Dr. Ralph John Posch , MD
Urology • Plano, TX
4708 Alliance Blvd, Ste 685
Plano, TX 750935340
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 25, 2006; this date does not establish years in practice.
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Published CMS data list 34 Medicare Part D prescriptions, including refills, in 2017.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017. Published rows only; this is not a quality measure.
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Published Part D records, 2017:
- Tamsulosin Hcl — 18 prescription fills, including refills.
- Finasteride — 16 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part D prescriptions went from 574 in 2013 to 34 in 2017.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2013–2017.
Practice Location & Contact Primary Location
4708 Alliance Blvd
Ste 685
Plano, TX 750935340
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
68 standardized 30-day fills in 2017
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$749 in 2017
The total cost of these prescriptions in 2017, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Plano and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Posch are from 2017.
18 active clinicians are listed under Urology with a practice address in Plano, TX (961 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Plano
22.2% of these 18 clinicians have the CMS telehealth indicator.
50% of these 18 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 94% from 574 in 2013 to 34 in 2017.
- 2013: 574
- 2014: 785
- 2015: 804
- 2016: 536
- 2017: 34
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30-day fills
30-day fills decreased 92% from 863 in 2013 to 68 in 2017.
- 2013: 863
- 2014: 1,189
- 2015: 1,272
- 2016: 951
- 2017: 68
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Part D drug cost
Part D drug cost decreased 97% from $25,520 in 2013 to $749 in 2017.
- 2013: $25,520
- 2014: $51,296
- 2015: $46,333
- 2016: $42,584
- 2017: $749
Sources: CMS Medicare Part D Prescribers (2017), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2017.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 18 | 1,020 | $481.67 | — |
| Finasteride | Finasteride | 16 | 1,020 | $267.29 | — |
Source: CMS Part D by Provider and Drug, 2017; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Doctor of Medicine (M.D.)
Colon & Rectal Surgery
Doctor of Medicine (M.D.)
Internal Medicine - Critical Care Medicine
Doctor of Medicine (M.D.)
Internal Medicine - Hematology & Oncology
Doctor of Medicine (M.D.)
Physician Assistant
Career & Practice History
NPI enumerated June 25, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Urology Specialists in Plano
- Dr. Mark Allen, MD
- Dr. Meredith Lightfoot, MD
- Dr. William Mulchin, MD
- Dr. Ryan Mooney, MD
- Dr. Vince Rogenes, MD
- Dr. Vairavan Subramanian, MD
Mailing Address
Po Box 260727
Plano, TX 750260727