Ralph James Fritzsch, M.D.

Urology

(830) 257-7533Kerrville, TX
Telehealth Available
NPI Active per CMS — Q2 2026|Medicare Enrolled|Order & Refer

Ralph James Fritzsch, M.D. has practiced urology for 33+ years, working in group practice. Trained at University of Texas Southwestern Medical School at Dallas (class of 1993), he has been practicing for over 33 years. Among his Medicare patients, common conditions include hypertension, high cholesterol, and arthritis (per CMS data).

At a glance

  • Prescribes opioids less than 47% of reporting doctors in Texas
  • Uses generic medications more than 61% of reporting doctors in Texas
  • Virtual visits available — no app or travel required
1 of 272 Urology providers in TXSee all Urology in Kerrville33+ years experienceNPI since 2006

Older · 1353dNPPES updated 2022-08-22 · verify on CMS

Contact & Location

Practice Location

251 Cully Dr Ste C, Kerrville, TX 78028

Fax: (830) 896-4151
CMS Clinical Data

How Does This Doctor Compare?

Based on Medicare data, this doctor prescribes opioid pain medications conservatively, favors affordable generic drugs over brand-name ones.

Opioid Rx

↓ Lower = better

0.83%

Texas avg: 5.2 · US avg: 5.1

Higher than most doctors nationally(-4.3 pts)

Typical range among reporting doctors in Texas

0.83% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.

Generic Rx

↑ Higher = better

89%

Texas avg: 83.8 · US avg: 82.8

Higher than most doctors nationally(+6.2 pts)

Typical range among reporting doctors in Texas

How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.

Medicare Patients

798

Unique beneficiaries

High volume

Prescription Recipients

559

Patients prescribed

Prescriptions Written

2,528

Total claims

Total Medicare drug cost: $611k

Percentile rankings compared against 4,889 reporting peers in Texas.

Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.

Patient Condition Panel

What This Doctor Treats Most

Based on Medicare claims data — here's what patients commonly see this doctor for

Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Arthritis.

Hypertension
Higher than avg (+5%)75%

High blood pressure — a leading risk factor for heart disease and stroke

US avg: 70.2%

↑ More patients than average (+5%) — a focus area for this doctor

High Cholesterol
Higher than avg (+5%)75%

Elevated cholesterol or triglycerides that increase heart disease risk

US avg: 70.4%

↑ More patients than average (+5%) — a focus area for this doctor

Arthritis
Higher than avg (+1%)50%

Joint inflammation causing pain, swelling, and stiffness

US avg: 49.3%

↑ More patients than average (+1%) — a focus area for this doctor

Ischemic Heart Disease
Higher than avg (+1%)33%

Reduced blood flow to the heart muscle, commonly known as coronary artery disease

US avg: 31.7%

↑ More patients than average (+1%) — a focus area for this doctor

Diabetes
Lower than avg (-6%)28%

A condition where the body cannot properly regulate blood sugar levels

US avg: 34.5%

↓ Fewer patients than average (-6%) — less common here

Cancer
Higher than avg (+7%)28%

Diseases involving abnormal cell growth with potential to spread to other body parts

US avg: 20.8%

↑ More patients than average (+7%) — a focus area for this doctor

Chronic Kidney Disease
Lower than avg (-6%)24%

Gradual loss of kidney function over time, often linked to diabetes or hypertension

US avg: 29.6%

↓ Fewer patients than average (-6%) — less common here

Atrial Fibrillation
22%

An irregular, often rapid heartbeat that increases the risk of stroke

US avg: 22%
GeneralBehavioralNational avg

Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.

Industry Payment Transparency

$238 received from industry

12 transactions reported in 2024 ·Low tier

View on CMS Open Payments →

Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.

Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Ralph James Fritzsch's NPI.

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Background & Specialty

Education, training, and specialty classification from CMS NPPES and Medicare records.

Career Journey
  1. Graduated medical school · 1993

    University of Texas Southwestern Medical Center

  2. Board certified · Aug 21, 2022

    CMS-verified certification date

  3. 33 years in practice

    Senior practitioner

UrologyAllopathic & Osteopathic Physicians

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.

Taxonomy: 208800000X

Education & Training

University of Texas Southwestern Medical School at Dallas (Class of 1993)

Practice Footprint

Mailing address

575 Hill Country Dr, Kerrville, TX 78028-6024

Differs from practice location

Virtual Urology Care With Ralph James Fritzsch

NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.

Schedule a virtual visit with Ralph James Fritzsch for blood pressure monitoring, cholesterol management, arthritis follow-ups — no travel to Kerrville required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.

Frequently Asked Questions

Common questions about Ralph James Fritzsch

Dr. Fritzsch is listed as active in the NPI registry with telehealth listed in Kerrville, TX. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (830) 257-7533.

Verified across 5 federal data sources

Sourced from CMS NPPES · OIG LEIE · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.

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Medical Disclaimer: NPI Telehealth is a provider directory for informational purposes only. This page does not constitute medical advice, diagnosis, or treatment recommendations. Provider data is sourced from the CMS NPPES federal registry and public Medicare datasets. NPI Telehealth does not verify clinical qualifications beyond federal records. Data may not reflect real-time availability — always contact the provider's office directly to confirm details before seeking care.

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