DR. SELBY BRENT OBERTON M.D.
NPI 1437395415
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Houston, TX
Quality Rating: 89.7 out of 100 score
NPI Status: Active since December 23, 2008
Contact Information
7200 CAMBRIDGE ST
HOUSTON, TX
ZIP 77030
Phone: (713) 798-1750
Fax: (713) 798-4693
- Individual
- Male
- Years of Experience 18
- Internal Medicine
- Advanced Heart Failure and Transplant Ca...
- PECOS Enrolled
- Accepts Medicare Approved Payment
About SELBY OBERTON
Selby Oberton is an internist established in Houston, Texas and his medical specialization is Internal Medicine with a focus in advanced heart failure and transplant cardiology with more than 18 years of experience. He graduated from University Of Texas Medical Branch At Galveston in 2006. The healthcare provider is registered in the NPI registry with number 1437395415 assigned on December 2008. The practitioner's primary taxonomy code is 207RA0001X with license number P6481 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago.
NPI | 1437395415 |
Provider Name | DR. SELBY BRENT OBERTON M.D. |
Location Address | 7200 CAMBRIDGE ST HOUSTON, TX 77030 |
Location Phone | (713) 798-1750 |
Mailing Address | 7200 CAMBRIDGE ST HOUSTON, TX 77030 |
Gender | Male |
Entity Type | Individual |
Medical School Name | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
Graduation Year | 2006 |
Is Sole Proprietor? | No |
Enumeration Date | 12-23-2008 |
Last Update Date | 08-18-2022 |
Code Navigator |
An internist like Selby Oberton is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Selby Oberton is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.81 for a new patient copayment and $26.91 for an established patient copayment.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Advanced Heart Failure and Transplant Cardiology
- Taxonomy Code
- 207RA0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- P6481
- License State
- TX
- Taxonomy Description
- Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Location Map
Mailing Address
7200 CAMBRIDGE ST
HOUSTON, TX
ZIP 77030
Phone: (713) 798-1750
Fax: (713) 798-4693
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | P6481 (TX) |
PECOS Enrollment and Medicare Participation Status
Selby Oberton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8729215389
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20131206000176
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 77030 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $139.27
- Minimum New Patient Price $60.64
- Maximum New Patient Price $183.87
- Average New Patient Copayment $34.81
- Minimum New Patient Copayment $15.16
- Maximum New Patient Copayment $45.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $107.65
- Minimum Established Patient Price $18.93
- Maximum Established Patient Price $150.28
- Average Established Patient Copayment $26.91
- Minimum Established Patient Copayment $4.73
- Maximum Established Patient Copayment $37.57
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 89.7 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 92.02
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 78.97
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Clinician Services
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 271
Evaluation of lower heart chamber assist device with physician analysis (HCPCS:93750)
- 18
Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
Hospital Affiliations
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Selby Oberton is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE ME | 6720 BERTNER AVE, STE MC1-266 HOUSTON, TX 77030 | (832) 355-1000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 3 | 7 | 3 | 9 | 5 | 4 | 1 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 6 | 7 | 6 | 9 | 10 | 4 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 6 + 7 + 6 + 9 + 1 + 0 + 4 + 2 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1437395415 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1346682382 | BAYLOR COLLEGE OF MEDICINE Organization | General Acute Care Hospital | 7200 CAMBRIDGE ST HOUSTON, TX 77030 (713) 798-2000 |
1629034236 | MS. AMANDA SMITH PA-C Individual | Physician Assistant | 7200 CAMBRIDGE ST STE. 10A, BCM 616 HOUSTON, TX 77030 (713) 986-5536 |
1316359193 | SAMANTHA BURTON Individual | Specialist/Technologist (Athletic Trainer) | 7200 CAMBRIDGE ST SUITE 10A HOUSTON, TX 77030 (713) 986-6024 |
1063825800 | DR. FRIEDRICH-CARL EBERHARD VON RUNDSTEDT M.D. Individual | Student in an Organized Health Care Education/Training Program | 7200 CAMBRIDGE ST BAYLOR COLLEGE OF MEDICINE DEPARTMENT OF UROLOGY HOUSTON, TX 77030 (713) 798-6841 |
1932593381 | ANTHONY M. BRADSHAW M.D. Individual | Internal Medicine | 7200 CAMBRIDGE ST 9TH FLOOR HOUSTON, TX 77030 (713) 798-2273 |
1689820581 | MEGHAN ELIZABETH MCKAY ATC, LAT Individual | Specialist/Technologist (Athletic Trainer) | 7200 CAMBRIDGE ST SUITE 10A HOUSTON, TX 77030 (713) 986-6029 |
1659733715 | MR. DEREK STEPHEN LU Individual | Student in an Organized Health Care Education/Training Program | 7200 CAMBRIDGE ST SUITE 9A HOUSTON, TX 77030 (713) 798-4696 |
1194103275 | SHERRY IGBINIGIE MD Individual | Physical Medicine & Rehabilitation | 7200 CAMBRIDGE ST SUITE 10C HOUSTON, TX 77030 (713) 798-3518 |
1730539396 | LORENZO DE RAMA DEVEZA M.D., PH.D. Individual | Orthopaedic Surgery | 7200 CAMBRIDGE ST SUITE 10A HOUSTON, TX 77030 (925) 413-0414 |
1992029979 | DR. RICHA SHUKLA Individual | Internal Medicine (Gastroenterology) | 7200 CAMBRIDGE ST SUITE 10C HOUSTON, TX 77030 (713) 798-0946 |
1225537939 | BAYLOR COLLEGE OF MEDICINE Organization | Clinical Medical Laboratory | 7200 CAMBRIDGE ST HOUSTON, TX 77030 (713) 798-1000 |
1225532641 | SHONDA D. HAWKINS A-GNP-C Individual | Nurse Practitioner (Adult Health) | 7200 CAMBRIDGE ST 8TH FLOOR, SUITE 8A HOUSTON, TX 77030 (713) 798-6673 |
1447749759 | CHARLES HYMAN MD Individual | Student in an Organized Health Care Education/Training Program | 7200 CAMBRIDGE ST HOUSTON, TX 77030 (713) 798-5588 |
1386965689 | DR. HA THUY CAM NGUYEN MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 7200 CAMBRIDGE ST HOUSTON, TX 77030 (713) 798-4736 |
1841756830 | JARED A HOWELL CPO, LPO Individual | Prosthetist | 7200 CAMBRIDGE ST HOUSTON, TX 77030 (713) 798-3093 |
1578025417 | ANGELINE JOHNY Individual | Student in an Organized Health Care Education/Training Program | 7200 CAMBRIDGE ST HOUSTON, TX 77030 (713) 798-7303 |
1770142721 | ASHLEE BYRNES MSGENETIC COUNSELING Individual | Genetic Counselor, MS | 7200 CAMBRIDGE ST 9TH FLOOR, SUITE 9A HOUSTON, TX 77030 (713) 798-7764 |
1356989578 | SUBIN GEORGE VALAYIL Individual | Physician Assistant | 7200 CAMBRIDGE ST HOUSTON, TX 77030 (713) 798-6376 |
1669918082 | CLARISSA MORENCY RD, LD Individual | Dietitian, Registered | 7200 CAMBRIDGE ST HOUSTON, TX 77030 (713) 798-4179 |
1922634849 | SAMANTHA FERNANDEZ Individual | Student in an Organized Health Care Education/Training Program | 7200 CAMBRIDGE ST HOUSTON, TX 77030 (713) 798-6151 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437395415, enumerated in the NPI registry as an "individual" on December 23, 2008
The provider is located at 7200 Cambridge St Houston, Tx 77030 and the phone number is (713) 798-1750
The provider's speciality is Internal Medicine with taxonomy code 207RA0001X with a focus in Advanced Heart Failure and Transplant Cardiology
The provider has more than 18 years of experience. He graduated from University Of Texas Medical Branch At Galveston in 2006.
Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
Medicare beneficiaries should expect a typical cost of $139.27 with an average copayment of $34.81 for new patient appointments. Established patients should expect a typical charge of $107.65 and an average copayment of 26.91. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Evaluation of lower heart chamber assist device with physician analysis and Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report.
The practitioner is affiliated to the following hospital(s): CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE ME. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on December 23, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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