DR. MICHELINO SCARLATA M.D.
NPI 1508096413
Surgery in Houston, TX

Q: What is Michelino Scarlata's NPI number?

The NPI number for Michelino Scarlata is 1508096413. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Q: What is Michelino Scarlata's specialty?

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

Active since July 27, 2009PECOS EnrolledAccepts Medicare Assignment

99.14/100

CMS Quality Rating

18100 HOUSTON METHODIST DR STE 300, HOUSTON, TX 77058(832) 783-1190(281) 333-0180 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2019, May 10, 2016 (2 updates tracked since 2016).

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About Dr. Michelino Scarlata M.d. NPPES

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

DR. MICHELINO SCARLATA M.D. (NPI 1508096413) is an individual surgery provider in Houston, Texas, licensed in Texas (U6801) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Baytown Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1508096413

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. MICHELINO SCARLATACredential: M.D.

Location Address18100 HOUSTON METHODIST DR STE 300Houston, TX 77058-4603

Mailing Address18100 Houston Methodist Dr Ste 300Houston, TX 77058-4603 · (832) 783-1190 · Fax (281) 333-0180

Phone(832) 783-1190

Fax(281) 333-0180

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJuly 27, 2009

Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration

NPPES CertifiedMarch 11, 2024

✔ NPI 1508096413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in TX · U6801✔ Licensed in GA · 71283✔ Licensed in NM · MD2019-0775

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.

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 71283 (GA)

18100 HOUSTON METHODIST DR STE 300, Houston, TX 77058

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Other Identifiers 1

Medicaid004412600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare, WellPoint.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. Michelino Scarlata 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 ID4082750674

PECOS Enrollment IDI20231121001609

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 8

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 a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

31 services31 patients

X-ray of surgical specimen 76098

An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.

27 services25 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services24 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

22 services22 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.

22 services19 patients

Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm 14001

This procedure involves treating a wound on the body by moving skin from one area to another. The transferred skin, ranging from 10.1-30.0 sq cm, helps cover and heal the wound. It's a common way to promote healing for large or deep wounds.

16 services16 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 Baytown Hospital

Acute Care Hospitals · Baytown, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450424

Location4401 Garth RoadBaytown, TX 77521 · Harris County

Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450709

Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77058 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.

99.14/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

93.89

Promoting Interoperability

Improvement Activities

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.

DR. NATASHA BALDEV HIRANI DO, MPH

Internal Medicine (Medical Oncology)

18100 HOUSTON METHODIST DR STE 300
HOUSTON, TX 77058

Harris County (832) 783-1190

DR. JITESH JOSHI M.D.

Internal Medicine (Hematology & Oncology)

18100 HOUSTON METHODIST DR STE 300
HOUSTON, TX 77058

Harris County (832) 783-1190

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 Michelino Scarlata's NPI number?

The NPI number for Michelino Scarlata is 1508096413. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Where is Michelino Scarlata located?

Michelino Scarlata practices at 18100 Houston Methodist Dr Ste 300, Houston, TX 77058. The listed phone number is (832) 783-1190.

What is Michelino Scarlata's specialty?

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

Is Michelino Scarlata enrolled in Medicare?

Yes. Michelino Scarlata 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 Michelino Scarlata accept?

Health plans from Community Health Choice, Molina Healthcare and WellPoint list Michelino Scarlata 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 Michelino Scarlata affiliated with any hospitals?

According to CMS data, Michelino Scarlata is affiliated with Houston Methodist Baytown Hospital and Houston Methodist Clear Lake Hospital.

When was this NPI record last updated?

The NPPES record for Michelino Scarlata was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.