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Primary care doctors who accept Medicare in Seguin, TX
CMS lists 26 clinicians in this specialty with a practice address in Seguin. Accept Medicare assignment (the Medicare-approved amount as full payment): 22. Offer telehealth: 8.
Typical amounts Medicare approves in ZIP 78155 (2024 Medicare rates, the latest CMS has published): a new-patient visit $126, of which you pay about $32; a follow-up visit $97, of which you pay about $24 — the 20% coinsurance after the yearly Part B deductible. Clinicians who don't accept assignment can charge up to 15% more; with a Medicare Advantage plan, your plan's copay applies instead.
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Order: clinicians who accept assignment first, then by MIPS score (highest first), then by last name.
Antonio A. Flores, MD
✓ Accepts Medicare assignmentMIPS score (2024): 93.2/100Graduated 2000 · Baylor College of MedicineMaleDrug and device company payments (2025): $1,151David M. Rider, MD
✓ Accepts Medicare assignmentMIPS score (2024): 92.7/100Graduated 2006 · University of Texas Medical Branch at GalvestonMaleOther offices in Seguin: 2Drug and device company payments (2025): $543Dean L. Zincone, MD
✓ Accepts Medicare assignmentMIPS score (2024): 91.9/100✓ TelehealthGraduated 1985MaleDrug and device company payments (2025): $879James A. Rider, DO
✓ Accepts Medicare assignmentMIPS score (2024): 89.2/100Graduated 2009 · At Still University of Health Sciences, College of Osteo Med, KirksvilleMaleOther offices in Seguin: 2Drug and device company payments (2025): $128Tom H. Raetzsch, MD
✓ Accepts Medicare assignmentMIPS score (2024): 84/100✓ TelehealthGraduated 1983 · Texas Tech University Health Science Center School of MedicineMaleOther offices in Seguin: 1Drug and device company payments (2025): $264Lance H. Montgomery, DO
✓ Accepts Medicare assignmentMIPS score (2024): 80.9/100Graduated 2018MaleOther offices in Seguin: 2Drug and device company payments (2025): $321Esther R. Robbins, MD
✓ Accepts Medicare assignmentMIPS score (2024): 80.9/100✓ TelehealthGraduated 2016 · University of Texas Medical Branch at GalvestonFemaleOther offices in Seguin: 2Drug and device company payments (2025): $249Frank D. Wright, MD
✓ Accepts Medicare assignmentMIPS score (2024): 80.9/100✓ TelehealthGraduated 1992MaleOther offices in Seguin: 1Drug and device company payments (2025): $248Yu Jie Kuo, MD
✓ Accepts Medicare assignmentMIPS score (2024): 77.8/100✓ TelehealthGraduated 1994 · University of Texas Southwestern Medical School at DallasMaleDrug and device company payments (2025): $21Ian S. Alward, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 1999 · Indiana University School of MedicineMaleDrug and device company payments (2025): $93Nathan Borgfeld, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 2016 · University of Texas Medical Branch at GalvestonMaleDrug and device company payments (2025): $60Susan L. Boullioun, MD
✓ Accepts Medicare assignmentGraduated 1994 · Texas Tech University Health Science Center School of MedicineFemaleCaroline E. Flowers, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 2022 · University of Arizona College of MedicineFemaleOther offices in Seguin: 2Drug and device company payments (2025): $28Alexandria P. Goyer, DO
✓ Accepts Medicare assignmentGraduated 2020 · University of North Texas HSC, College of Osteopathic MedFemaleDrug and device company payments (2025): $36Cara M. Hartquist, DO
✓ Accepts Medicare assignmentGraduated 2013 · University of Kansas School of Med (kc/wich/sal)FemaleDrug and device company payments (2025): $252Vivian Hase-Lipton, MD
✓ Accepts Medicare assignmentGraduated 2016FemaleOther offices in Seguin: 1Drug and device company payments (2025): $45Sarah E. Lester, MD
✓ Accepts Medicare assignmentGraduated 2012 · University of Texas Medical School at San AntonioFemaleOther offices in Seguin: 1Charles R. Nolan III, MD
✓ Accepts Medicare assignmentGraduated 1980 · University of Colorado School of Medicine, DenverMaleAdaeze C. Nwosu, MD
✓ Accepts Medicare assignmentGraduated 2010FemaleDrug and device company payments (2025): $339Eliezer Ortiz, MD
✓ Accepts Medicare assignmentGraduated 2021MaleOther offices in Seguin: 1Drug and device company payments (2025): $72Huelen E. Smith Jr., MD
✓ Accepts Medicare assignmentGraduated 2003 · University of Texas Medical Branch at GalvestonMaleDrug and device company payments (2025): $125Jacob Somen, DO
✓ Accepts Medicare assignmentGraduated 2022MaleDrug and device company payments (2025): $42Nicole J. Talbot, DO
May accept assignmentMIPS score (2024): 86.8/100Graduated 2002FemaleEthan K. Massingill, DO
May accept assignmentGraduated 2024MaleGwendolyn A. Quintana, MD
May accept assignmentGraduated 2013FemaleDrug and device company payments (2025): $190Phillip C. Rinn, MD
May accept assignmentGraduated 1981 · University of Texas Medical School at San AntonioMale
Before you book
This list comes from Medicare's enrollment records, not from reviews. Call the office to confirm the clinician is taking new Medicare patients. With Original Medicare, a clinician who accepts assignment can only charge you the Medicare deductible and coinsurance; one who doesn't may charge up to 15% more than the Medicare-approved amount. If you have a Medicare Advantage plan, check that the clinician is in the plan's network.
The MIPS final score (0–100) comes from Medicare's Merit-based Incentive Payment System for 2024. It combines quality measures, cost, improvement activities and use of certified health records, and it sets a payment adjustment. Clinicians who report as a group share the group's score. It is not a patient rating, and many clinicians have no published score.
Payments from drug and medical device companies come from CMS Open Payments (2025 general payments: meals, travel, consulting and speaking fees, gifts and similar), summed for each clinician. Receiving payments is legal and common and does not mean a clinician did anything wrong.
Other specialists in Seguin
- Nurse practitioners45
- Cardiologists11
- Orthopedic surgeons4
- Ophthalmologists6
- Optometrists12
- Podiatrists3
- Urologists3
- Nephrologists3
- ENT doctors3
- Therapists and counselors11
- Physical therapists6
- Audiologists5
- Chiropractors4
- Gynecologists4
- General surgeons5
Other care in Seguin
Hospitals · Nursing homes · Dialysis centers · Home health agencies · Hospices
Nearby cities
Enrollment, addresses and scores are as reported to CMS and can change. This is not a list of in-network providers for any Medicare Advantage plan, and it is not medical advice. Source: CMS Provider Data Catalog — Doctors and Clinicians National Downloadable File, Clinician MIPS Performance 2024 and Facility Affiliation Data (released Oct 2, 2026).