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BRIAN SKAUG M.D.
NPI 1639515554
Internal Medicine - Rheumatology in Houston, TX

Active since May 19, 2013PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6410 FANNIN ST, SUITE 450, HOUSTON, TX 77030(713) 486-3100(713) 512-2246 Get Directions Write a Review

NPPES record last updated: March 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2022, May 18, 2016 (2 updates tracked since 2016).

About Brian Skaug M.d. NPPES

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

BRIAN SKAUG M.D. (NPI 1639515554) is an individual rheumatology provider in Houston, Texas, licensed in Texas (Q4698) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2013).

NPPES Registry Identity

NPI1639515554
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameBRIAN SKAUGCredential: M.D.
Location Address6410 FANNIN ST, SUITE 450Houston, TX 77030-3000
Mailing Address6410 Fannin St, Suite 450Houston, TX 77030-3000 · (713) 486-3100 · Fax (713) 512-2246
Phone(713) 486-3100
Fax(713) 512-2246
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2013
Enumeration DateMay 19, 2013
Last NPPES UpdateMarch 24, 20242 updates tracked since enumeration
NPPES CertifiedMarch 24, 2024
✔ NPI 1639515554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in TX · Q4698
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License Q4698 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6410 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Skaug 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 ID1052662756
PECOS Enrollment IDI20180919001905
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

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 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.
68 services35 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
$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.

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.

EUGENIO A AGUILAR III MD PA
Clinic/Center (Ambulatory Surgical)
6410 FANNIN ST, SUITE 927
HOUSTON, TX 77030
Harris County (713) 797-0085
BELANIE G PEAVY ACNP
Nurse Practitioner (Acute Care)
6410 FANNIN ST, SUITE 1400
HOUSTON, TX 77030
Harris County (832) 325-7125
DR. NIVEDITA THAKUR M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6410 FANNIN ST, UTPB 732
HOUSTON, TX 77030
Harris County (713) 500-7113
AMBER CHEN-GOODSPEED
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 462-3983
OLASUNKANMI ADEYINKA M.D.
Family Medicine
6410 FANNIN ST, 250
HOUSTON, TX 77030
Harris County (832) 325-6500
KEVIN P LALLY M.D.
Surgery (Pediatric Surgery)
6410 FANNIN ST, 1400
HOUSTON, TX 77030
Harris County (832) 325-7234
DIANE M NOVY PH.D.
Psychologist
6410 FANNIN ST, 230
HOUSTON, TX 77030
Harris County (713) 704-3961
RAFAEL C BOTERO M.D.
Internal Medicine (Hepatology)
6410 FANNIN ST, 370
HOUSTON, TX 77030
Harris County (713) 704-6800

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 Brian Skaug's NPI number?

The NPI number for Brian Skaug is 1639515554. It was assigned to this individual provider in the NPPES registry on May 19, 2013.

Where is Brian Skaug located?

Brian Skaug practices at 6410 Fannin St Suite 450, Houston, TX 77030. The listed phone number is (713) 486-3100.

What is Brian Skaug's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Brian Skaug enrolled in Medicare?

Yes. Brian Skaug 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 Brian Skaug 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 Brian Skaug 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 Brian Skaug affiliated with any hospitals?

According to CMS data, Brian Skaug 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 Brian Skaug was last updated on March 24, 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.