DR. WILLIAM R. PITTS M.D.
NPI 1891799300
Internal Medicine - Interventional Cardiology in Waco, TX

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7125 NEW SANGER AVE STE A, WACO, TX 76712(254) 399-5400(254) 772-8669 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2023, Nov 3, 2020, Oct 29, 2020 (3 updates tracked since 2020).

About Dr. William R. Pitts M.d. NPPES

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

DR. WILLIAM R. PITTS M.D. (NPI 1891799300) is an individual interventional cardiology provider in Waco, Texas, licensed in Texas (J4442) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1992).

NPPES Registry Identity

NPI1891799300
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. WILLIAM R. PITTSCredential: M.D.
Location Address7125 NEW SANGER AVE STE AWaco, TX 76712-4054
Mailing AddressPo Box 21327Waco, TX 76702-1327 · (254) 399-5400 · Fax (254) 772-8669
Fax(254) 772-8669
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1992
Enumeration DateJune 13, 2005
Last NPPES UpdateNovember 10, 20233 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
NPI 1891799300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TX · J4442
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License J4442 (TX)
7125 NEW SANGER AVE STE A, Waco, TX 76712

Other Identifiers 9

Medicaid117013601TX
Other1231247TX · Firsthealth
Other187786004TX · United Healthcare
Other80442TX · Swhp
Other100352101TX · Firstcare
Other7203029TX · Aetna
Other74178408876712A012TX · Tricare
Other83W044TX · Blue Cross
Medicaid117013603TX

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. William R. Pitts 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 ID42393787
PECOS Enrollment IDI20100726000398
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 27

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,158 services1,092 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.
1,017 services925 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
711 services304 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
518 services517 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
258 services222 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
189 services189 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450101
Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Limestone Medical Center

Critical Access Hospitals · Groesbeck, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451303
Location701 Mcclintic DriveGroesbeck, TX 76642 · Limestone County
Emergency services

Hamilton General Hospital

Critical Access Hospitals · Hamilton, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451392
Location400 N Brown, Building 1Hamilton, TX 76531 · Hamilton County
Emergency services

Hill Regional Hospital

Critical Access Hospitals · Hillsboro, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451395
Location101 Circle DriveHillsboro, TX 76645 · Hill County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%1,688 patients4/55-star benchmark: 100%
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.
93%2,846 patients4/55-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.
93%7,274 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
55%161 patients3/55-star benchmark: 98%
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.
93%690 patients4/55-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.
70%2,612 patients3/55-star benchmark: 100%
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…
82%2,625 patients4/55-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…
3%2,625 patients1/55-star benchmark: 79%
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% · 1,508 patients
1%1,508 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers22 claims23 services$19.53 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
2 suppliers22 claims23 services$105.55 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.

Internal Medicine (Clinical Cardiac Electrophysiology)
7125 NEW SANGER AVE STE A
WACO, TX 76712
Nurse Practitioner (Family)
7125 NEW SANGER AVE STE A
WACO, TX 76712
Internal Medicine (Clinical Cardiac Electrophysiology)
7125 NEW SANGER AVE STE A
WACO, TX 76712
Nurse Practitioner (Family)
7125 NEW SANGER AVE STE A
WACO, TX 76712
Internal Medicine (Cardiovascular Disease)
7125 NEW SANGER AVE STE A
WACO, TX 76712
Internal Medicine (Interventional Cardiology)
7125 NEW SANGER AVE STE A
WACO, TX 76712
Physician Assistant
7125 NEW SANGER AVE STE A
WACO, TX 76712
Internal Medicine (Cardiovascular Disease)
7125 NEW SANGER AVE STE A
WACO, TX 76712

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 William Pitts's NPI number?

The NPI number for William Pitts is 1891799300. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is William Pitts located?

William Pitts practices at 7125 New Sanger Ave Ste A, Waco, TX 76712. The listed phone number is (254) 399-5400.

What is William Pitts's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is William Pitts enrolled in Medicare?

Yes. William Pitts 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 William Pitts 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 William Pitts 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 William Pitts affiliated with any hospitals?

According to CMS data, William Pitts is affiliated with Ascension Providence, Baylor Scott & White Medical Center Hillcrest, Limestone Medical Center, Hamilton General Hospital and Hill Regional Hospital.

When was this NPI record last updated?

The NPPES record for William Pitts was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.