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MARK R BRINKER M.D.
NPI 1861480386
Orthopaedic Surgery in Houston, TX

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment
7401 SOUTH MAIN ST, HOUSTON, TX 77030(713) 799-2300(713) 794-3380 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark R Brinker M.d. NPPES

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

MARK R BRINKER M.D. (NPI 1861480386) is an individual orthopaedic surgery provider in Houston, Texas, licensed in Texas (J4727) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Texas Orthopedic Hospital, and is a graduate of Tulane University School Of Medicine (1987).

NPPES Registry Identity

NPI1861480386
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMARK R BRINKERCredential: M.D.
Location Address7401 SOUTH MAIN STHouston, TX 77030-4509
Mailing Address7401 South Main StHouston, TX 77030-4509 · (713) 799-2300 · Fax (713) 794-3380
Phone(713) 799-2300
Fax(713) 794-3380
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 1987
Enumeration DateOctober 10, 2005
Last NPPES UpdateOctober 19, 2022
NPPES CertifiedOctober 19, 2022
✔ NPI 1861480386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · J4727
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License J4727 (TX)
7401 SOUTH MAIN ST, Houston, TX 77030
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Other Identifiers 1

Medicaid125769303TX

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

Mark R Brinker 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 ID1456549500
PECOS Enrollment IDI20101216000434
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 8

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.
117 services74 patients
X-ray of thigh bone, minimum 2 views 73552
An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.
99 services37 patients
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.
97 services64 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
54 services19 patients
X-ray of lower leg, 2 views 73590
An X-ray of the lower leg, 2 views, is a quick, painless test that produces images of the bones in your lower leg. It helps to identify fractures, infections, or diseases. Two different angles are used to provide a comprehensive view of the leg's structure.
42 services15 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
38 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Orthopedic Hospital

Acute Care Hospitals · Houston, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number450804
Location7401 South Main StreetHouston, TX 77030 · Harris County
Emergency services

Houston Physicians' Hospital

Acute Care Hospitals · Webster, TX
OwnershipPhysician
CMS Certification Number670008
Location333 N Texas AvenueWebster, TX 77598 · Harris County
Emergency services

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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
12%2,361 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
5%20 patients1/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
1%113 patients1/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
0%622 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%620 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
14%597 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 67% · 317 patients
Patients tobacco: 65% · 317 patients
78%32 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
43%620 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
35%620 patients2/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 113 patients
4%113 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
8%620 patients
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Osteogenesis stimulator, electrical, non-invasive, other than spinal applications E0747
DME-Other DME · category DE000N
1 supplier13 claims13 services$3,800.41 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 8

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

ORTHOPEDIC HOSPITAL LTD
General Acute Care Hospital
7401 SOUTH MAIN ST
HOUSTON, TX 77030
Harris County (713) 799-8600
JAMES B BENNETT M.D.
Orthopaedic Surgery (Hand Surgery)
7401 SOUTH MAIN ST, FONDREN ORTHOPEDIC GROUP L.L.P.
HOUSTON, TX 77030
Harris County (713) 799-2300
THOMAS BRADLEY EDWARDS M.D.
Orthopaedic Surgery
7401 SOUTH MAIN ST
HOUSTON, TX 77030
Harris County (713) 799-2300
FONDREN ORTHOPEDIC GROUP L.L.P.
Orthopaedic Surgery
7401 SOUTH MAIN ST
HOUSTON, TX 77030
Harris County (713) 799-2300
CARTER CRAIG CROUCH M.D.
Orthopaedic Surgery (Hand Surgery)
7401 SOUTH MAIN ST, FONDREN ORTHOPEDIC GROUP L.L.P.
HOUSTON, TX 77030
Harris County (713) 799-2300
JAMES MICHAEL BENNETT M.D.
Orthopaedic Surgery
7401 SOUTH MAIN ST
HOUSTON, TX 77030
Harris County (713) 799-2300
GREGORY W STOCKS M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
7401 SOUTH MAIN ST
HOUSTON, TX 77030
Harris County (713) 799-2300
GARY T BROCK M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
7401 SOUTH MAIN ST
HOUSTON, TX 77030
Harris County (713) 799-2300

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 Mark Brinker's NPI number?

The NPI number for Mark Brinker is 1861480386. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Mark Brinker located?

Mark Brinker practices at 7401 South Main St, Houston, TX 77030. The listed phone number is (713) 799-2300.

What is Mark Brinker's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mark Brinker enrolled in Medicare?

Yes. Mark Brinker 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 Mark Brinker 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 Mark Brinker 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 Mark Brinker affiliated with any hospitals?

According to CMS data, Mark Brinker is affiliated with Texas Orthopedic Hospital and Houston Physicians' Hospital.

When was this NPI record last updated?

The NPPES record for Mark Brinker was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.