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Edit this profileAt a glance
- 1215 E Court St, Seguin, TX 78155
About Dr. Perches
David Perches, M.D. practices anesthesiology in Seguin, TX. David is a 1994 graduate of University of Texas Medical School at San Antonio. According to Medicare claims data, David cared for 143 Medicare patients across 147 services. The services billed most often include anesthesia for lens surgery, anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand, and anesthesia for other procedure on lower leg, ankle, and foot bones. The provider's National Provider Identifier (NPI) is 1275517450.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (830) 379-5867
- Email not available
Practice Locations
1215 E COURT ST
Seguin, TX 78155
Conditions Commonly Evaluated or Treated
Within Anesthesiology generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Sedation & Phobias
Anesthesia complications
Back & spine
- Arthritis of the spine
- Degenerative disc disease
- Failed back surgery syndrome
- Herniated disc
- Lower back pain
- Neck pain
- Sacroiliac joint pain
- Spinal compression fracture
- Spinal stenosis
- Spondylolisthesis
- Tailbone pain
- Upper Back Pain
Chronic pain
Facial & jaw pain
General pain
Head & facial pain
Headaches
Joint pain
Mental health
Muscle pain
Musculoskeletal pain
Nerve pain
- Abdominal wall nerve pain
- Complex Regional Pain Syndrome
- Foot Numbness and Tingling
- Groin nerve pain after hernia surgery
- Nerve damage after surgery
- Neuropathy
- Outer thigh burning and numbness
- Phantom limb pain
- Pinched nerve
- Piriformis syndrome
- Sciatica
- Shingles pain
- Tarsal Tunnel Syndrome
Pelvic pain
Post-surgery recovery
Sedation & anesthesia
Spine pain
Procedures & services
Nerve blocks
- Celiac Plexus Nerve Block
- Abdominal Nerve Block
- Ganglion impar block
- Groin nerve block
- Pudendal nerve block
- Superior hypogastric plexus block
Nerve Blocks
Pain Relief Procedures
Regional anesthesia
Sedation
- In-Office Anesthesia for Plastic Surgery
- Pediatric Dental Sedation
- Sedation for Colonoscopy and Endoscopy
- Sedation for Egg Retrieval
- Sedation for MRI
- Sedation for Vasectomy
- IV sedation for endoscopy
Sedation & anesthesia
- General anesthesia
- Moderate dental sedation
- Sedation for dental work
- Labor epidural
- Pre-surgery anesthesia consult
- Spinal spinal block
Specialized Care
Vascular Access
Ablation
Head & facial procedures
Implants & devices
- Pain pump implant
- Pain pump refill and check
- Peripheral nerve stimulator implant
- Spinal cord stimulator implant
- Spinal cord stimulator trial
Infusion therapies
Infusion therapy
Joint injections
Muscle injections
Nerve injections
- Celiac plexus block
- Lumbar sympathetic block
- Nerve block
- Rib nerve block
- Shoulder nerve block
- Stellate ganglion block
Nerve procedures
- Knee nerve block and ablation
- Peripheral nerve hydrodissection
- Radiofrequency ablation
Pain relief procedures
Spine injections
- Epidural steroid injection
- Facet joint injection
- Medial branch block
- Sacroiliac joint injection
- Tailbone epidural injection
Spine procedures
Procedures Most Often Billed to Medicare
147 services · 143 patients · 5 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | Procedure | 64447 |
14 | Less often than most peers in Anesthesiology |
| Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | Procedure | 64415 |
11 | Less often than most peers in Anesthesiology |
| Anesthesia for lens surgery | Anaesthesia | 00142 |
55 | More often than most peers in Anesthesiology |
| Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | Anaesthesia | 01810 |
34 | More often than most peers in Anesthesiology |
| Anesthesia for other procedure on lower leg, ankle, and foot bones | Anaesthesia | 01480 |
33 | More than most peers in Anesthesiology |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other anesthesiologists at this location 3
Same specialty, same street address — most likely the same department or group.
Related specialists at this location 2
Clinically related specialties at the same address — the people this provider most likely works alongside.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
More connections — 29 related providers in 4 groups
Other anesthesiologists in Seguin 5
Same specialty, same city.
Trained at University of Texas Medical School at San Antonio 8
Other providers in the same specialty who trained at the same institution.
Class of 1994 at University of Texas Medical School at San Antonio 8
Providers who graduated from the same medical school in the same year.
Also performs Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 8
Providers in TX who bill this service to Medicare most often.
Common questions
What does David Perches specialize in?
David Perches is an anesthesiologist in Seguin, TX. That is the designation recorded for this NPI in the federal registry, where it is listed as “Anesthesiology”.
NPI registry
Where is David Perches located?
David Perches is listed at 1215 E Court St, Seguin, TX 78155. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is David Perches's phone number?
The number on file is (830) 379-5867. Contact the office directly to confirm availability and scheduling.
NPI registry
What is David Perches's NPI number?
David Perches's National Provider Identifier is 1275517450. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did David Perches train?
David Perches attended University of Texas Medical School at San Antonio, graduating in 1994. This comes from the CMS National Downloadable File.
CMS public data
How long has David Perches been practicing?
David Perches has 32 years experience. Calculated from a graduation year of 1994, reported in the CMS National Downloadable File.
CMS public data
What does David Perches do most often?
According to Medicare billing data, David Perches performs procedures including injection of anesthetic agent and/or steroid into thigh nerve and injection of anesthetic agent and/or steroid into arm nerve bundle; provides treatments such as anesthesia for lens surgery and anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has David Perches confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by David Perches. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.