Quick answers
- Does Richard A. Perches accept Medicare assignment?
- Yes. Medicare's clinician data says Richard A. Perches accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Richard A. Perches see?
- In 2024, CMS data shows 1,336 Original Medicare patients and 2,008 services for Richard A. Perches. This counts Original Medicare only and measures volume, not quality.
- What is Richard A. Perches's NPI number?
- 1679557821. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Richard A. Perches, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 1,336 |
|---|---|
| Services billed to Medicare | 2,008 |
| Different services or procedures | 85 |
| Participating Medicare provider | Yes |
| Average age of these patients | 73 |
Most frequent services
- X-ray of chest, 1 view (71045)635 services
- Ct scan of abdomen and pelvis with contrast (74177)248 services
- Ct scan of abdomen and pelvis without contrast (74176)153 services
- Ct scan of chest without contrast (71250)130 services
- Ct scan of chest with contrast (71260)108 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis52%
- Ischemic heart disease49%
- Diabetes45%
- Chronic kidney disease44%
Hospitals where Richard A. Perches works
Medicare's Facility Affiliation Data lists Richard A. Perches at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Baylor St. Luke's Medical CenterHouston, TX · Acute Care Hospital · Medicare rating: 4 of 5 stars · CCN 450193
- St. Luke's Hospital at The VintageHouston, TX · Acute Care Hospital · Medicare rating: 4 of 5 stars · CCN 670075
- St. Luke's Patients Medical CenterPasadena, TX · Acute Care Hospital · Medicare rating: 3 of 5 stars · CCN 670031
- St. Luke's Sugar Land HospitalSugar Land, TX · Acute Care Hospital · Medicare rating: 3 of 5 stars · CCN 670053
- St. Luke's The Woodlands HospitalThe Woodlands, TX · Acute Care Hospital · Medicare rating: 3 of 5 stars · CCN 450862
Practice locations
Addresses where Richard A. Perches is enrolled with Medicare (CMS data updated October 2, 2026). The first 5 of 9; the Medicare profile lists all.
- 1110 N Sarah Dewitt Dr, Gonzales Health SystemGonzales, TX 78629 (830) 672‑7581
- 1317 Lake Pointe PkwySugar Land, TX 77478 (281) 637‑7000
- 17200 St Lukes Way, CHI St Luke'S the Woodlands HospitalThe Woodlands, TX 77384 (713) 526‑5771
- 17400 St Luke'S Way, CHI St Luke'S Health Lakeside Hospital in TThe Woodlands, TX 77384 (281) 305‑4657
- 20171 Chasewood Park DrHouston, TX 77070 (832) 534‑5000
Group practices
Medicare enrollment lists Richard A. Perches as a member of this group (CMS data updated October 2, 2026).
- Singleton Associates PA838 clinicians in the group
Specialties
- Diagnostic Radiologyprimary
Other radiologists in Gonzales
Clinicians with the same Medicare primary specialty in Gonzales, TX — not a recommendation.
Other clinicians in Singleton Associates PA
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Medical school | University Of Texas Southwestern Medical School At Dallas |
| Graduation year | 1986 (40 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1679557821 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians