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ROBERT S MCFADDEN M.D.
NPI 1356379150
Internal Medicine - Gastroenterology in Houston, TX

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
6445 MAIN STREET, OPC 22, HOUSTON, TX 77030(713) 441-4345 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2018, Feb 23, 2016 (2 updates tracked since 2016).

About Robert S Mcfadden M.d. NPPES

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

ROBERT S MCFADDEN M.D. (NPI 1356379150) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (E8706) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1356379150
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameROBERT S MCFADDENCredential: M.D.
Location Address6445 MAIN STREET, OPC 22Houston, TX 77030
Mailing Address6445 Main Street, Opc 22Houston, TX 77030 · (713) 441-4345
Phone(713) 441-4345
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJune 29, 2006
Last NPPES UpdateSeptember 14, 20182 updates tracked since enumeration
✔ NPI 1356379150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in TX · E8706✔ Licensed in OK · 16082
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6445 MAIN STREET, Houston, TX 77030
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Other Identifiers 3

Other8EE316TX · Blue Cross Blue Shield
Medicaid039895008TX
Medicaid039895009TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare.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

Robert S Mcfadden 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 ID7416903000
PECOS Enrollment IDI20050328000176
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
345 services112 patients
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.
203 services140 patients
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.
113 services67 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
59 services55 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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 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

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670077
Location18500 Katy FreewayHouston, TX 77094 · Harris County
Emergency services Birthing friendly

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers60 claims9,990 services$0.31 avg. paid by Medicare
Everolimus, oral, 0.25 mg J7527
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers26 claims5,040 services$3.86 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers53 claims53 services$17.82 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
8 suppliers50 claims54 services$12.15 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 12

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

JASLEEN KAUR RANDHAWA M.D
Internal Medicine (Hematology & Oncology)
6445 MAIN STREET, OPC24
HOUSTON, TX 77030
Harris County (713) 441-9948
DR. SUDHA KODALI MBBS
Internal Medicine
6445 MAIN STREET, OPC 22
HOUSTON, TX 77030
Harris County (713) 441-4345
JUN ZHANG MD
Internal Medicine (Hematology & Oncology)
6445 MAIN STREET, OPC 24
HOUSTON, TX 77030
Harris County (713) 441-9948
ARLENE SCORSONE
Nurse Practitioner (Acute Care)
6445 MAIN STREET, OPC - 22ND FLR. SUITE 22.001
HOUSTON, TX 77030
Harris County (713) 441-4345
TAMNEET BASRA MD
Internal Medicine (Gastroenterology)
6445 MAIN STREET, OUTPATIENT CENTER, FLOOR 22
HOUSTON, TX 77030
Harris County (713) 441-4345
DR. DAVID W VICTOR III M.D.
Internal Medicine (Transplant Hepatology)
6445 MAIN STREET, OPC 22
HOUSTON, TX 77030
Harris County (137) 441-4345
LONI SAVAGE AGACNP
Nurse Practitioner (Acute Care)
6445 MAIN STREET, OPC 24
HOUSTON, TX 77030
Harris County (713) 441-9948
DR. SIDDHARTHA GANGULY M.D.
Internal Medicine (Hematology)
6445 MAIN STREET, OPC FLOOR 24
HOUSTON, TX 77030
Harris County (713) 441-9948

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 Robert Mcfadden's NPI number?

The NPI number for Robert Mcfadden is 1356379150. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Robert Mcfadden located?

Robert Mcfadden practices at 6445 Main Street Opc 22, Houston, TX 77030. The listed phone number is (713) 441-4345.

What is Robert Mcfadden's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Robert Mcfadden enrolled in Medicare?

Yes. Robert Mcfadden 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 Robert Mcfadden accept?

Health plans from Community Health Choice and Molina Healthcare list Robert Mcfadden 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 Robert Mcfadden affiliated with any hospitals?

According to CMS data, Robert Mcfadden is affiliated with Houston Methodist Hospital, Houston Methodist Clear Lake Hospital, Houston Methodist Sugarland Hospital, Houston Methodist West Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Robert Mcfadden was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.