MICHAEL A HOUSE M.D.
NPI 1285613653
Orthopaedic Surgery in Denton, TX

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3200 COLORADO BLVD STE 101, DENTON, TX 76210(940) 331-7222 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 1, 2023, Jan 28, 2023, Jul 8, 2020 and 2 more (5 updates tracked since 2017).

About Michael A House M.d. NPPES

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

MICHAEL A HOUSE M.D. (NPI 1285613653) is an individual orthopaedic surgery provider in Denton, Texas, licensed in Texas (J8585) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1993).

NPPES Registry Identity

NPI1285613653
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL A HOUSECredential: M.D.
Location Address3200 COLORADO BLVD STE 101Denton, TX 76210-6875
Mailing Address3200 Colorado Blvd Ste 101Denton, TX 76210-6875 · (940) 331-7222
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1993
Enumeration DateJanuary 12, 2006
Last NPPES UpdateFebruary 1, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
NPI 1285613653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · J8585
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.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License J8585 (TX)
3200 COLORADO BLVD STE 101, Denton, TX 76210

Other Identifiers 8

Other8CR146TX · Bcbs Tx 02/01/2011
Medicaid031324903TX
Other1285613653TX · Npi
Other8X5841TX · Bcbs Texas Number
OtherTXB117562TX · Medicare Part B Effect 02/01/2011
OtherP00390865TX · Railroad Medicare
OtherP00913306TX · Railroad Medicare Effect 02/01/2011
Other6484850005TX · Medicare Nsc Effect 02/01/2011

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

Michael A House 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 ID4789630484
PECOS Enrollment IDI20050325000174
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 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
348 services227 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.
215 services164 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.
192 services148 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.
148 services130 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
136 services136 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.
105 services70 patients

Hospital Affiliations CMS Care Compare 3

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

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Muenster Memorial Hospital

Critical Access Hospitals · Muenster, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451335
Location605 N Maple StreetMuenster, TX 76252 · Cooke County
Emergency services

Methodist Hospital For Surgery

Acute Care Hospitals · Addison, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670073
Location17101 Dallas ParkwayAddison, TX 75001 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76210 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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
Scored as part of a group practice

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
99%905 patients4/55-star benchmark: 100%
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.
83%109 patients3/55-star benchmark: 100%
Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%23 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%22 patients
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
72%585 patients3/55-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 certified EHR technology to the patient (or the patient-authorized representative), or in…
0%585 patients1/55-star benchmark: 75%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
3%585 patients
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 2

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 suppliers16 claims16 services$47.52 avg. paid by Medicare
Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812
DME-Orthotic Devices · category DF011N
2 suppliers26 claims28 services$48.40 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 3

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

Orthopaedic Surgery
3200 COLORADO BLVD STE 101
DENTON, TX 76210
Physician Assistant
3200 COLORADO BLVD STE 101
DENTON, TX 76210
Durable Medical Equipment & Medical Supplies
3200 COLORADO BLVD STE 101
DENTON, TX 76210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285613653, enumerated as an "individual" on January 12, 2006.

The provider is located at 3200 COLORADO BLVD STE 101 DENTON, TX 76210 and the phone number is (940) 331-7222.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to verify.

Michael House is affiliated with: MEDICAL CITY DENTON, MUENSTER MEMORIAL HOSPITAL and METHODIST HOSPITAL FOR SURGERY.