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DR. FREDERICK E RUSHFORD M.D.
NPI 1366440265
Internal Medicine - Endocrinology, Diabetes & Metabolism in Cypress, TX

Active since July 13, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0492837 · Waiver
10.84/100
CMS Quality Rating
21212 NORTHWEST FWY, SUITE 345, CYPRESS, TX 77429(281) 897-8827(281) 894-2829 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Frederick E Rushford M.d. NPPES

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

DR. FREDERICK E RUSHFORD M.D. (NPI 1366440265) is an individual endocrinology, diabetes & metabolism provider in Cypress, Texas, licensed in Texas (G1528) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is affiliated with Hca Houston Healthcare Tomball.

NPPES Registry Identity

NPI1366440265
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. FREDERICK E RUSHFORDCredential: M.D.
Location Address21212 NORTHWEST FWY, SUITE 345Cypress, TX 77429-5884
Mailing Address21212 Northwest Fwy, Suite 345Cypress, TX 77429-5884 · (281) 897-8827 · Fax (281) 894-2829
Phone(281) 897-8827
Fax(281) 894-2829
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1980
Enumeration DateJuly 13, 2005
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1366440265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · G1528
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
21212 NORTHWEST FWY, Cypress, TX 77429
Open in Google Maps ↗

Other Identifiers 4

Other080010027TX · Medicare Rr
Other00GF88TX · Ptan
Other45D0492837TX · Clia #
Medicaid033581201TX

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. Frederick E Rushford 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 ID8224020391
PECOS Enrollment IDI20040330001783
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0492837

Frederick Rushford MD · Cypress, TX
Active · expires Aug 31, 2026
CLIA Number45D0492837
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorFrederick E. Rushford MD
Laboratory Phone(281) 894-0177
Laboratory LocationFrederick Rushford MD21212 Northwest Freeway, Cypress, TX 77429
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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 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.
706 services239 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
681 services114 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
635 services289 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
252 services155 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
128 services115 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
70 services26 patients

Hospital Affiliations CMS Care Compare 3

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

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 77429 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.

10.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost36.14

Referred Medical Equipment & Supplies CMS DME claims 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers22 claims286 services$17.95 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers21 claims640 services$2.36 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers17 claims17 services$173.31 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
64 suppliers225 claims818 services$6.02 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
6 suppliers21 claims22 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
31 suppliers87 claims157 services$1.10 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.

HARPAUL SINGH GILL MD
Psychiatry & Neurology (Neurology)
21212 NORTHWEST FWY, SUITE 515
CYPRESS, TX 77429
Harris County (832) 912-7777
DR. JULIUS ANTHONY DEBROECK JR. MD
Family Medicine
21212 NORTHWEST FWY, #225
CYPRESS, TX 77429
Harris County (281) 469-8414
CYPRESS FOOT AND ANKLE
Podiatrist
21212 NORTHWEST FWY, SUITE 215
CYPRESS, TX 77429
Harris County (281) 596-7224
NORTH CYPRESS CLINIC ASSOCIATES, PA
Internal Medicine
21212 NORTHWEST FWY, SUITE 335
CYPRESS, TX 77429
Harris County (281) 664-0093
DR. HARCHARAN SINGH NARANG M.D.
Internal Medicine
21212 NORTHWEST FWY, STE 335
CYPRESS, TX 77429
Harris County (281) 664-0093
DR. JOSEPH SAMUEL MONTGOMERY III MD
Obstetrics & Gynecology
21212 NORTHWEST FWY, SUITE 315
CYPRESS, TX 77429
Harris County (281) 955-5300
CY-FAIR BONE & JOINT, LLP
Orthopaedic Surgery (Sports Medicine)
21212 NORTHWEST FWY, SUITE 605
CYPRESS, TX 77429
Harris County (281) 664-2107
DR. SARABJEET K SINGH O.D.
Optometrist
21212 NORTHWEST FWY, SUITE 565
CYPRESS, TX 77429
Harris County (281) 890-7444

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 Frederick Rushford's NPI number?

The NPI number for Frederick Rushford is 1366440265. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Frederick Rushford located?

Frederick Rushford practices at 21212 Northwest Fwy Suite 345, Cypress, TX 77429. The listed phone number is (281) 897-8827.

What is Frederick Rushford's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Frederick Rushford enrolled in Medicare?

Yes. Frederick Rushford 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.

Does Frederick Rushford hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0492837) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Frederick Rushford affiliated with any hospitals?

According to CMS data, Frederick Rushford is affiliated with Hca Houston Healthcare Tomball, Hca Houston Healthcare Kingwood and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Frederick Rushford was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.