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KELLY L WIRFEL M.D.
NPI 1659387561
Internal Medicine - Endocrinology, Diabetes & Metabolism in Bellaire, TX

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6700 WEST LOOP S, SUITE 520, BELLAIRE, TX 77401(713) 572-8122(713) 572-0753 Get Directions Write a Review

NPPES record last updated: January 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly L Wirfel M.d. NPPES

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

KELLY L WIRFEL M.D. (NPI 1659387561) is an individual endocrinology, diabetes & metabolism provider in Bellaire, Texas, licensed in Texas (K2140) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of University Of New Mexico School Of Medicine (1999).

NPPES Registry Identity

NPI1659387561
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameKELLY L WIRFELCredential: M.D.
Location Address6700 WEST LOOP S, SUITE 520Bellaire, TX 77401-4104
Mailing Address6700 West Loop S, Suite 520Bellaire, TX 77401-4104 · (713) 572-8122 · Fax (713) 572-0753
Phone(713) 572-8122
Fax(713) 572-0753
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1999
Enumeration DateJuly 31, 2006
Last NPPES UpdateJanuary 16, 2009
✔ NPI 1659387561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · K2140
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
6700 WEST LOOP S, Bellaire, TX 77401
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN8L1281TX
Medicare PIN110174911TX
Other8P5716TX · Bcbstx
Medicaid143164502TX
Medicare PIN85014FTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare 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

Kelly L Wirfel 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 ID3971671041
PECOS Enrollment IDI20081003000094
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 9

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.
244 services150 patients
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.
131 services110 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
119 services78 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
115 services77 patients
Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk 77089
Trabecular Bone Score (TBS) is a technique that uses imaging data to evaluate bone texture. It provides insight into bone strength, helping predict fracture risk. This information is then compiled into a report to aid in your bone health management.
59 services59 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
55 services55 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77401 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

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
36 suppliers89 claims291 services$6.28 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers19 claims31 services$1.10 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers16 claims16 services$290.52 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
5 suppliers12 claims1,360 services$6.38 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
14 suppliers239 claims240 services$186.78 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
7 suppliers13 claims13 services$189.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

UT IMAGING - HOUSTON LLP
Radiology (Diagnostic Radiology)
6700 WEST LOOP S, SUITE 100
BELLAIRE, TX 77401
Harris County (713) 662-9729
DR. JOEY ANN ENGLAND M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
6700 WEST LOOP S, SUITE 450
BELLAIRE, TX 77401
Harris County (713) 486-9332
ALPERT & SERMAS NEUROLOGICAL ASSOCIATES P.A
Psychiatry & Neurology (Neurology)
6700 WEST LOOP S, STE 400
BELLAIRE, TX 77401
Harris County (713) 795-4785
UT PHYSICIANS
Family Medicine
6700 WEST LOOP S, 520
BELLAIRE, TX 77401
Harris County (713) 572-8122
BELLAIRE NEUROLOGY, PA
Specialist
6700 WEST LOOP S, STE 330
BELLAIRE, TX 77401
Harris County (713) 715-6360
JAMIE KAYLIN ELIZABETH KRUSEMAN PT, DPT
Physical Therapist
6700 WEST LOOP S
BELLAIRE, TX 77401
Harris County (713) 314-4531
CHELSEA WAGNER M.S.
Genetic Counselor, MS
6700 WEST LOOP S
BELLAIRE, TX 77401
Harris County (713) 486-9300
AMERICAN HOSPICE, INC
Hospice Care, Community Based
6700 WEST LOOP S, SUITE 250
BELLAIRE, TX 77401
Harris County (713) 839-0579

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 Kelly Wirfel's NPI number?

The NPI number for Kelly Wirfel is 1659387561. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Kelly Wirfel located?

Kelly Wirfel practices at 6700 West Loop S Suite 520, Bellaire, TX 77401. The listed phone number is (713) 572-8122.

What is Kelly Wirfel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kelly Wirfel enrolled in Medicare?

Yes. Kelly Wirfel 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 Kelly Wirfel accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Kelly Wirfel 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 Kelly Wirfel affiliated with any hospitals?

According to CMS data, Kelly Wirfel is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Memorial Hermann Memorial City Hospital and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Wirfel was last updated on January 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.