DR. ADRIAN ANTONIO SANTAMARIA MD
NPI 1346444932
Psychiatry & Neurology - Neurology in Tomball, TX

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
455 SCHOOL ST, STE 20, TOMBALL, TX 77375(281) 357-5678(281) 357-8765 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Adrian Antonio Santamaria Md NPPES

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

DR. ADRIAN ANTONIO SANTAMARIA MD (NPI 1346444932) is an individual neurology provider in Tomball, Texas, licensed in Texas (N0433) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of University Of Texas Medical School At Houston (2003).

NPPES Registry Identity

NPI1346444932
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ADRIAN ANTONIO SANTAMARIACredential: MD
Location Address455 SCHOOL ST, STE 20Tomball, TX 77375-4595
Mailing Address455 School St, Ste 20Tomball, TX 77375-4595 · (281) 357-5678 · Fax (281) 357-8765
Fax(281) 357-8765
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2003
Enumeration DateJune 14, 2007
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1346444932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in TX · N0433
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License N0433 (TX)
455 SCHOOL ST, Tomball, TX 77375

Other Identifiers 1

Medicaid1643444932TX

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

Dr. Adrian Antonio Santamaria 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 ID6901971480
PECOS Enrollment IDI20080818000674
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 16

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.
708 services407 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
666 services126 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
143 services109 patients
Measurement of brain wave activity with video (veeg), 12-26 hours with intermittent monitoring 95715
This procedure involves recording your brain's electrical activity for 12-26 hours using electrodes attached to your scalp. It's paired with video monitoring to observe behavior during potential seizures or other neurological events. It's safe and non-invasive.
109 services36 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
92 services49 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.
77 services77 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Tomball

Acute Care Hospitals · Tomball, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450670
Location605 HolderriethTomball, TX 77375 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77375 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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost88.33

Reported Quality Measures

Coronary Artery Disease (CAD): Antiplatelet Therapy
100%25 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,494 patients5/55-star benchmark: 100%
Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy
100%157 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,559 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%1,700 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 892 patients
Patients screened: 100% · 892 patients
100%52 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 100% · 892 patients
Patients screened: 100% · 892 patients
100%35 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 16

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
18 suppliers411 claims411 services$33.40 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers288 claims288 services$75.21 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers295 claims829 services$28.43 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers107 claims578 services$15.22 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
11 suppliers93 claims523 services$12.17 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
16 suppliers206 claims206 services$45.17 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 20

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

Internal Medicine
455 SCHOOL ST, SUITE 27
TOMBALL, TX 77375
Pediatrics
455 SCHOOL ST, STE 26
TOMBALL, TX 77375
Nurse Practitioner (Family)
455 SCHOOL ST, SUITE 44
TOMBALL, TX 77375
Obstetrics & Gynecology
455 SCHOOL ST, SUITE 29
TOMBALL, TX 77375
Occupational Therapy Assistant
455 SCHOOL ST
TOMBALL, TX 77375
Obstetrics & Gynecology
455 SCHOOL ST, SUITE 29
TOMBALL, TX 77375
Orthopaedic Surgery
455 SCHOOL ST, SUITE 24
TOMBALL, TX 77375
Social Worker (Clinical)
455 SCHOOL ST, SUITE 14
TOMBALL, TX 77375

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 Adrian Santamaria's NPI number?

The NPI number for Adrian Santamaria is 1346444932. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Adrian Santamaria located?

Adrian Santamaria practices at 455 School St Ste 20, Tomball, TX 77375. The listed phone number is (281) 357-5678.

What is Adrian Santamaria's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Adrian Santamaria enrolled in Medicare?

Yes. Adrian Santamaria 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 Adrian Santamaria accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Adrian Santamaria 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 Adrian Santamaria affiliated with any hospitals?

According to CMS data, Adrian Santamaria is affiliated with Memorial Hermann - Texas Medical Center, Hca Houston Healthcare Tomball, Hca Houston Healthcare Kingwood and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Adrian Santamaria was last updated on March 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.