RICHARD ANDRES PEDROZA M.D.
NPI 1528402823
Family Medicine in Tomball, TX

Q: What is Richard Pedroza's NPI number?

The NPI number for Richard Pedroza is 1528402823. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Q: What is Richard Pedroza's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Pedroza was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 17, 2013PECOS Enrolled

72.39/100

CMS Quality Rating

888 GRAHAM DR, TOMBALL, TX 77375(832) 684-3909(877) 409-4140 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2025, Feb 20, 2025, Aug 25, 2016 (3 updates tracked since 2016).

On this page

About Richard Andres Pedroza M.d. NPPES

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

RICHARD ANDRES PEDROZA M.D. (NPI 1528402823) is an individual family medicine provider in Tomball, Texas, licensed in Texas (Q9001) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Tomball, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1528402823

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRICHARD ANDRES PEDROZACredential: M.D.

Location Address888 GRAHAM DRTomball, TX 77375-3322

Mailing Address888 Graham DrTomball, TX 77375-3322 · (832) 684-3909 · Fax (877) 409-4140

Phone(832) 684-3909

Fax(877) 409-4140

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateApril 17, 2013

Last NPPES UpdateJune 26, 20263 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1528402823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · Q9001

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License Q9001 (TX)

888 GRAHAM DR, Tomball, TX 77375

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Andres Pedroza M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789978149

PECOS Enrollment IDI20160808001003

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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Pedroza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Agp Family Health Clinic Corp

Same address

Family Medicine

888 GRAHAM DR
Tomball, TX 77375

Reassigned Medicare billing, Texas enrollment

NPI 1760140313 (832) 684-3909

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

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.

86 services45 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

73 services12 patients

Measurement of brain wave activity with video (veeg), 12-26 hours with intermittent monitoring 95715

This procedure involves recording your brain's electrical activity for 12-26 hours using electrodes attached to your scalp. It's paired with video monitoring to observe behavior during potential seizures or other neurological events. It's safe and non-invasive.

62 services21 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

49 services12 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.

45 services25 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

40 services19 patients

Measurement of brain wave activity with video (veeg), more than 84 hours with review and report by health care professional 95726

This procedure, called a Video EEG, records your brain activity for over 84 hours. It combines video recording with EEG, a test that detects electrical activity in the brain. The data is then reviewed by a healthcare professional who provides a detailed report.

40 services20 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.

34 services33 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

29 services21 patients

Measurement of brain wave activity (eeg), continuous 95700

Measurement of brain wave activity, or EEG, is a non-invasive procedure that records electrical patterns in your brain. This continuous monitoring helps to identify irregularities in brain function, aiding in diagnosis of conditions like epilepsy.

21 services21 patients

Measurement of brain wave activity with video (veeg), 2-12 hours with intermittent monitoring 95712

This procedure records brain wave activity using video electroencephalography (VEEG). Over 2-12 hours, sensors on your head capture brain signals while a camera monitors physical activity. This helps identify any unusual patterns or events.

20 services20 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

20 services18 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Tomball

Acute Care Hospitals · Tomball, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450670

Location605 HolderriethTomball, TX 77375 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77375 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

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

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.

72.39/100

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

Scored as part of a group practice

Quality

67.52

Improvement Activities

Other Providers at the Same Location NPPES 3

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

KATHY MACNAK MSN, FNP

Nurse Practitioner (Family)

888 GRAHAM DR, STE 100
TOMBALL, TX 77375

Harris County (574) 253-1728

AGP FAMILY HEALTH CLINIC CORP

Family Medicine

888 GRAHAM DR
TOMBALL, TX 77375

Harris County (832) 684-3909

M O D & ASSOCIATES INC

Nurse Practitioner (Family)

888 GRAHAM DR, STE 100
TOMBALL, TX 77375

Harris County (574) 253-1728

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 Richard Pedroza's NPI number?

The NPI number for Richard Pedroza is 1528402823. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Richard Pedroza located?

Richard Pedroza practices at 888 Graham Dr, Tomball, TX 77375. The listed phone number is (832) 684-3909.

What is Richard Pedroza's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Richard Pedroza enrolled in Medicare?

Yes. Richard Pedroza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Pedroza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Pedroza reassigns Medicare benefits to Agp Family Health Clinic Corp (Tomball, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Pedroza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Pedroza 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 7 other insurers list Richard Pedroza 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 Richard Pedroza affiliated with any hospitals?

According to CMS data, Richard Pedroza is affiliated with Hca Houston Healthcare Tomball.

When was this NPI record last updated?

The NPPES record for Richard Pedroza was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.