DR. MIKEL ETCHEGARAY-LANGLEY MD
NPI 1841678349
Internal Medicine in Houston, TX

Active since May 15, 2015PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 11, 2018, Nov 9, 2016 (2 updates tracked since 2016).

About Dr. Mikel Etchegaray-langley Md NPPES

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

DR. MIKEL ETCHEGARAY-LANGLEY MD (NPI 1841678349) is an individual internal medicine provider in Houston, Texas, licensed in Texas (BP10052893) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2015).

NPPES Registry Identity

NPI1841678349
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MIKEL ETCHEGARAY-LANGLEYCredential: MD
Location Address1515 HOLCOMBE BLVDHouston, TX 77030
Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2015
Enumeration DateMay 15, 2015
Last NPPES UpdateJuly 11, 20182 updates tracked since enumeration
NPI 1841678349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · BP10052893 Licensed in TX · R5259
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.

1515 HOLCOMBE BLVD, Houston, TX 77030

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

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

Dr. Mikel Etchegaray-langley 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 ID9436405875
PECOS Enrollment IDI20180627002639
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
392 services154 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.
89 services88 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.
75 services46 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.
26 services26 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
19 services17 patients

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
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

Referred Medical Equipment & Supplies CMS DME claims 3

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
1 supplier12 claims12 services$15.17 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
1 supplier11 claims12 services$67.07 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier27 claims27 services$26.73 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 19

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

Ophthalmology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Clinical Neuropsychologist
1515 HOLCOMBE BLVD, MD ANDERSON DEPT OF NEURO-ONCOLOGY BOX 431
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Hematology & Oncology)
1515 HOLCOMBE BLVD, UNIT 426
HOUSTON, TX 77030
Internal Medicine (Rheumatology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Urology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841678349, enumerated as an "individual" on May 15, 2015.

The provider is located at 1515 HOLCOMBE BLVD HOUSTON, TX 77030 and the phone number is (713) 792-6161.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.