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FRANCISCO JOSE GELPI-HAMMERSCHMIDT M.D.
NPI 1821245655
Urology in Houston, TX

Active since August 22, 2008PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
9230 KATY FWY STE 510, HOUSTON, TX 77055(713) 634-4441(713) 634-4442 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Francisco Jose Gelpi-hammerschmidt M.d. NPPES

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

FRANCISCO JOSE GELPI-HAMMERSCHMIDT M.D. (NPI 1821245655) is an individual urology provider in Houston, Texas, licensed in Texas (Q6415) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Memorial City Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (2008).

NPPES Registry Identity

NPI1821245655
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameFRANCISCO JOSE GELPI-HAMMERSCHMIDTCredential: M.D.
Location Address9230 KATY FWY STE 510Houston, TX 77055-7467
Mailing Address9230 Katy Fwy Ste 510Houston, TX 77055-7467 · (713) 634-4441 · Fax (713) 634-4442
Phone(713) 634-4441
Fax(713) 634-4442
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2008
Enumeration DateAugust 22, 2008
Last NPPES UpdateMay 22, 2019
✔ NPI 1821245655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in TX · Q6415
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
9230 KATY FWY STE 510, Houston, TX 77055
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Francisco Jose Gelpi-hammerschmidt 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 ID5496988818
PECOS Enrollment IDI20160512001027
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 11

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
402 services255 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
215 services170 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
212 services171 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
165 services36 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
124 services92 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.
76 services70 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670077
Location18500 Katy FreewayHouston, TX 77094 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77055 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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. ALEXANDRIA ANN ASVESTAS MD
Urology
9230 KATY FWY STE 510
HOUSTON, TX 77055
Harris County (713) 634-4477
GREGORY DANIEL HESTER MD
Urology
9230 KATY FWY STE 510
HOUSTON, TX 77055
Harris County (713) 634-4441

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 Francisco Gelpi-hammerschmidt's NPI number?

The NPI number for Francisco Gelpi-hammerschmidt is 1821245655. It was assigned to this individual provider in the NPPES registry on August 22, 2008.

Where is Francisco Gelpi-hammerschmidt located?

Francisco Gelpi-hammerschmidt practices at 9230 Katy Fwy Ste 510, Houston, TX 77055. The listed phone number is (713) 634-4441.

What is Francisco Gelpi-hammerschmidt's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Francisco Gelpi-hammerschmidt enrolled in Medicare?

Yes. Francisco Gelpi-hammerschmidt 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 Francisco Gelpi-hammerschmidt 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 2 other insurers list Francisco Gelpi-hammerschmidt 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 Francisco Gelpi-hammerschmidt affiliated with any hospitals?

According to CMS data, Francisco Gelpi-hammerschmidt is affiliated with Memorial Hermann Memorial City Hospital, Houston Methodist Sugarland Hospital and Houston Methodist West Hospital.

When was this NPI record last updated?

The NPPES record for Francisco Gelpi-hammerschmidt was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.