of artery tube for blood sampling or infusion through skin	20	20	$714.00	$44.42
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$1067.00	$31.11
00811 Anesthesia for procedure on large bowel using an endoscope	14	14	$1957.50	$137.25
00350 Anesthesia for other procedure on large blood vessel of neck	14	14	$5014.93	$353.64
00532 Anesthesia for central vein access	13	13	$2208.46	$145.68
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	11	11	$2016.82	$131.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	71	68	$1101.11	$129.50
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	35	34	$768.20	$31.27
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	26	26	$1436.81	$168.92
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	22	21	$1330.82	$136.64
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	21	19	$1164.62	$113.84
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	17	17	$1473.29	$67.21
64450 Injection of anesthetic agent, other peripheral nerve or branch	16	16	$1185.00	$22.28
01402 Anesthesia for procedure for total knee joint replacement	16	16	$3642.44	$352.67
00811 Anesthesia for procedure on large bowel using an endoscope	14	14	$1386.14	$138.29
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	12	12	$1800.00	$65.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	70	70	$945.37	$126.16
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	37	37	$310.27	$33.29
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	18	18	$1244.44	$64.79
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	17	17	$1293.18	$172.58
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	16	15	$1024.00	$136.66
36620 Insertion of artery tube for blood sampling or infusion through skin	13	13	$475.38	$43.99
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	12	12	$1840.00	$74.00
01402 Anesthesia for procedure for total knee joint replacement	12	12	$2926.67	$390.58
00400 Anesthesia for procedure on skin of arms, legs, or trunk	12	12	$1200.00	$160.15
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	11	11	$829.09	$110.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	81	81	$808.20	$122.42
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	21	21	$1080.67	$163.69
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope	20	20	$925.40	$140.17
00810 Anesthesia for procedure on lower intestine using an endoscope	17	17	$1016.24	$153.69
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$280.00	$31.73
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	15	15	$817.60	$122.43
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	13	13	$1971.85	$298.67
01230 Anesthesia for open procedure on upper two-thirds of thigh bone	11	11	$2156.00	$326.56
01402 Anesthesia for procedure for total knee joint replacement	11	11	$2301.09	$348.54

Medical Specialties & State Licenses

CMS Verified: 2024-09-05

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License TX K2171

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0464521-02 (TX)

Hospital & Practice Group Affiliations

Anesthesia Associates Of Seguin Pllc

1215 E Court St, Seguin, TX 781555129

Phone: 8303795867

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners

Dr. Kenneth Schronk , MD

Anesthesiology

NPI 1184815540

Doctor of Medicine (M.D.)

Michael Mathews , CRNA

Nurse Anesthetist, Certified Registered

NPI 1205194537

Certified Registered Nurse Anesthetist

John Kipple , APRN, MS, CRNA

Nurse Anesthetist, Certified Registered

NPI 1285956433

Advanced Practice Registered Nurse, Master of Science, Certified Registered Nurse Anesthetist

Joshua Rodriguez , CRNA

Nurse Anesthetist, Certified Registered

NPI 1295374601

Certified Registered Nurse Anesthetist

Dr. Dolores Major , MD

Anesthesiology

NPI 1326063124

Doctor of Medicine (M.D.)

Dr. Bruce Kennedy , MD

Anesthesiology

NPI 1386627461

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location September 05, 2024

Registered at 1215 E COURT ST, SEGUIN, TX 781555129 (Tel: 8303795867)

📍

Updated Business Mailing Address September 05, 2024

Registered at 1215 E COURT ST, SEGUIN, TX 781555129 (Tel: 8303795867)

✅

NPI Profile Active July 16, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 16, 2007

Registered at 45 NE LOOP 410, SUITE 900, SAN ANTONIO, TX 782165832 (Tel: 2103757720)

📍

Updated Business Mailing Address July 16, 2007

Registered at 45 N.E. LOOP 410 #900, SAN ANTONIO, TX 78116

👤

Provider Name / Credentials Updated July 16, 2007

Recorded as DAVID PERCHES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2007

Anesthesiology (License #K2171 in TX)

🟢

Initial NPI Registration & Enumeration December 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1275517450

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 01, 2005

Last Update: September 05, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1215 E Court St

Seguin, TX 781555129

Phone: 8303795867

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.