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CLEMENT A DEFELICE MD
NPI 1710961008
Internal Medicine - Cardiovascular Disease in Houston, TX

Active since December 01, 2005PECOS Enrolled
78.87/100
CMS Quality Rating
6550 FANNIN ST, STE 2021, HOUSTON, TX 77030(713) 790-9125(713) 790-1802 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clement A Defelice Md NPPES

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

CLEMENT A DEFELICE MD (NPI 1710961008) is an individual cardiovascular disease provider in Houston, Texas, licensed in Texas (H4899) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710961008
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameCLEMENT A DEFELICECredential: MD
Location Address6550 FANNIN ST, STE 2021Houston, TX 77030-2717
Mailing Address6550 Fannin St, Suite 2021Houston, TX 77030-2717 · (713) 790-9125 · Fax (713) 790-1802
Phone(713) 790-9125
Fax(713) 790-1802
Sole ProprietorNo
Enumeration DateDecember 1, 2005
Last NPPES UpdateJune 26, 2008
✔ NPI 1710961008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · H4899
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
6550 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINC15151
Medicare PIN83G983TX
Medicaid97286101TX
Other060008296TX · Railroad Medicare

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 (PECOS)

Clement A Defelice Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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
$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.

78.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.42
Promoting Interoperability89
Improvement Activities40
Cost62.97

Reported Quality Measures

Controlling High Blood Pressure
61%337 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%45 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%1,303 patients4/55-star benchmark: 100%
e-Prescribing
98%479 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%564 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
6%847 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 360 patients
0%360 patients
Provide Patients Electronic Access to Their Health Information
61%303 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%471 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 428 patients
Patients totalRate: 2% · 430 patients
1%430 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.

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.

MEGAN MCCLANAHAN
Student in an Organized Health Care Education/Training Program
6550 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-5155
MARIANNE CARLSON PSYD
Psychologist (Clinical)
6550 FANNIN ST
HOUSTON, TX 77030
Harris County (346) 248-2040
MARIE MCLAIN P.A.
Physician Assistant
6550 FANNIN ST, SMITH TOWER, SUITE 1901
HOUSTON, TX 77030
Harris County (713) 441-1100
DALIA MOGHAZY MD
Obstetrics & Gynecology
6550 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 790-3311
YVONNE I-FANG CHU M.D.
Ophthalmology
6550 FANNIN ST, SUITE 1501
HOUSTON, TX 77030
Harris County (713) 798-6100
DR. SAM JERRY LONG D.D.S.
Dentist (General Practice)
6550 FANNIN ST, STE 2103
HOUSTON, TX 77030
Harris County (713) 797-0846
THOMAS W KNIGHT MD
Internal Medicine
6550 FANNIN ST, SMITH 1101
HOUSTON, TX 77030
Harris County (713) 441-0006
DR. JOOHI JIMENEZ-SHAHED M.D.
Psychiatry & Neurology (Neurology)
6550 FANNIN ST, SUITE 1801
HOUSTON, TX 77030
Harris County (713) 798-5975

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 Clement Defelice's NPI number?

The NPI number for Clement Defelice is 1710961008. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Clement Defelice located?

Clement Defelice practices at 6550 Fannin St Ste 2021, Houston, TX 77030. The listed phone number is (713) 790-9125.

What is Clement Defelice's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Clement Defelice enrolled in Medicare?

Yes. Clement Defelice is registered in the Medicare PECOS enrollment system.

What insurance does Clement Defelice accept?

Health plans from Blue Cross and Blue Shield of Texas list Clement Defelice 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 Clement Defelice was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.