1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Surgery
  6. NPI Profile

PABLO PADILLA M.D.
NPI 1407205941
Surgery - Plastic and Reconstructive Surgery in Houston, TX

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment
98.85/100
CMS Quality Rating
13300 HARGRAVE RD BLDG SUITE450, HOUSTON, TX 77070(281) 737-4560 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2025, Oct 4, 2022, Aug 11, 2022 (3 updates tracked since 2022).

About Pablo Padilla M.d. NPPES

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

PABLO PADILLA M.D. (NPI 1407205941) is an individual plastic and reconstructive surgery provider in Houston, Texas, licensed in Texas (T3355) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1407205941
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NamePABLO PADILLACredential: M.D.
Location Address13300 HARGRAVE RD BLDG SUITE450Houston, TX 77070-4373
Mailing Address5900 Balcones Dr Ste 100Austin, TX 78731-4298
Phone(281) 737-4560
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateMay 31, 20253 updates tracked since enumeration
NPPES CertifiedMay 31, 2025
✔ NPI 1407205941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · T3355
Definition
A surgeon who specializes in plastic and reconstructive surgery.
13300 HARGRAVE RD BLDG SUITE450, Houston, TX 77070
Open in Google Maps ↗

Secondary Practice Location 1

Location 16560 Fannin St Ste 2200Houston, TX 77030-2715 · Phone (713) 441-6100

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

Pablo Padilla 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 ID5496033144
PECOS Enrollment IDI20220726002238
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 2

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.

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.
34 services34 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.
33 services21 patients

Hospital Affiliations CMS Care Compare 2

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 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

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.

98.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

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 Pablo Padilla's NPI number?

The NPI number for Pablo Padilla is 1407205941. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Pablo Padilla located?

Pablo Padilla practices at 13300 Hargrave Rd Bldg Suite450, Houston, TX 77070. The listed phone number is (281) 737-4560.

What is Pablo Padilla's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Pablo Padilla enrolled in Medicare?

Yes. Pablo Padilla 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 Pablo Padilla accept?

Health plans from Community Health Choice and Molina Healthcare list Pablo Padilla 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 Pablo Padilla affiliated with any hospitals?

According to CMS data, Pablo Padilla is affiliated with Houston Methodist Hospital and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Pablo Padilla was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.