MR. ALEXANDER J SHUPP PA
NPI 1457740664
Physician Assistant in Houston, TX

Active since January 12, 2015PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
1504 TAUB LOOP, HOUSTON, TX 77030(713) 798-1750(713) 798-4693 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 19, 2022, Jan 10, 2022, Mar 17, 2017 (3 updates tracked since 2017).

About Mr. Alexander J Shupp Pa NPPES

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

MR. ALEXANDER J SHUPP PA (NPI 1457740664) is an individual physician assistant in Houston, Texas, licensed in Texas (PA15968) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1457740664
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ALEXANDER J SHUPPCredential: PA
Location Address1504 TAUB LOOPHouston, TX 77030-1608
Mailing Address1504 Taub LoopHouston, TX 77030-1608 · (713) 798-1750 · Fax (713) 798-4693
Fax(713) 798-4693
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2014
Enumeration DateJanuary 12, 2015
Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
NPI 1457740664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in TX · PA15968 Licensed in GA · 7471
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1504 TAUB LOOP, Houston, TX 77030

Secondary Practice Location 1

Location 13650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Comprehensive Medical CenterDuluth, GA 30096-4506 · Phone (770) 931-6012

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

Mr. Alexander J Shupp Pa 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 ID9436477148
PECOS Enrollment IDI20150409000398
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

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

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
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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.

Internal Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP, EMERGENCY CENTER
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Obstetrics & Gynecology
1504 TAUB LOOP
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Internal Medicine
1504 TAUB LOOP
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 Alexander Shupp's NPI number?

The NPI number for Alexander Shupp is 1457740664. It was assigned to this individual provider in the NPPES registry on January 12, 2015.

Where is Alexander Shupp located?

Alexander Shupp practices at 1504 Taub Loop, Houston, TX 77030. The listed phone number is (713) 798-1750.

What is Alexander Shupp's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexander Shupp enrolled in Medicare?

Yes. Alexander Shupp 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.

Is Alexander Shupp affiliated with any hospitals?

According to CMS data, Alexander Shupp is affiliated with Emory University Hospital Midtown, Saint Joseph's Hospital Of Atlanta, Inc and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Alexander Shupp was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.