KEVIN D WHEELER MD
NPI 1497732267
Surgery in Houston, TX

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
1140 BUSINESS CENTER DR, 400, HOUSTON, TX 77043(713) 464-1981(713) 464-1131 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 25, 2024, Aug 20, 2018 (2 updates tracked since 2018).

About Kevin D Wheeler Md NPPES

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

KEVIN D WHEELER MD (NPI 1497732267) is an individual surgery provider in Houston, Texas, licensed in Texas (H2899) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Memorial City Hospital, and is a graduate of Baylor College Of Medicine (1991).

NPPES Registry Identity

NPI1497732267
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKEVIN D WHEELERCredential: MD
Location Address1140 BUSINESS CENTER DR, 400Houston, TX 77043
Mailing Address1140 Business Center Dr, 400Houston, TX 77043-2737 · (713) 464-1981 · Fax (713) 464-1131
Fax(713) 464-1131
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1991
Enumeration DateDecember 22, 2005
Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
NPI 1497732267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · H2899
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1140 BUSINESS CENTER DR, Houston, TX 77043

Other Identifiers 2

Other020015169TX · Medicare Rr
Medicaid039433001TX

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

Kevin D Wheeler Md 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 ID6204860877
PECOS Enrollment IDI20100920000952
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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
71 services71 patients
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.
50 services50 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.
47 services20 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
32 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Memorial Hermann Katy Hospital

Acute Care Hospitals · Katy, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450847
Location23900 Katy FreewayKaty, TX 77494 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77043 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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%63 patients5/55-star benchmark: 100%
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%102 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Specialist
1140 BUSINESS CENTER DR, SUITE #550
HOUSTON, TX 77043
Family Medicine
1140 BUSINESS CENTER DR, SUITE 200
HOUSTON, TX 77043
Internal Medicine (Cardiovascular Disease)
1140 BUSINESS CENTER DR, SUITE 500
HOUSTON, TX 77043
Urology
1140 BUSINESS CENTER DR
HOUSTON, TX 77043
Specialist
1140 BUSINESS CENTER DR, SUITE 200
HOUSTON, TX 77043
Neurological Surgery
1140 BUSINESS CENTER DR, SUITE 490
HOUSTON, TX 77043
Pediatrics (Pediatric Infectious Diseases)
1140 BUSINESS CENTER DR, SUITE 300
HOUSTON, TX 77043
Specialist
1140 BUSINESS CENTER DR, STE 550
HOUSTON, TX 77043

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 Kevin Wheeler's NPI number?

The NPI number for Kevin Wheeler is 1497732267. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Kevin Wheeler located?

Kevin Wheeler practices at 1140 Business Center Dr 400, Houston, TX 77043. The listed phone number is (713) 464-1981.

What is Kevin Wheeler's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kevin Wheeler enrolled in Medicare?

Yes. Kevin Wheeler 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 Kevin Wheeler accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Insurance Company list Kevin Wheeler 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 Kevin Wheeler affiliated with any hospitals?

According to CMS data, Kevin Wheeler is affiliated with Memorial Hermann Memorial City Hospital and Memorial Hermann Katy Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Wheeler was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.