SUSAN LANELLE GILLESPIE MD, PHD
NPI 1366522617
Pediatrics in Houston, TX

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
6621 FANNIN ST, HOUSTON, TX 77030(832) 822-1038(832) 825-1281 Get Directions Write a Review

NPPES record last updated: August 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Lanelle Gillespie Md, Phd NPPES

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

SUSAN LANELLE GILLESPIE MD, PHD (NPI 1366522617) is an individual pediatrics provider in Houston, Texas, licensed in Texas (M2960) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1997).

NPPES Registry Identity

NPI1366522617
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUSAN LANELLE GILLESPIECredential: MD, PHD
Location Address6621 FANNIN STHouston, TX 77030-2303
Mailing Address6621 Fannin StHouston, TX 77030-2303 · (832) 822-1038 · Fax (832) 825-1281
Fax(832) 825-1281
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1997
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 18, 2011
NPI 1366522617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TX · M2960
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6621 FANNIN ST, Houston, TX 77030

Other Identifiers 3

Medicare UPIN8G3648
Medicare UPINH18858
Medicaid178503201TX

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

Susan Lanelle Gillespie Md, Phd 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 ID7911912381
PECOS Enrollment IDI20060207000697
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.

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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Physical Therapist
6621 FANNIN ST
HOUSTON, TX 77030
Physician Assistant
6621 FANNIN ST
HOUSTON, TX 77030
Anesthesiology
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Endocrinology)
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Hematology-Oncology)
6621 FANNIN ST, MC 3-3320
HOUSTON, TX 77030

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 Susan Gillespie's NPI number?

The NPI number for Susan Gillespie is 1366522617. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Susan Gillespie located?

Susan Gillespie practices at 6621 Fannin St, Houston, TX 77030. The listed phone number is (832) 822-1038.

What is Susan Gillespie's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Susan Gillespie enrolled in Medicare?

Yes. Susan Gillespie 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 Susan Gillespie accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Moda Health Plan, Inc. and Molina Healthcare list Susan Gillespie 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.

When was this NPI record last updated?

The NPPES record for Susan Gillespie was last updated on August 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.