ALEXANDER B SIMONETTA M.D.
NPI 1548215726
Radiology - Diagnostic Radiology in Houston, TX

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6411 FANNIN ST, HOUSTON, TX 77030(713) 500-7700(713) 704-5734 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alexander B Simonetta M.d. NPPES

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

ALEXANDER B SIMONETTA M.D. (NPI 1548215726) is an individual diagnostic radiology provider in Houston, Texas, licensed in Texas (K6328) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (1992).

NPPES Registry Identity

NPI1548215726
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameALEXANDER B SIMONETTACredential: M.D.
Location Address6411 FANNIN STHouston, TX 77030-1501
Mailing AddressPo Box 201088Houston, TX 77216-1088 · (713) 500-3500
Fax(713) 704-5734
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1992
Enumeration DateMay 24, 2006
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
NPI 1548215726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · K6328
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
6411 FANNIN ST, Houston, TX 77030

Other Identifiers 3

Other046508005TX · Cshcn
Medicaid046508002TX
Other8S7136TX · Bcbstx

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

Alexander B Simonetta 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 ID6608885389
PECOS Enrollment IDI20060406000663
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 12

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
248 services237 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
68 services66 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
54 services52 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
30 services30 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
28 services25 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris 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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Radiology (Diagnostic Radiology)
6411 FANNIN ST
HOUSTON, TX 77030
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Anesthesiologist Assistant
6411 FANNIN ST
HOUSTON, TX 77030
Dentist (General Practice)
6411 FANNIN ST
HOUSTON, TX 77030
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Anesthesiology
6411 FANNIN ST
HOUSTON, TX 77030
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
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 Simonetta's NPI number?

The NPI number for Alexander Simonetta is 1548215726. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Alexander Simonetta located?

Alexander Simonetta practices at 6411 Fannin St, Houston, TX 77030. The listed phone number is (713) 500-7700.

What is Alexander Simonetta's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Alexander Simonetta enrolled in Medicare?

Yes. Alexander Simonetta 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 Alexander Simonetta accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Alexander Simonetta 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 Alexander Simonetta affiliated with any hospitals?

According to CMS data, Alexander Simonetta is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System and Harris Health System.

When was this NPI record last updated?

The NPPES record for Alexander Simonetta was last updated on January 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.