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DR. MONTE EDWARD ORAHOOD M.D,
NPI 1114956414
Internal Medicine in Pasadena, TX

Active since July 01, 2006PECOS EnrolledAccepts Medicare Assignment
31.45/100
CMS Quality Rating
5050 CRENSHAW ROAD, SUITE 100, PASADENA, TX 77505(281) 487-1500(281) 487-9934 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Monte Edward Orahood M.d, NPPES

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

DR. MONTE EDWARD ORAHOOD M.D, (NPI 1114956414) is an individual internal medicine provider in Pasadena, Texas, licensed in Texas (K5648) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Southeast, and is a graduate of University Of Texas Medical School At Houston (1997).

NPPES Registry Identity

NPI1114956414
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MONTE EDWARD ORAHOODCredential: M.D,
Location Address5050 CRENSHAW ROAD, SUITE 100Pasadena, TX 77505-3139
Mailing Address5050 Crenshaw Rd Ste 100Pasadena, TX 77505-3139 · (281) 899-2110 · Fax (281) 487-9934
Phone(281) 487-1500
Fax(281) 487-9934
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1997
Enumeration DateJuly 1, 2006
Last NPPES UpdateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
✔ NPI 1114956414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · K5648
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5050 CRENSHAW ROAD, Pasadena, TX 77505
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Monte Edward Orahood 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 ID7113968561
PECOS Enrollment IDI20050517000371
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 Reassignment

Medicare enrollment records show Monte Orahood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Health Care Group PLLC
Same address
Multi-Specialty
5050 CRENSHAW RD STE 100
Pasadena, TX 77505
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1174511513 (832) 399-4141

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 13

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
408 services161 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.
175 services113 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
118 services118 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
117 services24 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
112 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
109 services109 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Houston Healthcare Southeast

Acute Care Hospitals · Pasadena, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450097
Location4000 Spencer HwyPasadena, TX 77504 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Clear Lake

Acute Care Hospitals · Webster, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450617
Location500 W Medical Center BlvdWebster, TX 77598 · Harris County
Emergency services Birthing friendly

St Luke's Patients Medical Center

Acute Care Hospitals · Pasadena, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670031
Location4600 East Sam Houston Parkway SouthPasadena, TX 77505 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77505 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.

31.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality20
Improvement Activities0
Cost70.23

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
93%191 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
92%2,298 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%3,557 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%2,326 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
84%817 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%801 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 95% · 695 patients
Patients tobacco: 86% · 695 patients
30%69 patients2/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
17%817 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 402 patients
4%402 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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers47 claims126 services$6.31 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims38 services$1.13 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims71 services$1.75 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers35 claims35 services$16.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers59 claims59 services$71.29 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 2

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

LUIS A SABATINI MD
Internal Medicine
5050 CRENSHAW ROAD, STE 100
PASADENA, TX 77505
Harris County (281) 487-3840
PAUL BOONE M. D.
Family Medicine
5050 CRENSHAW ROAD, SUITE 100
PASADENA, TX 77505
Harris County (281) 487-1000

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 Monte Orahood's NPI number?

The NPI number for Monte Orahood is 1114956414. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Monte Orahood located?

Monte Orahood practices at 5050 Crenshaw Road Suite 100, Pasadena, TX 77505. The listed phone number is (281) 487-1500.

What is Monte Orahood's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Monte Orahood enrolled in Medicare?

Yes. Monte Orahood 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.

Which organization bills Medicare for Monte Orahood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monte Orahood reassigns Medicare benefits to Premier Health Care Group PLLC (Pasadena, TX). The 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 Monte Orahood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monte Orahood accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and UnitedHealthcare list Monte Orahood 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 Monte Orahood affiliated with any hospitals?

According to CMS data, Monte Orahood is affiliated with Hca Houston Healthcare Southeast, Hca Houston Healthcare Clear Lake and St Luke's Patients Medical Center.

When was this NPI record last updated?

The NPPES record for Monte Orahood was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.