STEPHEN P MANISCALCO M.D.
NPI 1891716403
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Shenandoah, TX

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
81.68/100
CMS Quality Rating
9201 PINECROFT DR, SUITE 210, SHENANDOAH, TX 77380(936) 441-1010(832) 442-3081 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2020, Mar 17, 2018, Feb 14, 2018 (3 updates tracked since 2018).

About Stephen P Maniscalco M.d. NPPES

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

STEPHEN P MANISCALCO M.D. (NPI 1891716403) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Shenandoah, Texas, licensed in Texas (L1655) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains a secondary practice location in Shenandoah.

NPPES Registry Identity

NPI1891716403
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameSTEPHEN P MANISCALCOCredential: M.D.
Location Address9201 PINECROFT DR, SUITE 210Shenandoah, TX 77380-3222
Mailing Address920 Medical Plaza Dr Ste 360Shenandoah, TX 77380-3271 · (281) 803-8482 · Fax (281) 803-8432
Fax(832) 442-3081
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1995
Enumeration DateJuly 21, 2006
Last NPPES UpdateNovember 4, 20203 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
NPI 1891716403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in TX · L1655
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
9201 PINECROFT DR, Shenandoah, TX 77380

Secondary Practice Location 1

Location 1920 Medical Plaza Dr Ste 360Shenandoah, TX 77380-3271 · Phone (281) 803-8482 · Fax (281) 803-8432

Other Identifiers 1

Medicaid145174205TX

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

Stephen P Maniscalco 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 ID9638162936
PECOS Enrollment IDI20040405000223
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 32

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
133 services133 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
123 services76 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.
114 services89 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
66 services54 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
57 services52 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
54 services14 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 - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77380 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

81.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality60.55
Improvement Activities40
Cost74.86

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
12%25 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
56%1,549 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%572 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%984 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%983 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 632 patients
0%632 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%257 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 600 patients
Patients totalRate: 0% · 602 patients
0%602 patients5/55-star benchmark: 100%
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.

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.

Radiology (Diagnostic Radiology)
9201 PINECROFT DR
SHENANDOAH, TX 77380
General Practice
9201 PINECROFT DR
SHENANDOAH, TX 77380
Emergency Medicine
9201 PINECROFT DR
SHENANDOAH, TX 77380
Family Medicine
9201 PINECROFT DR
SHENANDOAH, TX 77380
Internal Medicine (Rheumatology)
9201 PINECROFT DR
THE WOODLANDS, TX 77380
Internal Medicine (Rheumatology)
9201 PINECROFT DR
THE WOODLANDS, TX 77380
Specialist/Technologist (Athletic Trainer)
9201 PINECROFT DR
SHENANDOAH, TX 77380
Internal Medicine
9201 PINECROFT DR
SHENANDOAH, TX 77380

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 Stephen Maniscalco's NPI number?

The NPI number for Stephen Maniscalco is 1891716403. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Stephen Maniscalco located?

Stephen Maniscalco practices at 9201 Pinecroft Dr Suite 210, Shenandoah, TX 77380. The listed phone number is (936) 441-1010.

What is Stephen Maniscalco's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Stephen Maniscalco enrolled in Medicare?

Yes. Stephen Maniscalco 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 Stephen Maniscalco accept?

Health plans from Community Health Choice, Molina Healthcare and Oscar Insurance Company list Stephen Maniscalco 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 Stephen Maniscalco affiliated with any hospitals?

According to CMS data, Stephen Maniscalco is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System and Memorial Hermann Northeast Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Maniscalco was last updated on November 4, 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.