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DR. MICHAEL BRIAN HARKINS M.D.
NPI 1700908175
Surgery in Tomball, TX

Active since April 04, 2007PECOS EnrolledAccepts Medicare Assignment
455 SCHOOL ST STE 10, TOMBALL, TX 77375(281) 351-5409(281) 351-2803 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Brian Harkins M.d. NPPES

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

DR. MICHAEL BRIAN HARKINS M.D. (NPI 1700908175) is an individual surgery provider in Tomball, Texas, licensed in Texas (K2483) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Tomball, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1700908175
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL BRIAN HARKINSCredential: M.D.
Location Address455 SCHOOL ST STE 10Tomball, TX 77375-4594
Mailing Address455 School St Ste 10Tomball, TX 77375-4594 · (281) 351-5409 · Fax (281) 351-2803
Phone(281) 351-5409
Fax(281) 351-2803
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateApril 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700908175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in TX · K2483✔ Licensed in LA · 020602
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
455 SCHOOL ST STE 10, Tomball, TX 77375
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Other Identifiers 3

Medicare ID-Type Unspecified8A1692TX
Medicaid030156604TX
Medicare UPINF97509

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

Dr. Michael Brian Harkins 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 ID4789748591
PECOS Enrollment IDI20120425000416
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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 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.
18 services14 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
$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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
9%22 patients1/55-star benchmark: 92%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
38%146 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
52%58 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
60%316 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
53%268 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
4%114 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 85% · 20 patients
90%20 patients
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
14%268 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 39 patients
0%39 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SURGICAL EXCELLENCE ASSOCIATES PLLC
Surgery
455 SCHOOL ST STE 10
TOMBALL, TX 77375
Harris County (281) 351-5409
CREATIVE GSS, PLLC
General Acute Care Hospital
455 SCHOOL ST STE 10
TOMBALL, TX 77375
Harris County (713) 532-7311
GABRIEL APOLONIO AREVALO M.D.
Surgery
455 SCHOOL ST STE 10
TOMBALL, TX 77375
Harris County (281) 351-5409

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 Michael Harkins's NPI number?

The NPI number for Michael Harkins is 1700908175. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Michael Harkins located?

Michael Harkins practices at 455 School St Ste 10, Tomball, TX 77375. The listed phone number is (281) 351-5409.

What is Michael Harkins's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Harkins enrolled in Medicare?

Yes. Michael Harkins 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 Michael Harkins 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 1 other insurer list Michael Harkins 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 Michael Harkins affiliated with any hospitals?

According to CMS data, Michael Harkins is affiliated with Hca Houston Healthcare Tomball.

When was this NPI record last updated?

The NPPES record for Michael Harkins was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.