ERIKA RESETKOVA M.D., PHD
NPI 1063505659
Pathology - Cytopathology in Houston, TX

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
1515 HOLCOMBE BLVD., HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Erika Resetkova M.d., Phd NPPES

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

ERIKA RESETKOVA M.D., PHD (NPI 1063505659) is an individual cytopathology provider in Houston, Texas, licensed in Texas (L9868) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1063505659
Entity TypeIndividualFemale
Primary Taxonomy207ZC0500X
Provider Legal NameERIKA RESETKOVACredential: M.D., PHD
Location Address1515 HOLCOMBE BLVD.Houston, TX 77030-4009
Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 29, 2012
NPI 1063505659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · CytopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZC0500X
License Licensed in TX · L9868
Definition

A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the Pap test. However, the cytopathologist's expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists.

1515 HOLCOMBE BLVD., Houston, TX 77030

Other Identifiers 5

Medicaid164888301TX
Other8P2126TX · Bcbs
Medicare UPINI06104
Medicare PIN8B8598TX
OtherP00142090TX · Rr Medicare

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

Erika Resetkova M.d., Phd 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 ID1658357496
PECOS Enrollment IDI20040624000795
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 9

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.

Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
194 services60 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
161 services94 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
143 services50 patients
Surgical pathology consultation and report on referred slides prepared elsewhere 88321
A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.
124 services123 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
103 services69 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
81 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

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.

Internal Medicine (Rheumatology)
1515 HOLCOMBE BLVD.
HOUSTON, TX 77030
Radiology (Radiation Oncology)
1515 HOLCOMBE BLVD.
HOUSTON, TX 77030
Surgery (Plastic and Reconstructive Surgery)
1515 HOLCOMBE BLVD.
HOUSTON, TX 77030
Internal Medicine (Hematology & Oncology)
1515 HOLCOMBE BLVD.
HOUSTON, TX 77030
Preventive Medicine (Public Health & General Preventive Medicine)
1515 HOLCOMBE BLVD.
HOUSTON, TX 77030
Internal Medicine (Medical Oncology)
1515 HOLCOMBE BLVD.
HOUSTON, TX 77030
Surgery (Plastic and Reconstructive Surgery)
1515 HOLCOMBE BLVD.
HOUSTON, TX 77030
Nurse Practitioner (Family)
1515 HOLCOMBE BLVD.
HOUSTON, TX 77030

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 Erika Resetkova's NPI number?

The NPI number for Erika Resetkova is 1063505659. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Erika Resetkova located?

Erika Resetkova practices at 1515 Holcombe Blvd., Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Erika Resetkova's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Cytopathology, with taxonomy code 207ZC0500X.

Is Erika Resetkova enrolled in Medicare?

Yes. Erika Resetkova 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.

When was this NPI record last updated?

The NPPES record for Erika Resetkova was last updated on June 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.