Dr. Robert Velarde, MD

  • Lumberton, TX
  • Family medicine physician
NPI1295077832PAC ID5193024669
Medicare services, 2024
261
Medicare patients, 2024
214
Part D claims, 2024
615
MIPS score, 2024
99
Hospital affiliations
3
Practice address
137 N Lhs Dr, Lumberton, TX 77657
Practice phone
Call (409) 755-2273
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Altus Lumberton Hospital

Lumberton, Texas

See all 21 affiliations

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Dr. Robert Velarde is a family medicine physician in Lumberton, Texas

Dr. Velarde practices at Altus Lumberton Hospital in Lumberton, Texas.

Dr. Velarde's NPI, 1295077832, was assigned on March 21, 2013. Dr. Velarde graduated from Universidad Privada Del Valle in 2008. Dr. Velarde holds Texas license Q6380.

NPI and contact details
Medicare PAC ID
5193024669
NPI enumeration date
March 21, 2013
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(409) 755-2273
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
39
Medical school graduation
2008

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Robert Velarde practices at Altus Lumberton Hospital in Lumberton, Texas

Dr. Velarde's primary practice is Altus Lumberton Hospital, at 137 N Lhs Dr, Lumberton, TX 77657 in Hardin County. The practice phone is (409) 755-2273.

  • Altus Lumberton Hospital
    137 N Lhs Dr, Lumberton, TX 77657 · Hardin CountyPhone(409) 755-2273

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Robert Velarde is affiliated with 5 sites of care and 16 medical groups

Dr. Velarde's primary practice is Altus Lumberton Hospital in Lumberton, Texas. Dr. Velarde is also affiliated with Altus Lumberton Hospital. The medical group on file is Concord Medical Group. Dmand AI also links Dr. Velarde to 2 more hospitals, 15 medical groups and 1 group practice or clinic, each named with a free account.

See all 21 affiliations for Dr. Velarde

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Robert Velarde's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Velarde practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Altus Lumberton HospitalAvailable with a free account
+4 more sites and 15 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Robert Velarde is one of 9,775 family medicine physicians in Texas

Family medicine is Dr. Velarde's primary specialty in the NPI Registry, under taxonomy code 207Q00000X. Dmand AI has Dr. Velarde's licenses on file in 2 states: Texas and Florida.

Specialties and state licenses

  • Family medicine, TexasPrimaryLicense Q6380 · 2015 to 2026 · taxonomy 207Q00000X
  • Emergency medicine, FloridaLicense ME145312 · 2020 to 2026 · taxonomy 207P00000X

Family medicine physicians near Dr. Velarde

Counts of family medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

9,775family medicine physicians in Texas
8family medicine physicians in Lumberton

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Robert Velarde billed Medicare for 261 services in 2024

CMS data shows 261 Medicare services from Dr. Velarde across 4 procedure codes in 2024, for 214 Medicare patients. Medicare paid $28,621 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024261
Medicare patients214
Paid by Medicare$28,621
Procedure codes4

Dr. Velarde's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1982024: 23519%
Tests and treatments
2023: 02024: 26

Dr. Velarde compared with the Texas median for family medicine physicians, 2024

  • Dr. Velarde
  • Texas median
Medicare services
261vs 34825% below
Medicare patients
214vs 13460% above
Part D claims
420vs 1,00258% below

Medians across 9,505 family medicine physicians in Texas with Dmand AI profiles that report each measure.

Dr. Velarde's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Velarde

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Robert Velarde treated 214 Medicare patients in 2024, average age 70

CMS counts 214 Medicare patients who saw Dr. Velarde in 2024. The largest group is 75 to 84, with 62 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 42% are also on Medicaid. Their average risk score is 2.70, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Velarde's median patient age at 41, with 54% women.

Medicare patients, 2024214
Average age70
Average risk score2.70
Also on Medicaid42%

Dr. Velarde's Medicare patients by age, 2024

Dr. Velarde's Medicare patients by sex, 2024

  • Women11051%
  • Men10449%

Chronic conditions among Dr. Velarde's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Diabetes54%
  4. Arthritis49%
  5. Ischemic heart disease44%
  6. Chronic kidney disease43%
  7. Heart failure43%
  8. Anxiety42%

Share of Medicare patients with each condition. A patient can have several.

Dr. Velarde's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 41

Patient panel by sex, all payers

  • Women54%
  • Men46%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Robert Velarde wrote 615 Medicare Part D claims in 2024

In 2024, Dr. Velarde wrote 615 Medicare Part D claims for 272 patients. 93% of them were for generic drugs. CMS names the drug for 420 of them, across 15 drugs with 11 or more claims each, at $5,771 in total drug cost. In 2023, CMS named 231 claims across 11 drugs.

Part D claims, 2024615
Drugs named by CMS15
Total drug cost$5,771
Part D patients272

Dr. Velarde's Part D claims by kind of drug, 2024

  • Generic570 claims93%
  • Brand-name and other45 claims7%

Dr. Velarde's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Velarde's Part D claims, 2024

  • Antibiotics24%145 of 615 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 2312024: 42082%

Drugs named by CMS: 15 in 2024, 11 in 2023.

See all prescribing by Dr. Velarde

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Robert Velarde scored 99 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 99 out of 100 for Dr. Velarde for performance year 2024, reported as part of a group. Dr. Velarde accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Velarde's MIPS scores, performance year 2024

  • 99of 100Final score
  • 40of 100Improvement Activities
  • 78of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Robert Velarde received $142 in industry payments in 2025

CMS Open Payments shows 2 general payments to Dr. Velarde from 2 drug and device companies in 2025. Food and beverage make up the largest share, 100% of the total. Sanofi and Genzyme US Companies paid the most, $125.

Companies that paid Dr. Velarde the most, 2025 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Velarde

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Robert Velarde graduated from Universidad Privada Del Valle

Dr. Velarde graduated from Universidad Privada Del Valle in 2008.

  1. Medical schoolUniversidad Privada Del Valle

Source: Dmand AI Professional Profile Data

Dr. Robert Velarde accepts plans from 18 insurance carriers

Dr. Velarde is in network with 18 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.

  • Aetna
  • United Healthcare
  • Blue Cross Blue Shield of Michigan
  • Elevance
  • HCSC
  • Alliant Health Plans
  • Blue Cross Blue Shield of Massachusetts
  • Regence Health Plans
  • +10 more carriersWith a free account

Plan types Dr. Velarde accepts, by number of carriers

  1. PPO12
  2. HMO9
  3. Medicare7
  4. EPO4
  5. POS4

Source: Dmand AI Insurance Network Data

Sources for Dr. Robert Velarde's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Robert Velarde

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Robert Velarde's NPI number?

Dr. Robert Velarde's NPI number is 1295077832. It was assigned on March 21, 2013, and it is active in the NPI Registry.

What kind of doctor is Dr. Robert Velarde?

Dr. Robert Velarde is a family medicine physician in Lumberton, Texas. The primary specialty in the NPI Registry is Family Medicine Physician (taxonomy code 207Q00000X).

Where does Dr. Robert Velarde practice?

Dr. Velarde practices at 137 N Lhs Dr, Lumberton, TX 77657. Dr. Velarde's primary practice is Altus Lumberton Hospital in Lumberton, Texas. Dmand AI also links Dr. Velarde to 2 hospitals, 15 medical groups and 1 group practice or clinic.

What is Dr. Robert Velarde's office phone number?

The practice phone on file for Dr. Velarde is (409) 755-2273.

What is Dr. Robert Velarde's medical license number?

Dr. Velarde holds Texas license Q6380, one of the licenses on file in 2 states.

Which states has Dr. Robert Velarde been licensed in?

Dmand AI has state licenses on file for Dr. Velarde in Texas (2015 to 2026) and Florida (2020 to 2026).

Which hospitals is Dr. Robert Velarde affiliated with?

Dr. Velarde is affiliated with Altus Lumberton Hospital. Dmand AI links Dr. Velarde to 2 more hospitals.

What medical group is Dr. Robert Velarde part of?

Dr. Velarde is linked to Concord Medical Group. Dmand AI links Dr. Velarde to 15 more medical groups.

Does Dr. Robert Velarde accept Medicare?

Yes. CMS data shows Dr. Velarde billed Medicare for 261 services in 2024, and Dr. Velarde accepts Medicare assignment.

What is Dr. Robert Velarde's MIPS score?

Dr. Velarde's MIPS final score for performance year 2024 is 99 out of 100, reported as part of a group.

Show 7 more questionsShow fewer questions

How many Medicare patients does Dr. Robert Velarde see?

CMS counts 214 Medicare patients who saw Dr. Velarde in 2024, with an average age of 70.

What services does Dr. Robert Velarde bill to Medicare?

In 2024, Dr. Velarde's most billed Medicare services were emergency department visit (99284), emergency department visit (99285) and heart test or procedure (93010).

Where did Dr. Robert Velarde go to medical school?

Dr. Velarde graduated from Universidad Privada Del Valle in 2008.

What drugs does Dr. Robert Velarde prescribe most?

In 2024 Medicare Part D data, Dr. Velarde's most prescribed drugs by claims were Prednisone, Albuterol Sulfate Hfa and Cephalexin.

Has Dr. Robert Velarde received payments from drug or device companies?

CMS Open Payments shows $142 in general payments to Dr. Velarde from 2 companies from 2025 to 2025. The largest total came from Sanofi and Genzyme US Companies.

How long has Dr. Robert Velarde been practicing?

Dr. Velarde graduated from medical school in 2008, 18 years ago.

What insurance does Dr. Robert Velarde accept?

Dr. Velarde is in network with 18 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.

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