APURVA PANCHOLY MD
NPI 1013085174
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Houston, TX

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
929 GESSNER, SUITE 1300, HOUSTON, TX 77024(713) 456-8010(713) 456-8153 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Apurva Pancholy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APURVA PANCHOLY MD (NPI 1013085174) is an individual urogynecology and reconstructive pelvic surgery provider in Houston, Texas, licensed in Texas (N7857) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1996).

NPPES Registry Identity

NPI1013085174
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameAPURVA PANCHOLYCredential: MD
Location Address929 GESSNER, SUITE 1300Houston, TX 77024
Mailing Address915 Gessner Rd Ste 400Houston, TX 77024-2667 · (713) 486-6160 · Fax (713) 827-7754
Fax(713) 456-8153
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1996
Enumeration DateNovember 30, 2006
Last NPPES UpdateOctober 30, 2019
NPI 1013085174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License Licensed in TX · N7857
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 35083921 (OH), N7857 (TX)
929 GESSNER, Houston, TX 77024

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Apurva Pancholy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557345261
PECOS Enrollment IDI20110215000428
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
201 services127 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services76 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
73 services73 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
67 services67 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
40 services33 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
929 GESSNER, SUITE 1300
HOUSTON, TX 77024
Clinic/Center (Physical Therapy)
929 GESSNER, SUITE 1500
HOUSTON, TX 77024
Obstetrics & Gynecology (Reproductive Endocrinology)
929 GESSNER, STE. 2300
HOUSTON, TX 77024
Obstetrics & Gynecology
929 GESSNER, SUITE 1300
HOUSTON, TX 77024
Obstetrics & Gynecology (Reproductive Endocrinology)
929 GESSNER, SUITE 1320
HOUSTON, TX 77024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Apurva Pancholy's NPI number?

The NPI number for Apurva Pancholy is 1013085174. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Apurva Pancholy located?

Apurva Pancholy practices at 929 Gessner Suite 1300, Houston, TX 77024. The listed phone number is (713) 456-8010.

What is Apurva Pancholy's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Apurva Pancholy enrolled in Medicare?

Yes. Apurva Pancholy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Apurva Pancholy accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Apurva Pancholy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Apurva Pancholy affiliated with any hospitals?

According to CMS data, Apurva Pancholy is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Memorial City Hospital and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Apurva Pancholy was last updated on October 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.