DR. MICHAEL JOE STATTON M.D.
NPI 1700955192
Internal Medicine in San Antonio, TX

Q: What is Michael Statton's NPI number?

The NPI number for Michael Statton is 1700955192. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Q: What is Michael Statton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Statton was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment

7330 SAN PEDRO AVE STE 540, SAN ANTONIO, TX 78216(210) 344-7287(210) 344-2649 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Michael Joe Statton M.d. NPPES

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

DR. MICHAEL JOE STATTON M.D. (NPI 1700955192) is an individual internal medicine provider in San Antonio, Texas, licensed in Arizona (42441) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1700955192

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MICHAEL JOE STATTONCredential: M.D.

Location Address7330 SAN PEDRO AVE STE 540San Antonio, TX 78216-6250

Mailing Address7330 San Pedro Ave Ste 540San Antonio, TX 78216-6250 · (210) 344-7287 · Fax (210) 344-2649

Phone(210) 344-7287

Fax(210) 344-2649

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateNovember 7, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1700955192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in AZ · 42441✔ Licensed in TX · Q1510

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 76967 (AZ)

7330 SAN PEDRO AVE STE 540, San Antonio, TX 78216

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Other Identifiers 1

Medicaid341316301TX

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Joe Statton 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 ID8527206291

PECOS Enrollment IDI20141202000466

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Statton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

San Antonio Internists PLLC

5.2 mi

Hospitalist

1310 MCCULLOUGH AVE
San Antonio, TX 78212

Reassigned Medicare billing, Texas enrollment
4 clinicians in this Medicare group

NPI 1700465812 (210) 208-2200

Lone Star Extensivists PLLC

20 mi

Internal Medicine

29924 FM 3009
New Braunfels, TX 78132

Reassigned Medicare billing, Texas enrollment
26 clinicians in this Medicare group

NPI 1568296952 (830) 620-0330

Hospitalist Medicine Physicians Of Texas, PLLC

196 mi

Internal Medicine

18951 N MEMORIAL DR
Humble, TX 77338

Reassigned Medicare billing, Texas enrollment
2,009 clinicians in this Medicare group

NPI 1629307095 (281) 540-7700

Cogent Healthcare Of Texas, PA

254 mi

Internal Medicine

8200 WALNUT HILL LN
Dallas, TX 75231

Reassigned Medicare billing, Texas enrollment
1,208 clinicians in this Medicare group

NPI 1992722953 (214) 345-7585

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

225 services74 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

81 services73 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

73 services69 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

31 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450058

Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County

Emergency services Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450272

Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78216 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

91%137 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers17 claims17 services$13.47 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers20 claims20 services$58.63 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 7

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

BISHAL SINHA MD

Hospitalist