Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Ricardo Cosme Aguilar Jr., MD

Individual provider Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · NPI 1467439265

Dr. Ricardo Cosme Aguilar Jr., MD is registered under Family Practice in San Antonio, Texas. Graduated from University of Texas Medical Branch at Galveston in 1998, 28 years ago. Practices as a sole proprietor, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
28
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2515 Castroville Rd Ste 1
San Antonio, TX 78237-3361
Phone: (210) 290-8350
Fax: (210) 290-8325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 10010 San Pedro Ave Ste 330, San Antonio, TX 78216-3856 — (210) 455-0101
  • 8534 Village Dr Ste F, San Antonio, TX 78217-5501 — (210) 290-8350
  • 4538 Centerview Ste 170, San Antonio, TX 78228-1304 — (210) 732-7600
  • 4502 Medical Dr, San Antonio, TX 78229-4402 — (210) 358-4000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence K8603 (TX)
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Taxonomy 2083P0011X · Licence K8603 (TX)

Record details

NPI number1467439265
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 22, 2005
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Removal of tissue 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients231
Services billed 5,903 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $240 8 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Vitas Healthcare Of Texas Lp Hospice · San Antonio, TX · listed as Vitas Healthcare of Texas, LP
  • Methodist Hospital Hospital · San Antonio, TX
  • Atex Hospice Hospice · McAllen, TX
  • Haven Hospice Hospice · Eagle Pass, TX
  • Klarus Hospice Hospice · San Antonio, TX

Other providers in San Antonio