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DR. MARK MENEFEE METTAUER M.D.
NPI 1427043967
Thoracic Surgery (Cardiothoracic Vascular Surgery) in The Woodlands, TX

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
17450 ST LUKES WAY STE 290, THE WOODLANDS, TX 77384(936) 283-0264(936) 828-2498 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2019, Sep 4, 2019, Dec 23, 2015 (3 updates tracked since 2015).

About Dr. Mark Menefee Mettauer M.d. NPPES

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

DR. MARK MENEFEE METTAUER M.D. (NPI 1427043967) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in The Woodlands, Texas, licensed in Texas (K6486) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's The Woodlands Hospital, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (1997).

NPPES Registry Identity

NPI1427043967
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. MARK MENEFEE METTAUERCredential: M.D.
Location Address17450 ST LUKES WAY STE 290The Woodlands, TX 77384-8045
Mailing AddressPo Box 4248 Department 315Houston, TX 77210-4248 · (936) 283-0264 · Fax (936) 828-2498
Phone(936) 283-0264
Fax(936) 828-2498
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 1997
Enumeration DateSeptember 12, 2005
Last NPPES UpdateSeptember 25, 20193 updates tracked since enumeration
✔ NPI 1427043967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in TX · K6486
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License K6486 (TX)
17450 ST LUKES WAY STE 290, The Woodlands, TX 77384
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Other Identifiers 1

Medicaid1560930-03TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Mark Menefee Mettauer 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 ID3779565106
PECOS Enrollment IDI20160106000425
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 9

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.

Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
57 services57 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.
36 services20 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
21 services20 patients
Exclusion of appendage of left upper chamber of heart performed during other procedure on chest 33268
This is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.
20 services19 patients
Removal of blood clot and portion of chest, neck, or brain artery 35301
This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.
20 services18 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77384 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

SHANNON FAGAN DOMANGUE PA-C
Physician Assistant
17450 ST LUKES WAY STE 290
THE WOODLANDS, TX 77384
Montgomery County (281) 296-8500
PREMIER SURGEONS MANAGEMENT, LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
17450 ST LUKES WAY STE 290
THE WOODLANDS, TX 77384
Montgomery County (936) 283-0264

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 Mark Mettauer's NPI number?

The NPI number for Mark Mettauer is 1427043967. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Mark Mettauer located?

Mark Mettauer practices at 17450 St Lukes Way Ste 290, The Woodlands, TX 77384. The listed phone number is (936) 283-0264.

What is Mark Mettauer's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Mark Mettauer enrolled in Medicare?

Yes. Mark Mettauer 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 Mark Mettauer accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Mark Mettauer 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 Mark Mettauer affiliated with any hospitals?

According to CMS data, Mark Mettauer is affiliated with St Luke's The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Mark Mettauer was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.