MICHAEL C CUSICK
NPI 1043483134
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Kingwood, TX

Q: What is Michael Cusick's NPI number?

The NPI number for Michael Cusick is 1043483134. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Q: What is Michael Cusick's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Michael Cusick was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since April 09, 2008PECOS EnrolledAccepts Medicare Assignment

78.26/100

CMS Quality Rating

22751 PROFESSIONAL DR STE 240, KINGWOOD, TX 77339(713) 799-2300(281) 501-5900 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2021, Jan 4, 2021, Jul 2, 2020 (3 updates tracked since 2020).

On this page

About Michael C Cusick NPPES

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

MICHAEL C CUSICK (NPI 1043483134) is an individual adult reconstructive orthopaedic surgery provider in Kingwood, Texas, licensed in Texas (Q1808) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1043483134

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameMICHAEL C CUSICK

Location Address22751 PROFESSIONAL DR STE 240Kingwood, TX 77339-6028

Mailing Address7401 Main StHouston, TX 77030-4509 · (713) 799-2300 · Fax (281) 501-5900

Phone(713) 799-2300

Fax(281) 501-5900

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2008

Enumeration DateApril 9, 2008

Last NPPES UpdateMarch 31, 20223 updates tracked since enumeration

NPPES CertifiedMarch 31, 2022

✔ NPI 1043483134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in TX · Q1808

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License Q1808 (TX)

22751 PROFESSIONAL DR STE 240, Kingwood, TX 77339

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Secondary Practice Location 1

Location 17401 Main StHouston, TX 77030-4509 · Phone (713) 799-2300 · Fax (713) 794-3380

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Michael C Cusick 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 ID1557501137

PECOS Enrollment IDI20141112000809

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 14

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,741 services139 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

540 services313 patients

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.

333 services234 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

212 services148 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

210 services209 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.

208 services161 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.

105 services105 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

78 services23 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

53 services53 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

36 services36 patients

X-ray of elbow, 2 views 73070

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

19 services11 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

19 services13 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

12 services12 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450358

Location6565 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450684

Location18951 Memorial NorthHumble, TX 77338 · Harris County

Emergency services Birthing friendly

Texas Orthopedic Hospital

Acute Care Hospitals · Houston, TX

OwnershipVoluntary non-profit - Other

CMS Certification Number450804

Location7401 South Main StreetHouston, TX 77030 · Harris County

Emergency services

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

Houston Physicians' Hospital

Acute Care Hospitals · Webster, TX

OwnershipPhysician

CMS Certification Number670008

Location333 N Texas AvenueWebster, TX 77598 · Harris County

Emergency services

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.

78.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

63.75

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

64%765 patients3/55-star benchmark: 100%

Breast Cancer Screening

56%464 patients3/55-star benchmark: 93%

Cervical Cancer Screening

41%363 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

46%59 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

46%1,052 patients3/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

92%2,793 patients4/55-star benchmark: 100%

e-Prescribing

99%801 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

82%707 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 69% · 1,109 patients

Patients screened: 75% · 1,109 patients

15%82 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

78%737 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

47%402 patients2/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86%49 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 748 patients

Patients totalRate: 3% · 748 patients

3%748 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

2 suppliers44 claims44 services$89.27 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

AUSTIN PARKER KOSOSKI PA

Physician Assistant (Surgical)

22751 PROFESSIONAL DR STE 240
KINGWOOD, TX 77339

Harris County (713) 799-2300

ORTHOLONESTAR, PLLC

Orthopaedic Surgery

22751 PROFESSIONAL DR STE 240
KINGWOOD, TX 77339

Harris County (713) 799-2300

FONDREN ORTHOPEDIC GROUP L.L.P.

Orthopaedic Surgery

22751 PROFESSIONAL DR STE 240
KINGWOOD, TX 77339

Harris County (713) 799-2300

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 Michael Cusick's NPI number?

The NPI number for Michael Cusick is 1043483134. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Michael Cusick located?

Michael Cusick practices at 22751 Professional Dr Ste 240, Kingwood, TX 77339. The listed phone number is (713) 799-2300.

What is Michael Cusick's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Michael Cusick enrolled in Medicare?

Yes. Michael Cusick 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 Michael Cusick accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Michael Cusick 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 Michael Cusick affiliated with any hospitals?

According to CMS data, Michael Cusick is affiliated with Houston Methodist Hospital, Memorial Hermann Northeast Hospital, Texas Orthopedic Hospital, Memorial Hermann Sugar Land Hospital and Houston Physicians' Hospital.

When was this NPI record last updated?

The NPPES record for Michael Cusick was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.