DR. THERESA G VICROY M.D.
NPI 1205876232
Internal Medicine in Houston, TX

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
6560 FANNIN ST, SUITE 1012, HOUSTON, TX 77030(281) 657-0770(281) 657-1117 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theresa G Vicroy M.d. NPPES

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

DR. THERESA G VICROY M.D. (NPI 1205876232) is an individual internal medicine provider in Houston, Texas, licensed in Texas (H1713) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Washington University School Of Medicine (1984).

NPPES Registry Identity

NPI1205876232
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. THERESA G VICROYCredential: M.D.
Location Address6560 FANNIN ST, SUITE 1012Houston, TX 77030-2761
Mailing Address6560 Fannin St, Suite 1012Houston, TX 77030-2761 · (281) 657-0770 · Fax (281) 657-1117
Fax(281) 657-1117
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1984
Enumeration DateJune 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205876232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · H1713
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6560 FANNIN ST, Houston, TX 77030

Other Identifiers 3

Medicare UPINC22975
Medicare ID-Type Unspecified8A8635
Other8J0800TX · Blue Cross

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. Theresa G Vicroy M.d. 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 ID941291017
PECOS Enrollment IDI20040519000595
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 23

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.
324 services189 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
245 services169 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
236 services236 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.
132 services105 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
102 services83 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
102 services101 patients

Hospital Affiliations CMS Care Compare 5

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · 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

Houston Physicians' Hospital

Acute Care Hospitals · Webster, TX
OwnershipPhysician
CMS Certification Number670008
Location333 N Texas AvenueWebster, TX 77598 · Harris County
Emergency services

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670077
Location18500 Katy FreewayHouston, TX 77094 · 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 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
$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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost22.33

Reported Quality Measures

Advance Care Plan
50%430 patients3/55-star benchmark: 100%
Breast Cancer Screening
92%171 patients4/55-star benchmark: 93%
Cervical Cancer Screening
64%90 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
89%310 patients5/55-star benchmark: 88%
Controlling High Blood Pressure
80%244 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
77%48 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
13%48 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
84%1,316 patients4/55-star benchmark: 100%
e-Prescribing
99%2,226 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
63%437 patients3/55-star benchmark: 100%
HIV Screening
7%171 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%590 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
63%434 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%506 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 86% · 509 patients
86%509 patients
Provide Patients Electronic Access to Their Health Information
84%446 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
80%168 patients4/55-star benchmark: 98%
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers26 claims66 services$6.24 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.07 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.15 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.

Nurse Practitioner
6560 FANNIN ST, STE 1260
HOUSTON, TX 77030
Ophthalmology
6560 FANNIN ST, STE 750
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6560 FANNIN ST, STE 802
HOUSTON, TX 77030
Internal Medicine
6560 FANNIN ST, SUITE 1012
HOUSTON, TX 77030
Internal Medicine (Infectious Disease)
6560 FANNIN ST, SUITE 1540
HOUSTON, TX 77030
Physician Assistant
6560 FANNIN ST, SUITE 1842
HOUSTON, TX 77030
Surgery
6560 FANNIN ST, STE 1608
HOUSTON, TX 77030
Internal Medicine
6560 FANNIN ST, SUITE 1112
HOUSTON, TX 77030

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 Theresa Vicroy's NPI number?

The NPI number for Theresa Vicroy is 1205876232. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Theresa Vicroy located?

Theresa Vicroy practices at 6560 Fannin St Suite 1012, Houston, TX 77030. The listed phone number is (281) 657-0770.

What is Theresa Vicroy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theresa Vicroy enrolled in Medicare?

Yes. Theresa Vicroy 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 Theresa Vicroy accept?

Health plans from UnitedHealthcare list Theresa Vicroy 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 Theresa Vicroy affiliated with any hospitals?

According to CMS data, Theresa Vicroy is affiliated with Houston Methodist Hospital, Houston Methodist Willowbrook Hospital, Houston Physicians' Hospital, Houston Methodist West Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Vicroy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.