About
Jack A. Teitsma is a Clinical Psychologist in League City, Texas. He graduated in 1995. He has over 14 years of experience. Jack A. Teitsma is a group member of Deer Oaks Geriatric Services P C. Contact Jack A. Teitsma to request his Medicare information, payment methods he accepts, or to book an appointment.
Basic Data
PECOS ID: 7618137894
Entity Type: Individual; Not Sole Proprietor
Accepts Med Assignment: He does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.
Gender
Male
Years in Practice
14 years
Healthcare Provider Taxonomy
- Code: 103TC0700X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Psychologist
- Specialization: Clinical
Credentials
- Doctor of Psychology (PSY.D.)
Individual MIPS
Merit-Based Incentive Payment System (MIPS) final scores and performance category scores for therapists.
Quality Category Score
IA Category Score
Final MIPS Score
HCPCS Codes
Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.
| Code | Code Description | Service Count | Beneficiary Count |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 11 | 11 |
| 90832 | Psychotherapy, 30 minutes | 60 | 22 |
| 90834 | Psychotherapy, 45 minutes | 149 | 15 |
Group Practices
Group practices this therapist belongs to includes:
| Deer Oaks Geriatric Services P C | |
|---|---|
| Address | 7272 Wurzbach Rd |
| Suite 706 | |
| San Antonio, TX 78240-4803 | |
| Group PAC ID | 9234034075 |
| Group Members | 44 |
| Deer Oaks Geriatric Services P C | |
|---|---|
| Address | 430 Old Austin Hwy |
| Bastrop, TX 78602-5168 | |
| Group PAC ID | 9234034075 |
| Group Members | 44 |
Group Performance Measures
Performance Measures of Deer Oaks Geriatric Services P C
| Measure Title | Y |
|---|
| Measure Title | Y |
|---|
| Measure Title | Y |
|---|
| Measure Title | Y |
|---|
| Measure Title | |
|---|---|
| Inverse Measure | No |
| Attestation Value | No |
| Measure Performance Rate | 5 |
| Patients Surveyed | 100 |
| Star Value |
|
| Measure Title | |
|---|---|
| Inverse Measure | No |
| Attestation Value | No |
| Measure Performance Rate | 5 |
| Patients Surveyed | 100 |
| Star Value |
|
| Measure Title | |
|---|---|
| Inverse Measure | No |
| Attestation Value | No |
| Measure Performance Rate | 4 |
| Patients Surveyed | 100 |
| Star Value |
|
| Measure Title | |
|---|---|
| Inverse Measure | No |
| Attestation Value | No |
| Star Value |
|
| Measure Title | |
|---|---|
| Inverse Measure | No |
| Attestation Value | No |
| Measure Performance Rate | 4 |
| Patients Surveyed | 100 |
| Star Value |
|
| Measure Title | |
|---|---|
| Inverse Measure | No |
| Attestation Value | No |
| Star Value |
|
Licenses
| Name | License Number | State |
|---|---|---|
| Psychologist | 34453 Verify | TX |
Education
| Year Graduated |
|---|
| 1995 |
Practice Locations
1616 Ponte Leone Ln
League City, TX 77573-5067
Phone Number: (630) 386-5106
7272 Wurzbach Rd
Suite 706
San Antonio, TX 78240-4803
Phone Number: (210) 615-3483
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