PRIYA RAO MD
NPI 1346333481
Pathology - Anatomic Pathology in Houston, TX

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Priya Rao Md NPPES

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

PRIYA RAO MD (NPI 1346333481) is an individual anatomic pathology provider in Houston, Texas, licensed in Texas (M9544) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1346333481
Entity TypeIndividualFemale
Primary Taxonomy207ZP0101X
Provider Legal NamePRIYA RAOCredential: MD
Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4009
Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 2, 2006
Last NPPES UpdateApril 11, 2012
NPI 1346333481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License Licensed in TX · M9544
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1515 HOLCOMBE BLVD, Houston, TX 77030

Other Identifiers 4

Other8U9724TX · Bcbs
Medicare PIN8L14202TX
OtherP00729516TX · Rr Medicare
Medicaid202897901TX

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

Priya Rao 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 ID5890846539
PECOS Enrollment IDI20090619000370
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 9

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
254 services62 patients
Surgical pathology consultation and report on referred slides prepared elsewhere 88321
A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.
215 services214 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
157 services96 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
121 services63 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
68 services65 patients
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416
This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.
59 services59 patients

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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

Other Providers at the Same Location NPPES 19

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

Ophthalmology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Legal Medicine
1515 HOLCOMBE BLVD, UNIT 1414
HOUSTON, TX 77030
Clinical Neuropsychologist
1515 HOLCOMBE BLVD, MD ANDERSON DEPT OF NEURO-ONCOLOGY BOX 431
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Hematology & Oncology)
1515 HOLCOMBE BLVD, UNIT 426
HOUSTON, TX 77030
Internal Medicine (Rheumatology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine
1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346333481, enumerated as an "individual" on October 02, 2006.

The provider is located at 1515 HOLCOMBE BLVD HOUSTON, TX 77030 and the phone number is (713) 792-6161.

Pathology with taxonomy code 207ZP0101X and a focus in Anatomic Pathology.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.