1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Internal Medicine
  6. NPI Profile

MICHAEL W STAVINOHA MD PA
NPI 1154345593
Internal Medicine - Gastroenterology in Houston, TX

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
12.04/100
CMS Quality Rating
1631 NORTH LOOP WEST, SUITE 655, HOUSTON, TX 77008(713) 869-8200(713) 867-2013 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael W Stavinoha Md Pa NPPES

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

MICHAEL W STAVINOHA MD PA (NPI 1154345593) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (G8436) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of University Of Texas Medical Branch At Galveston (1984).

NPPES Registry Identity

NPI1154345593
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMICHAEL W STAVINOHACredential: MD PA
Location Address1631 NORTH LOOP WEST, SUITE 655Houston, TX 77008-1599
Mailing Address1631 North Loop West, Suite 655Houston, TX 77008-1599 · (713) 869-8200 · Fax (713) 867-2013
Phone(713) 869-8200
Fax(713) 867-2013
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1984
Enumeration DateJuly 27, 2006
Last NPPES UpdateNovember 4, 2010
✔ NPI 1154345593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · G8436
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1631 NORTH LOOP WEST, Houston, TX 77008
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINB26667
Medicare ID-Type UnspecifiedOOB95UTX
Medicaid127858203TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Michael W Stavinoha Md Pa 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 ID4486782091
PECOS Enrollment IDI20110114000556
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 10

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.

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.
491 services183 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.
273 services209 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
169 services135 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
164 services164 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
152 services72 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
151 services72 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77008 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.

12.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost40.16

Other Providers at the Same Location NPPES 9

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

ZAYD S KAYLANI MD PA
Internal Medicine
1631 NORTH LOOP WEST, SUITE 650
HOUSTON, TX 77008
Harris County (713) 869-5855
DR. LUKE IGNATIUS BURKE MD
Otolaryngology
1631 NORTH LOOP WEST, SUITE 620
HOUSTON, TX 77008
Harris County (713) 868-4451
VASCULAR PHYSICIAN ASSISTANTS OF HOUSTON PA
Surgery
1631 NORTH LOOP WEST, SUITE 610
HOUSTON, TX 77008
Harris County (713) 880-8600
CHRISTOPHE C. SALCEDO, M.D. AND ASSOCIATES, P.A.
Surgery
1631 NORTH LOOP WEST, SUITE 635
HOUSTON, TX 77008
Harris County (713) 880-0218
MEMORIAL HERMANN SURGERY CENTER NORTHWEST, LLP
Clinic/Center (Ambulatory Surgical)
1631 NORTH LOOP WEST, SUITE 300
HOUSTON, TX 77008
Harris County (713) 343-1080
DR. JUAN CARLOS BARRIGA M.D.
Internal Medicine (Pulmonary Disease)
1631 NORTH LOOP WEST, SUITE 550
HOUSTON, TX 77008
Harris County (713) 426-5864
MICHAEL W STAVINOHA MD PA
Internal Medicine (Gastroenterology)
1631 NORTH LOOP WEST, SUITE 655
HOUSTON, TX 77008
Harris County (713) 869-8200
BALCHANDER K RAO MD
Internal Medicine (Pulmonary Disease)
1631 NORTH LOOP WEST, SUITE 450
HOUSTON, TX 77008
Harris County (713) 861-8884

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 Michael Stavinoha's NPI number?

The NPI number for Michael Stavinoha is 1154345593. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Michael Stavinoha located?

Michael Stavinoha practices at 1631 North Loop West Suite 655, Houston, TX 77008. The listed phone number is (713) 869-8200.

What is Michael Stavinoha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Stavinoha enrolled in Medicare?

Yes. Michael Stavinoha 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 Michael Stavinoha 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 Michael Stavinoha 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 Michael Stavinoha affiliated with any hospitals?

According to CMS data, Michael Stavinoha is affiliated with Memorial Hermann Hospital System and Memorial Hermann Memorial City Hospital.

When was this NPI record last updated?

The NPPES record for Michael Stavinoha was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.