SCOTT R SHERRON MD
NPI 1265403364
Internal Medicine - Cardiovascular Disease in Houston, TX

Active since January 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6624 FANNIN ST STE 1995, HOUSTON, TX 77030(713) 800-9026(713) 930-4220 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2023, Mar 31, 2023, Aug 30, 2022 and 3 more (6 updates tracked since 2022).

About Scott R Sherron Md NPPES

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

SCOTT R SHERRON MD (NPI 1265403364) is an individual cardiovascular disease provider in Houston, Texas, licensed in Texas (H6600) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of University Of Texas Medical School At San Antonio (1988).

NPPES Registry Identity

NPI1265403364
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSCOTT R SHERRONCredential: MD
Location Address6624 FANNIN ST STE 1995Houston, TX 77030-2312
Mailing Address6624 Fannin St Ste 1995Houston, TX 77030-2312 · (713) 800-9026 · Fax (713) 930-4220
Fax(713) 930-4220
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1988
Enumeration DateJanuary 28, 2006
Last NPPES UpdateJune 26, 20236 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
NPI 1265403364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · H6600
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 141070 (TX)
6624 FANNIN ST STE 1995, Houston, TX 77030

Other Identifiers 1

Medicaid131599601TX

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

Scott R Sherron 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 ID3870590136
PECOS Enrollment IDI20071017000915
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.

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.
981 services684 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
542 services515 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
391 services367 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
386 services380 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
340 services85 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
335 services316 patients

Hospital Affiliations CMS Care Compare 3

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 Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris 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
$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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers51 claims51 services$30.62 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers38 claims38 services$70.23 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers46 claims121 services$26.73 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers65 claims322 services$14.39 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers36 claims194 services$12.16 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers97 claims97 services$45.14 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

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

Internal Medicine (Cardiovascular Disease)
6624 FANNIN ST STE 1995
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 Scott Sherron's NPI number?

The NPI number for Scott Sherron is 1265403364. It was assigned to this individual provider in the NPPES registry on January 28, 2006.

Where is Scott Sherron located?

Scott Sherron practices at 6624 Fannin St Ste 1995, Houston, TX 77030. The listed phone number is (713) 800-9026.

What is Scott Sherron's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Scott Sherron enrolled in Medicare?

Yes. Scott Sherron 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 Scott Sherron 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 1 other insurer list Scott Sherron 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 Scott Sherron affiliated with any hospitals?

According to CMS data, Scott Sherron is affiliated with Houston Methodist Hospital, Houston Methodist Baytown Hospital and Houston Methodist Clear Lake Hospital.

When was this NPI record last updated?

The NPPES record for Scott Sherron was last updated on June 26, 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.