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EDWARD S XAVIER MD
NPI 1154539757
Internal Medicine - Gastroenterology in Shenandoah, TX

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
59.89/100
CMS Quality Rating
111 VISION PARK BLVD, SUITE 150, SHENANDOAH, TX 77384(936) 321-0033(936) 321-0032 Get Directions Write a Review

NPPES record last updated: May 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edward S Xavier Md NPPES

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

EDWARD S XAVIER MD (NPI 1154539757) is an individual gastroenterology provider in Shenandoah, Texas, licensed in Texas (N3395) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of University Of Massachusetts Medical School (2003).

NPPES Registry Identity

NPI1154539757
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameEDWARD S XAVIERCredential: MD
Location Address111 VISION PARK BLVD, SUITE 150Shenandoah, TX 77384-3002
Mailing AddressPo Box 130894The Woodlands, TX 77393-0894 · (936) 321-0033 · Fax (936) 321-0032
Phone(936) 321-0033
Fax(936) 321-0032
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2003
Enumeration DateMay 18, 2007
Last NPPES UpdateMay 20, 2010
✔ NPI 1154539757 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 · N3395
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.
111 VISION PARK BLVD, Shenandoah, TX 77384
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Other Identifiers 5

Medicaid209252002TX
Medicaid209252001TX
Medicare PINP00781870TX
Medicare PIN8L19011TX
Medicare UPIN8L19012TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice.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

Edward S Xavier 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 ID8628124153
PECOS Enrollment IDI20090924000056
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.

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.
301 services235 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
137 services137 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
117 services116 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
97 services97 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.
87 services87 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
73 services73 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 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

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77384 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

59.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality43.33
Improvement Activities40
Cost41.85

Referred Medical Equipment & Supplies CMS DME claims 3

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims338 services$2.63 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims364 services$4.59 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,541 services$1.07 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 20

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

WOODLANDS ENDOSCOPY CENTR, LTD.
Clinic/Center (Endoscopy)
111 VISION PARK BLVD, SUITE 160
SHENANDOAH, TX 77384
Montgomery County (936) 321-8910
PARTNERS THERAPY AND REHABILITATION,PLLC
Clinic/Center (Physical Therapy)
111 VISION PARK BLVD, SUITE 250
SHENANDOAH, TX 77384
Montgomery County (281) 363-2829
ANNA M GONZALES M.D.
Internal Medicine (Gastroenterology)
111 VISION PARK BLVD, STE 150
SHENANDOAH, TX 77384
Montgomery County (936) 321-0033
PROF. MELISSA R MIGNOGNA PH.D.
Psychologist
111 VISION PARK BLVD, SUITE 250
SHENANDOAH, TX 77384
Montgomery County (281) 528-4226
TIMOTHY MICHEAL YORK LSA
Physician Assistant (Surgical)
111 VISION PARK BLVD, SUITE 240
SHENANDOAH, TX 77384
Montgomery County (832) 264-1953
JAMIE RESPONDEK DOAN FNP-C
Nurse Practitioner (Family)
111 VISION PARK BLVD, SUITE 150
SHENANDOAH, TX 77384
Montgomery County (936) 321-0033
MIRZA N BAIG M.D., PH.D.
Neurological Surgery
111 VISION PARK BLVD, SUITE 220
SHENANDOAH, TX 77384
Montgomery County (855) 457-7463
SHENANDOAH TX ENDOSCOPY ASC LLC
Nurse Anesthetist, Certified Registered
111 VISION PARK BLVD, SUITE 160
SHENANDOAH, TX 77384
Montgomery County (936) 321-8910

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 Edward Xavier's NPI number?

The NPI number for Edward Xavier is 1154539757. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Edward Xavier located?

Edward Xavier practices at 111 Vision Park Blvd Suite 150, Shenandoah, TX 77384. The listed phone number is (936) 321-0033.

What is Edward Xavier's specialty?

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

Is Edward Xavier enrolled in Medicare?

Yes. Edward Xavier 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 Edward Xavier accept?

Health plans from Community Health Choice list Edward Xavier 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 Edward Xavier affiliated with any hospitals?

According to CMS data, Edward Xavier is affiliated with Memorial Hermann Hospital System, Memorial Hermann Northeast Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Edward Xavier was last updated on May 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.