DR. PABLO TOVAR M.D.
NPI 1114211620
Emergency Medicine in Houston, TX

Active since June 01, 2011PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
1504 TAUB LOOP, HOUSTON, TX 77030(713) 873-8890 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Pablo Tovar M.d. NPPES

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

DR. PABLO TOVAR M.D. (NPI 1114211620) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (P9976) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains a secondary practice location in Friendswood.

NPPES Registry Identity

NPI1114211620
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PABLO TOVARCredential: M.D.
Location Address1504 TAUB LOOPHouston, TX 77030-1608
Mailing Address206 Prairie Wilde StFriendswood, TX 77546-3737 · (713) 306-9831
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2011
Enumeration DateJune 1, 2011
Last NPPES UpdateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
NPI 1114211620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TX · P9976
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.

1504 TAUB LOOP, Houston, TX 77030

Secondary Practice Location 1

Location 1206 Prairie Wilde StFriendswood, TX 77546-3737 · Phone (713) 306-9831

Other Identifiers 1

Other557874TX · Physician In Training Id Number

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

Dr. Pablo Tovar M.d. 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 ID9234356528
PECOS Enrollment IDI20140811000679
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 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.

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.
155 services150 patients
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.
101 services98 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.
27 services27 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.
18 services18 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 Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

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
$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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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
1504 TAUB LOOP
HOUSTON, TX 77030
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP, EMERGENCY CENTER
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Internal Medicine (Infectious Disease)
1504 TAUB LOOP
HOUSTON, TX 77030
Obstetrics & Gynecology
1504 TAUB LOOP
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP
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 Pablo Tovar's NPI number?

The NPI number for Pablo Tovar is 1114211620. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Where is Pablo Tovar located?

Pablo Tovar practices at 1504 Taub Loop, Houston, TX 77030. The listed phone number is (713) 873-8890.

What is Pablo Tovar's specialty?

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

Is Pablo Tovar enrolled in Medicare?

Yes. Pablo Tovar 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 Pablo Tovar accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice, Molina Healthcare and Oscar Insurance Company and 1 other insurer list Pablo Tovar 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 Pablo Tovar affiliated with any hospitals?

According to CMS data, Pablo Tovar is affiliated with Memorial Hermann Hospital System, Chi St Luke's Health Baylor College Of Medicine Me and Christus Santa Rosa Hospital-San Marcos.

When was this NPI record last updated?

The NPPES record for Pablo Tovar was last updated on December 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.