FERNANDO MADERO GOROSTIETA M.D.
NPI 1720219637
Hospitalist in The Woodlands, TX

Q: What is Fernando Madero Gorostieta's NPI number?

The NPI number for Fernando Madero Gorostieta is 1720219637. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Q: What is Fernando Madero Gorostieta's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since July 27, 2009PECOS EnrolledAccepts Medicare Assignment

17200 ST LUKES WAY, THE WOODLANDS, TX 77384(281) 587-5087 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2025, Feb 10, 2023, May 6, 2022 and 4 more (7 updates tracked since 2016).

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About Fernando Madero Gorostieta M.d. NPPES

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

FERNANDO MADERO GOROSTIETA M.D. (NPI 1720219637) is an individual hospitalist provider in The Woodlands, Texas, licensed in Massachusetts (251415) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with St Luke's The Woodlands Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1720219637

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameFERNANDO MADERO GOROSTIETACredential: M.D.

Location Address17200 ST LUKES WAYThe Woodlands, TX 77384-8007

Mailing Address17200 St Lukes WayThe Woodlands, TX 77384-8007 · (281) 587-5087

Phone(281) 587-5087

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 27, 2009

Last NPPES UpdateJune 17, 20257 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1720219637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MA · 251415

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 251415 (MA), MD61368375 (WA), S7490 (TX)

17200 ST LUKES WAY, The Woodlands, TX 77384

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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

Fernando Madero Gorostieta 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 ID2365608916

PECOS Enrollment IDI20120725000804, I20201015003041, I20221117002784, I20230113002605, I20230605001115, I20240117003410, I20240122004319, I20240823003960

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 7

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

205 services200 patients

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.

178 services89 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.

82 services51 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.

72 services72 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

69 services68 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.

43 services42 patients

Hospital Affiliations CMS Care Compare

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

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450862

Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77384 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…

98%130 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.

MEDICAL CENTER EMERGENCY PHYSICIANS PA

Emergency Medicine