DR. THOMAS LOUIS TANOUS JR. MD
NPI 1205030897
Orthopaedic Surgery in Houston, TX

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
82.75/100
CMS Quality Rating
11800 FM 1960 RD W, HOUSTON, TX 77065(281) 664-2107(281) 955-5875 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Louis Tanous Jr. Md NPPES

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

DR. THOMAS LOUIS TANOUS JR. MD (NPI 1205030897) is an individual orthopaedic surgery provider in Houston, Texas, licensed in Texas (P6096) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of University Of Texas Medical School At Houston (2004).

NPPES Registry Identity

NPI1205030897
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. THOMAS LOUIS TANOUS JR.Credential: MD
Location Address11800 FM 1960 RD WHouston, TX 77065-3840
Mailing Address11800 Fm 1960 Rd WHouston, TX 77065-3840 · (281) 664-2107 · Fax (281) 955-5875
Fax(281) 955-5875
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2004
Enumeration DateJune 14, 2007
Last NPPES UpdateOctober 20, 2021
NPPES CertifiedOctober 20, 2021
NPI 1205030897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · P6096
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.
11800 FM 1960 RD W, Houston, TX 77065

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

Dr. Thomas Louis Tanous Jr. 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 ID6305982141
PECOS Enrollment IDI20131204001944
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 20

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.

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322
Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.
3,192 services52 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
373 services198 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.
371 services255 patients
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.
357 services282 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
347 services250 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
333 services218 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Tomball

Acute Care Hospitals · Tomball, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450670
Location605 HolderriethTomball, TX 77375 · Harris County
Emergency services Birthing friendly

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 77065 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.

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.

82.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality68.64
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
88%942 patients4/55-star benchmark: 100%
Breast Cancer Screening
68%542 patients3/55-star benchmark: 93%
Cervical Cancer Screening
55%307 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
57%1,047 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
94%2,715 patients4/55-star benchmark: 100%
e-Prescribing
99%601 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
82%914 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
13%1,509 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%2,561 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 83% · 1,191 patients
Patients screened: 89% · 1,191 patients
12%81 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
90%970 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
63%543 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%31 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers27 claims27 services$41.21 avg. paid by Medicare
Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment L1686
DME-Orthotic Devices · category DF000N
1 supplier27 claims27 services$726.67 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1832
DME-Orthotic Devices · category DF011N
1 supplier11 claims11 services$477.18 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.

Orthopaedic Surgery (Sports Medicine)
11800 FM 1960 RD W
HOUSTON, TX 77065
Orthopaedic Surgery (Sports Medicine)
11800 FM 1960 RD W
HOUSTON, TX 77065
Physician Assistant
11800 FM 1960 RD W
HOUSTON, TX 77065
Physical Therapy Assistant
11800 FM 1960 RD W
HOUSTON, TX 77065
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
11800 FM 1960 RD W
HOUSTON, TX 77065
Physician Assistant
11800 FM 1960 RD W
HOUSTON, TX 77065
Orthopaedic Surgery (Sports Medicine)
11800 FM 1960 RD W
HOUSTON, TX 77065
Physical Therapist (Orthopedic)
11800 FM 1960 RD W
HOUSTON, TX 77065

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 Thomas Tanous's NPI number?

The NPI number for Thomas Tanous is 1205030897. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Thomas Tanous located?

Thomas Tanous practices at 11800 Fm 1960 Rd W, Houston, TX 77065. The listed phone number is (281) 664-2107.

What is Thomas Tanous's specialty?

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

Is Thomas Tanous enrolled in Medicare?

Yes. Thomas Tanous 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 Thomas Tanous 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 Thomas Tanous 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 Thomas Tanous affiliated with any hospitals?

According to CMS data, Thomas Tanous is affiliated with Memorial Hermann - Texas Medical Center, Hca Houston Healthcare Tomball, Hca Houston Healthcare Kingwood and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Tanous was last updated on October 20, 2021. 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.