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TERRY K. SCARBOROUGH M.D.
NPI 1871522557
Surgery in Houston, TX

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
5115 FANNIN ST., SUITE 950, HOUSTON, TX 77004(713) 493-7700(281) 971-4065 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Terry K. Scarborough M.d. NPPES

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

TERRY K. SCARBOROUGH M.D. (NPI 1871522557) is an individual surgery provider in Houston, Texas, licensed in Texas (L3813) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Medical Center, and is a graduate of University Of New Mexico School Of Medicine (1993).

NPPES Registry Identity

NPI1871522557
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTERRY K. SCARBOROUGHCredential: M.D.
Location Address5115 FANNIN ST., SUITE 950Houston, TX 77004-5898
Mailing Address5115 Fannin St., Suite 950Houston, TX 77004-5898 · (713) 493-7700 · Fax (281) 971-4065
Phone(713) 493-7700
Fax(281) 971-4065
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1993
Enumeration DateJuly 3, 2006
Last NPPES UpdateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1871522557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · L3813
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5115 FANNIN ST., Houston, TX 77004
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Other Identifiers 2

Other8F6690TX · Bcbs
Medicaid148986601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare, WellPoint.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

Terry K. Scarborough 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 ID143314989
PECOS Enrollment IDI20090220000266
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.

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Medical Center

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450659
Location1313 Hermann DrHouston, TX 77004 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77004 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.

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.

SHEILENDRA S. MEHTA M.D.
Surgery
5115 FANNIN ST., SUITE 950
HOUSTON, TX 77004
Harris County (713) 493-7700
TEXAS LAPAROSCOPIC CONSULTANTS, LLP
Surgery
5115 FANNIN ST., SUITE 950
HOUSTON, TX 77004
Harris County (713) 493-7700

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 Terry Scarborough's NPI number?

The NPI number for Terry Scarborough is 1871522557. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Terry Scarborough located?

Terry Scarborough practices at 5115 Fannin St. Suite 950, Houston, TX 77004. The listed phone number is (713) 493-7700.

What is Terry Scarborough's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Terry Scarborough enrolled in Medicare?

Yes. Terry Scarborough 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 Terry Scarborough accept?

Health plans from Blue Cross and Blue Shield of Texas, UnitedHealthcare and WellPoint list Terry Scarborough 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 Terry Scarborough affiliated with any hospitals?

According to CMS data, Terry Scarborough is affiliated with Hca Houston Healthcare Medical Center.

When was this NPI record last updated?

The NPPES record for Terry Scarborough was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.