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SANDRA M HURTADO M.D.
NPI 1124020367
Obstetrics & Gynecology in Houston, TX

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
925 GESSNER RD STE 575, HOUSTON, TX 77024(713) 486-6640(713) 827-7752 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 15, 2022, Jan 27, 2022, Apr 26, 2019 (3 updates tracked since 2019).

About Sandra M Hurtado M.d. NPPES

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

SANDRA M HURTADO M.D. (NPI 1124020367) is an individual obstetrics & gynecology provider in Houston, Texas, licensed in Texas (L2332) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1990).

NPPES Registry Identity

NPI1124020367
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSANDRA M HURTADOCredential: M.D.
Location Address925 GESSNER RD STE 575Houston, TX 77024-2552
Mailing Address929 Gessner Rd Ste 1300Houston, TX 77024-2469 · (713) 486-6600 · Fax (713) 465-1233
Phone(713) 486-6640
Fax(713) 827-7752
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1990
Enumeration DateJune 1, 2005
Last NPPES UpdateFebruary 15, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
✔ NPI 1124020367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · L2332
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
925 GESSNER RD STE 575, Houston, TX 77024
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Other Identifiers 2

Medicaid1523375-01TX
Other8A6813TX · Blue Cross & Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare 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

Sandra M Hurtado 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 ID1759406564
PECOS Enrollment IDI20100916001313
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
45 services45 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
30 services30 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.
22 services19 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

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77024 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
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Reported Quality Measures

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.
96%3,312 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
76%270 patients4/55-star benchmark: 88%
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.
84%439 patients1/55-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.
40%2,020 patients2/55-star benchmark: 97%
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…
100%2,020 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
95%2,020 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
89%2,020 patients
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.

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 Sandra Hurtado's NPI number?

The NPI number for Sandra Hurtado is 1124020367. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Sandra Hurtado located?

Sandra Hurtado practices at 925 Gessner Rd Ste 575, Houston, TX 77024. The listed phone number is (713) 486-6640.

What is Sandra Hurtado's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sandra Hurtado enrolled in Medicare?

Yes. Sandra Hurtado 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 Sandra Hurtado accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Sandra Hurtado 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 Sandra Hurtado affiliated with any hospitals?

According to CMS data, Sandra Hurtado is affiliated with Memorial Hermann Hospital System, Memorial Hermann Memorial City Hospital and Memorial Hermann Northeast Hospital.

When was this NPI record last updated?

The NPPES record for Sandra Hurtado was last updated on February 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.