DR. PETER L STAVINOHA PH.D.
NPI 1255499356
Clinical Neuropsychologist in Houston, TX

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2020, Jan 21, 2016, Dec 10, 2015 (3 updates tracked since 2015).

About Dr. Peter L Stavinoha Ph.d. NPPES

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

DR. PETER L STAVINOHA PH.D. (NPI 1255499356) is an individual clinical neuropsychologist in Houston, Texas, licensed in Texas (25476) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1255499356
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. PETER L STAVINOHACredential: PH.D.
Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4000
Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 18, 20203 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
✔ NPI 1255499356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in TX · 25476
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 25476 (TX)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 25476 (TX)
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License 25476 (TX)
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 25476 (TX)
1515 HOLCOMBE BLVD, Houston, TX 77030

Other Identifiers 2

Medicaid039133606TX
Other039133607TX · Cshcn Tpi

Accepted 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. Peter L Stavinoha Ph.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 ID9931416104
PECOS Enrollment IDI20150921001684
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 Peter Stavinoha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1515 HOLCOMBE BLVD
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,675 clinicians in this Medicare group
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group

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

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.

Psychiatry & Neurology (Neurology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Nephrology)
1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030
Surgery
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Pathology (Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Anesthesiology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Medical Oncology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Physician Assistant
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Nurse Practitioner
1515 HOLCOMBE BLVD
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 Peter Stavinoha's NPI number?

The NPI number for Peter Stavinoha is 1255499356. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Peter Stavinoha located?

Peter Stavinoha practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Peter Stavinoha's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Peter Stavinoha enrolled in Medicare?

Yes. Peter Stavinoha 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 Peter Stavinoha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Stavinoha reassigns Medicare benefits to 2 organizations: Physicians Referral Service (Houston, TX) and Texas Children's Physician Group (Houston, 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 Peter Stavinoha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Stavinoha accept?

Health plans from Cigna Healthcare, Moda Health Plan, Inc. and Oscar Insurance Company list Peter Stavinoha 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.

When was this NPI record last updated?

The NPPES record for Peter Stavinoha was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.