Georgetown

Location & Contact Information

New Hours of Operation: 10am - 10pm

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Real ER. Real Fast.

First Choice Emergency Room offers a new concept in emergency care: free standing, fully equipped emergency clinics that take the emergency room out of the hospital and place it in your community.

All of our physicians are board certified in emergency medicine, and all FCER nurses are emergency trained.

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Facility Medical Director / Medicare Information

Juan Nieto, M.D.
Dr. Nieto received his medical training at the University of Colorado Medical Center in Devner in 1974. He finished his residency in Emergency Medicine in Denver. He has practiced in the Austin area for over 25 years. During this time he has been the medical diector of the Brackenridge emergency department where he was involved in planning Starflight. He has also practiced in the private sector and, for the past 16 years, has had an academic appointment in Emergency Medicine at the UT Health Science Center in San Antonio. He is Board Certified in Emergency Medicine and has received numerous awards by professional associations. His interests include volunteering in local clinics and on international medical missions. He enjoys discovering the vast Big Bend area with his camera and his two daughters.

First Choice Emergency Room & Medicare

Currently, Medicare does not recognize free-standing emergency rooms for reimbursement. FCER has worked for the last few years to help shape recent legislation, creating licensing standards for free-standing emergency rooms in Texas. We hope that this recognition will help facilitate the process of facilities like ours being recognized, and eventually reimbursed, by Medicare.

Medicare Patients

If you have private insurance - your services will be covered by your private insurance and you'll be responsible for paying any copayments or deductibles, at standard ER rates, just as if you visited a hospital-based ER. If you have Medicare as secondary insurance, FCER cannot file a claim for expenses not covered by your private insurance, because Medicare does not cover services provided by FCER.

If you are covered by Medicare, Medicare Replacement, or Medicare with Supplemental - you will be responsible for paying for your treatment in full at the time of service. Medicare does not cover services provided by FCER, and will not reimburse you for these fees.

We have a three-tier prompt pay pricing structure for your convenience. This system is based on procedures performed, and will be determined once you have been evaluated by a physician. The three fee levels are as follows: $225, $475, and $925.

View our Texas State License