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THANH-TRUC LE MD
NPI 1194112417
Internal Medicine - Gastroenterology in Cypress, TX

Active since April 24, 2015PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
21212 NORTHWEST FWY STE 245, CYPRESS, TX 77429(281) 955-0262(281) 955-0298 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2022, Jul 26, 2021, Jul 22, 2021 (3 updates tracked since 2021).

About Thanh-truc Le Md NPPES

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

THANH-TRUC LE MD (NPI 1194112417) is an individual gastroenterology provider in Cypress, Texas, licensed in Texas (47394) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Kingwood, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2015).

NPPES Registry Identity

NPI1194112417
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameTHANH-TRUC LECredential: MD
Location Address21212 NORTHWEST FWY STE 245Cypress, TX 77429-5885
Mailing Address21212 Northwest Fwy Ste 245Cypress, TX 77429-5885 · (281) 955-0262 · Fax (281) 955-0298
Phone(281) 955-0262
Fax(281) 955-0298
Sole ProprietorYes
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2015
Enumeration DateApril 24, 2015
Last NPPES UpdateAugust 5, 20223 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
✔ NPI 1194112417 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 · 47394
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.
21212 NORTHWEST FWY STE 245, Cypress, TX 77429
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thanh-truc Le 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 ID1355640376
PECOS Enrollment IDI20210727001071
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

2

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

Texas Digestive Disease Consultants, PLLC
19 mi
Gastroenterology
4100 S SHEPHERD DR
Houston, TX 77098
  • Reassigned Medicare billing, Texas enrollment
  • 575 clinicians in this Medicare group
NPI 1013429968 (832) 255-5681
Utmb Faculty Group Practice
66 mi
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group
NPI 1942241146 (409) 772-2222

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

Areas of Expertise CMS Part B claims 9

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.
286 services185 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.
99 services99 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.
70 services68 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.
66 services62 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.
30 services30 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77429 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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Other Providers at the Same Location NPPES

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

DR. ERIC GOU M.D.
Internal Medicine (Gastroenterology)
21212 NORTHWEST FWY STE 245
CYPRESS, TX 77429
Harris County (281) 955-0262

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 Thanh-truc Le's NPI number?

The NPI number for Thanh-truc Le is 1194112417. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Where is Thanh-truc Le located?

Thanh-truc Le practices at 21212 Northwest Fwy Ste 245, Cypress, TX 77429. The listed phone number is (281) 955-0262.

What is Thanh-truc Le's specialty?

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

Is Thanh-truc Le enrolled in Medicare?

Yes. Thanh-truc Le 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.

Which organizations bill Medicare for Thanh-truc Le's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thanh-truc Le reassigns Medicare benefits to 2 organizations: Texas Digestive Disease Consultants, PLLC (Houston, TX) and Utmb Faculty Group Practice (Galveston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thanh-truc Le's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thanh-truc Le 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 4 other insurers list Thanh-truc Le 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 Thanh-truc Le affiliated with any hospitals?

According to CMS data, Thanh-truc Le is affiliated with Hca Houston Healthcare Kingwood and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Thanh-truc Le was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.