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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NICHOLAS HERMAN TINNESZ M.D.
NPI 1033569249
Emergency Medicine in Houston, TX

Active since June 18, 2016PECOS Enrolled
81.59/100
CMS Quality Rating
710 CYPRESS CREEK PKWY, HOUSTON, TX 77090(281) 440-1000 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2026, Dec 14, 2021, Jan 15, 2020 and 1 more (4 updates tracked since 2016).

About Dr. Nicholas Herman Tinnesz M.d. NPPES

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

DR. NICHOLAS HERMAN TINNESZ M.D. (NPI 1033569249) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (T4071) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033569249
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. NICHOLAS HERMAN TINNESZCredential: M.D.
Location Address710 CYPRESS CREEK PKWYHouston, TX 77090-3402
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 747-1511
Phone(281) 440-1000
Sole ProprietorYes
Enumeration DateJune 18, 2016
Last NPPES UpdateSeptember 11, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1033569249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in TX · T4071✔ Licensed in CA · A161536
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
710 CYPRESS CREEK PKWY, Houston, TX 77090
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Herman Tinnesz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Nicholas Tinnesz reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Questcare Medical Services, PLLC
208 mi
Nurse Practitioner
3301 MATLOCK RD
Arlington, TX 76015
  • Reassigned Medicare billing, Texas enrollment
  • 454 clinicians in this Medicare group
NPI 1497807713 (954) 939-5000
Acs Primary Care Physicians Southwest, PA
269 mi
Emergency Medicine
1900 HOSPITAL BLVD
Gainesville, TX 76240
  • Reassigned Medicare billing, Texas enrollment
  • 1,193 clinicians in this Medicare group
NPI 1538101019 (925) 924-1600
Shavano Emergency Medicine Associates, PA
309 mi
Emergency Medicine
4702 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 136 clinicians in this Medicare group
NPI 1255820775 (956) 213-2600
Shannon Clinic
313 mi
Family Medicine
120 E BEAUREGARD AVE
San Angelo, TX 76903
  • Reassigned Medicare billing, Texas enrollment
  • 671 clinicians in this Medicare group
NPI 1770587149 (325) 658-1511
Odessa Physician Associates, PLLC
430 mi
Emergency Medicine
520 E 6TH ST, SUITE #100B
Odessa, TX 79761
  • Reassigned Medicare billing, Texas enrollment
  • 80 clinicians in this Medicare group
NPI 1457398364 (432) 582-8000
Concord Medical Group PLLC
450 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330
Concord Medical Group Of Texas PLLC
450 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
NPI 1750790762 (888) 264-0330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
299 services283 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
287 services265 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
159 services153 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
86 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77090 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
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.

81.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.53
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

PETER ABRAHAM KWAYU NP-C
Nurse Practitioner (Family)
710 CYPRESS CREEK PKWY
HOUSTON, TX 77090
Harris County (281) 440-1000
DR. MUNDIR GRIDDA DNP, CRNA
Nurse Anesthetist, Certified Registered
710 CYPRESS CREEK PKWY
HOUSTON, TX 77090
Harris County (281) 440-1000
HUZEFA JUZER MOGRI MD
Emergency Medicine
710 CYPRESS CREEK PKWY
HOUSTON, TX 77090
Harris County (281) 440-1000
DR. SLEIMAN EL JAMAL M.D.
Psychiatry & Neurology (Neurology)
710 CYPRESS CREEK PKWY
HOUSTON, TX 77090
Harris County (832) 353-2498
TEXAS EM 1 MEDICAL SERVICES PA
Emergency Medicine
710 CYPRESS CREEK PKWY
HOUSTON, TX 77090
Harris County (469) 401-2386
JULIA NIELSEN, MD PLLC
General Acute Care Hospital
710 CYPRESS CREEK PKWY
HOUSTON, TX 77090
Harris County (281) 440-1000
KRISTINA ALEMAN ACNP
Nurse Practitioner (Adult Health)
710 CYPRESS CREEK PKWY
HOUSTON, TX 77090
Harris County (281) 440-1000
MICHELLE TORAL DPT
Physical Therapist
710 CYPRESS CREEK PKWY
HOUSTON, TX 77090
Harris County (281) 440-1000

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 Nicholas Tinnesz's NPI number?

The NPI number for Nicholas Tinnesz is 1033569249. It was assigned to this individual provider in the NPPES registry on June 18, 2016.

Where is Nicholas Tinnesz located?

Nicholas Tinnesz practices at 710 Cypress Creek Pkwy, Houston, TX 77090. The listed phone number is (281) 440-1000.

What is Nicholas Tinnesz's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Tinnesz enrolled in Medicare?

Yes. Nicholas Tinnesz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicholas Tinnesz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Tinnesz reassigns Medicare benefits to 7 organizations: Questcare Medical Services, PLLC (Arlington, TX), Acs Primary Care Physicians Southwest, PA (Gainesville, TX), Shavano Emergency Medicine Associates, PA (Edinburg, TX), Shannon Clinic (San Angelo, TX), Odessa Physician Associates, PLLC (Odessa, TX) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Tinnesz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Tinnesz accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health and Oscar Insurance Company list Nicholas Tinnesz 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.

When was this NPI record last updated?

The NPPES record for Nicholas Tinnesz was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.