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DR. RAJA ABUSHARR M.D.
NPI 1215993084
Family Medicine in The Woodlands, TX

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
10110 WOODLANDS PKWY, STE 100, THE WOODLANDS, TX 77382(281) 419-6565(281) 419-0808 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 25, 2023, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Raja Abusharr M.d. NPPES

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

DR. RAJA ABUSHARR M.D. (NPI 1215993084) is an individual family medicine provider in The Woodlands, Texas, licensed in Texas (M3126) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Oregon Health Sciences University School Of Medicine (2000).

NPPES Registry Identity

NPI1215993084
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAJA ABUSHARRCredential: M.D.
Location Address10110 WOODLANDS PKWY, STE 100The Woodlands, TX 77382
Mailing Address10110 Woodlands Pkwy, Ste 100The Woodlands, TX 77382 · (281) 419-6565 · Fax (281) 419-0808
Phone(281) 419-6565
Fax(281) 419-0808
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2000
Enumeration DateApril 21, 2006
Last NPPES UpdateJanuary 25, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1215993084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M3126
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10110 WOODLANDS PKWY, The Woodlands, TX 77382
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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 Texas.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. Raja Abusharr 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 ID8022036805
PECOS Enrollment IDI20070206000638
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 Reassignment

Medicare enrollment records show Raja Abusharr reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Raja Abusharr MD PA
Same address
Family Medicine
10110 WOODLANDS PKWY STE 100
The Woodlands, TX 77382
  • Reassigned Medicare billing, Texas enrollment
NPI 1144398264 (281) 419-6565

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 4

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.
332 services135 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.
76 services76 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.
62 services43 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
16 services12 patients

Hospital Affiliations CMS Care Compare 2

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

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 77382 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%2,260 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%1,099 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%1,099 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
42%1,099 patients3/55-star benchmark: 59%
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
4 suppliers16 claims63 services$6.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.17 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
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 4

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

M&M ENDODONTICS PLLC
Dentist (Endodontics)
10110 WOODLANDS PKWY, SUITE 1000
THE WOODLANDS, TX 77382
Montgomery County (281) 789-7123
DR. KENDRA PRATT MANNING D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
10110 WOODLANDS PKWY, SUITE 600
THE WOODLANDS, TX 77382
Montgomery County (281) 367-0050
KENDRA PRATT MANNING, DDS, MS, PA
Dentist (Orthodontics and Dentofacial Orthopedics)
10110 WOODLANDS PKWY, SUITE 600
THE WOODLANDS, TX 77382
Montgomery County (281) 367-0050
DR. GAYLE BRADSHAW D.D.S, M.S.
Dentist (Periodontics)
10110 WOODLANDS PKWY, SUITE 1000
THE WOODLANDS, TX 77382
Montgomery County (281) 419-4655

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 Raja Abusharr's NPI number?

The NPI number for Raja Abusharr is 1215993084. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Raja Abusharr located?

Raja Abusharr practices at 10110 Woodlands Pkwy Ste 100, The Woodlands, TX 77382. The listed phone number is (281) 419-6565.

What is Raja Abusharr's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raja Abusharr enrolled in Medicare?

Yes. Raja Abusharr 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 organization bills Medicare for Raja Abusharr's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raja Abusharr reassigns Medicare benefits to Raja Abusharr MD PA (The Woodlands, TX). The 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 Raja Abusharr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raja Abusharr accept?

Health plans from Blue Cross and Blue Shield of Texas list Raja Abusharr 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 Raja Abusharr affiliated with any hospitals?

According to CMS data, Raja Abusharr is affiliated with Memorial Hermann Hospital System and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Raja Abusharr was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.