KRISTI PROPHET MD
NPI 1134680671
Family Medicine in Houston, TX

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
9105 N WAYSIDE DR, HOUSTON, TX 77028(713) 633-2020 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristi Prophet Md NPPES

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

KRISTI PROPHET MD (NPI 1134680671) is an individual family medicine provider in Houston, Texas, licensed in Texas (47841) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1134680671
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTI PROPHETCredential: MD
Location Address9105 N WAYSIDE DRHouston, TX 77028-1030
Mailing Address9105 N Wayside DrHouston, TX 77028-1030 · (713) 633-2020 · Fax (713) 636-7129
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 27, 2019
Last NPPES UpdateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
NPI 1134680671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · 47841
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9105 N WAYSIDE DR, Houston, TX 77028

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

Kristi Prophet Md 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 ID5395114011
PECOS Enrollment IDI20221219002529
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

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 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.
75 services27 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77028 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.

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

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.

Pharmacist
9105 N WAYSIDE DR
HOUSTON, TX 77028
Pharmacy (Clinic Pharmacy)
9105 N WAYSIDE DR, PHARMACY
HOUSTON, TX 77028
Nurse Practitioner (Family)
9105 N WAYSIDE DR
HOUSTON, TX 77028
Family Medicine
9105 N WAYSIDE DR
HOUSTON, TX 77028
Family Medicine
9105 N WAYSIDE DR
HOUSTON, TX 77028
Family Medicine
9105 N WAYSIDE DR
HOUSTON, TX 77028
Nurse Practitioner (Family)
9105 N WAYSIDE DR
HOUSTON, TX 77028
Family Medicine
9105 N WAYSIDE DR
HOUSTON, TX 77028

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 Kristi Prophet's NPI number?

The NPI number for Kristi Prophet is 1134680671. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Kristi Prophet located?

Kristi Prophet practices at 9105 N Wayside Dr, Houston, TX 77028. The listed phone number is (713) 633-2020.

What is Kristi Prophet's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristi Prophet enrolled in Medicare?

Yes. Kristi Prophet 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 Kristi Prophet 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 3 other insurers list Kristi Prophet 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 Kristi Prophet affiliated with any hospitals?

According to CMS data, Kristi Prophet is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Kristi Prophet was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.