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ADRIANA MARIA KNOPFELMACHER COUCHONAL M.D.
NPI 1629328877
Pathology - Anatomic Pathology & Clinical Pathology in Houston, TX

Active since September 14, 2012PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2020, Aug 13, 2019, Nov 9, 2016 and 2 more (5 updates tracked since 2016).

About Adriana Maria Knopfelmacher Couchonal M.d. NPPES

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

ADRIANA MARIA KNOPFELMACHER COUCHONAL M.D. (NPI 1629328877) is an individual anatomic pathology & clinical pathology provider in Houston, Texas, licensed in Texas (R7793) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629328877
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameADRIANA MARIA KNOPFELMACHER COUCHONALCredential: M.D.
Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4000
Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991
Phone(713) 792-6161
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 14, 2012
Last NPPES UpdateDecember 14, 20205 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
✔ NPI 1629328877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in TX · R7793✔ Licensed in NC · 2016-00404
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1515 HOLCOMBE BLVD, Houston, TX 77030
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Secondary Practice Location 1

Location 1600 Moye BlvdGreenville, NC 27834-4300 · Phone (252) 744-2803 · Fax (252) 744-3616

Other Identifiers 5

OtherBCBSNCNC · 19j35
Medicaid1629328877NC
Other8JZ631TX · Bcbs
Other393822702TX · Cshcn
Medicaid393822701TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Adriana Maria Knopfelmacher Couchonal 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 ID5395036818
PECOS Enrollment IDI20190102001284
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 4

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.

Blood bank physician services for cross match and/or evaluation and written report 86077
Blood bank physician services for cross match involve testing your blood against donor blood to ensure compatibility before a transfusion. The evaluation includes a detailed analysis of your blood type and antibodies. A written report will be provided, summarizing the findings.
392 services229 patients
Blood bank physician services with written report 86079
A blood bank physician service involves a specialized doctor overseeing all aspects of blood collection, storage, and transfusion. They ensure the process is safe and effective. A written report details all procedures and findings for your reference and understanding.
154 services149 patients
Blood bank physician services for investigation of transfusion reaction with written report 86078
This service involves a blood bank doctor examining a patient's reaction to a blood transfusion. The doctor will conduct tests to identify the cause and provide a written report detailing the findings and recommendations for future care.
91 services72 patients
Pathology clinical consultation for clinical problem, 5-20 minutes 80503
A pathology clinical consultation is a brief meeting with a medical expert to discuss health concerns. The consultation, lasting between 5-20 minutes, involves reviewing your medical history and possibly conducting tests to diagnose or understand your health condition better.
11 services11 patients

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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

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.

DR. MERRY CHEN MD
Psychiatry & Neurology (Neurology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
AMEENA BAGREE MALHOTRA M.D.
Internal Medicine (Nephrology)
1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030
Harris County (713) 792-6161
SOLANGE ERLYN COX MD
Surgery
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-2360
DR. BRYAN KEITH GUILLORY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
JANUARY Y TSAI MD
Anesthesiology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
DR. SUNYOUNG LEE MD
Internal Medicine (Medical Oncology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
MRS. RACHEL KRAMER FUTRELL PA-C
Physician Assistant
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
MEGAN J TANNER NP-C
Nurse Practitioner
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161

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 Adriana Knopfelmacher Couchonal's NPI number?

The NPI number for Adriana Knopfelmacher Couchonal is 1629328877. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Adriana Knopfelmacher Couchonal located?

Adriana Knopfelmacher Couchonal practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Adriana Knopfelmacher Couchonal's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Adriana Knopfelmacher Couchonal enrolled in Medicare?

Yes. Adriana Knopfelmacher Couchonal 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 Adriana Knopfelmacher Couchonal accept?

Health plans from Blue Cross and Blue Shield of Texas list Adriana Knopfelmacher Couchonal 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.

When was this NPI record last updated?

The NPPES record for Adriana Knopfelmacher Couchonal was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.