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DR. KELLY AYLSWORTH MD
NPI 1790104016
Psychiatry & Neurology - Psychiatry in Houston, TX

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
1977 BUTLER BLVD, SUITE E4. 400, HOUSTON, TX 77030(713) 798-4872 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2020, Jul 19, 2018 (2 updates tracked since 2018).

About Dr. Kelly Aylsworth Md NPPES

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

DR. KELLY AYLSWORTH MD (NPI 1790104016) is an individual psychiatry provider in Houston, Texas, licensed in Texas (R5240) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1790104016
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KELLY AYLSWORTHCredential: MD
Location Address1977 BUTLER BLVD, SUITE E4. 400Houston, TX 77030
Mailing Address1977 Butler Blvd Ste E4400Houston, TX 77030-4101 · (713) 798-4857
Phone(713) 798-4872
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateNovember 13, 20202 updates tracked since enumeration
NPPES CertifiedNovember 13, 2020
✔ NPI 1790104016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · R5240
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1977 BUTLER BLVD, Houston, TX 77030
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Secondary Practice Location 1

Location 11504 Taub LoopHouston, TX 77030-1608 · Phone (713) 873-4900 · Fax (713) 873-5148

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. Kelly Aylsworth Md 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 ID8628326071
PECOS Enrollment IDI20180801003626
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

2

Medicare enrollment records show Kelly Aylsworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baylor College Of Medicine
0.2 mi
Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 clinicians in this Medicare group
NPI 1881026664 (713) 798-0000
Baylor College Of Medicine
0.8 mi
Family Medicine
1504 TAUB LOOP
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group
NPI 1053352914 (713) 873-2000

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

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 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.
24 services14 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

SANJAY J. MATHEW M.D.
Psychiatry & Neurology (Psychiatry)
1977 BUTLER BLVD, SUITE E4.207
HOUSTON, TX 77030
Harris County (713) 798-5877
DR. ANTHONY BRISSETT M.D.
Otolaryngology (Plastic Surgery within the Head & Neck)
1977 BUTLER BLVD, E6.100
HOUSTON, TX 77030
Harris County (713) 798-3223
ALAN SHEINFIL
Psychologist (Clinical)
1977 BUTLER BLVD
HOUSTON, TX 77030
Harris County (201) 362-2993
ANDREA G STOLAR MD
Psychiatry & Neurology (Psychiatry)
1977 BUTLER BLVD, SUITE E4.400
HOUSTON, TX 77030
Harris County (713) 798-4997
MELODY FREGIA LPC
Counselor (Professional)
1977 BUTLER BLVD, STE E5.100
HOUSTON, TX 77030
Harris County (713) 798-6336
SUMITRA S KHANDELWAL MD
Ophthalmology
1977 BUTLER BLVD
HOUSTON, TX 77030
Harris County (404) 862-9626
DR. MASIH AHMED MD
Ophthalmology
1977 BUTLER BLVD
HOUSTON, TX 77030
Harris County (713) 798-6100
DR. AMANDA JF TAMMAN PHD
Psychologist (Clinical)
1977 BUTLER BLVD
HOUSTON, TX 77030
Harris County (201) 414-3720

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 Aylsworth's NPI number?

The NPI number for Kelly Aylsworth is 1790104016. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Kelly Aylsworth located?

Kelly Aylsworth practices at 1977 Butler Blvd Suite E4. 400, Houston, TX 77030. The listed phone number is (713) 798-4872.

What is Kelly Aylsworth's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kelly Aylsworth enrolled in Medicare?

Yes. Kelly Aylsworth 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.

Which organizations bill Medicare for Kelly Aylsworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Aylsworth reassigns Medicare benefits to 2 organizations: Baylor College Of Medicine (Houston, TX) and Baylor College Of Medicine (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Aylsworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Aylsworth 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 3 other insurers list Kelly Aylsworth 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 Aylsworth affiliated with any hospitals?

According to CMS data, Kelly Aylsworth is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Kelly Aylsworth was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.