DR. BENJAMIN THOMAS SKETCHLER MD
NPI 1154942118
Orthopaedic Surgery in Houston, TX

Q: What is Benjamin Sketchler's NPI number?

The NPI number for Benjamin Sketchler is 1154942118. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Q: What is Benjamin Sketchler's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since April 30, 2020PECOS EnrolledAccepts Medicare Assignment

7401 MAIN ST, HOUSTON, TX 77030(713) 799-8600 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2025, May 21, 2025 (2 updates tracked since 2025).

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About Dr. Benjamin Thomas Sketchler Md NPPES

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

DR. BENJAMIN THOMAS SKETCHLER MD (NPI 1154942118) is an individual orthopaedic surgery provider in Houston, Texas, licensed in Texas (V7066) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Texas Orthopedic Hospital, and is a graduate of Baylor College Of Medicine (2020).

NPPES Registry Identity

NPI1154942118

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. BENJAMIN THOMAS SKETCHLERCredential: MD

Location Address7401 MAIN STHouston, TX 77030-4509

Mailing Address7401 Main StHouston, TX 77030-4509

Phone(713) 799-8600

Sole ProprietorYes

Medical School CMSBaylor College Of MedicineGraduated 2020

Enumeration DateApril 30, 2020

Last NPPES UpdateJune 19, 20252 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1154942118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · V7066

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7401 MAIN ST, Houston, TX 77030

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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 Louisiana, HMO Louisiana.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. Benjamin Thomas Sketchler 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 ID1557792033

PECOS Enrollment IDI20250616003546

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 Reassignments

Medicare enrollment records show Benjamin Sketchler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ortholonestar, PLLC

Same address

Orthopaedic Surgery

7401 MAIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
327 clinicians in this Medicare group

NPI 1942860176 (713) 799-2300

Pontchartrain Bone & Joint Clinic, Ltd.

315 mi

Orthopaedic Surgery

3939 HOUMA BLVD, SUITE 21
Metairie, LA 70006

Reassigned Medicare billing, Louisiana enrollment
13 clinicians in this Medicare group

NPI 1649351529 (504) 885-6464

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Texas Orthopedic Hospital

Acute Care Hospitals · Houston, TX

OwnershipVoluntary non-profit - Other

CMS Certification Number450804

Location7401 South Main StreetHouston, TX 77030 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$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.

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.

DR. DAVID P LONCARICH

Orthopaedic Surgery (Foot and Ankle Surgery)