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MICHAEL ANTHONY HOUSTON MD
NPI 1902025240
Surgery in Concord, NC

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
200 MEDICAL PARK DR, STE 430, CONCORD, NC 28025(704) 403-7070 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 51 more (54 updates tracked since 2015).

About Michael Anthony Houston Md NPPES

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

MICHAEL ANTHONY HOUSTON MD (NPI 1902025240) is an individual surgery provider in Concord, North Carolina, licensed in North Carolina (200401637) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1902025240
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL ANTHONY HOUSTONCredential: MD
Location Address200 MEDICAL PARK DR, STE 430Concord, NC 28025-2982
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 403-7070
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2001
Enumeration DateApril 25, 2007
Last NPPES UpdateJuly 15, 202454 updates tracked since enumeration
✔ NPI 1902025240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 200401637
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.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 200401637 (NC)
200 MEDICAL PARK DR, Concord, NC 28025
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Secondary Practice Locations 3

Location 1105 Yadkin St, Ste 203Albemarle, NC 28001-3449 · Phone (980) 323-5300
Location 2101 E W T Harris BlvdCharlotte, NC 28262-3485 · Phone (704) 863-0640
Location 3441 McAlister Rd, Ste 2100Lincolnton, NC 28092-4126 · Phone (980) 212-6250

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Michael Anthony Houston 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 ID2961594197
PECOS Enrollment IDI20070817000434
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

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.

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.
28 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

JACQUELINE TRACEY
Surgery
200 MEDICAL PARK DR, SUITE 430
CONCORD, NC 28025
Cabarrus County (704) 403-7070
CMC-NORTHEAST, INC.
Internal Medicine (Infectious Disease)
200 MEDICAL PARK DR, STE 208, NORTHEAST INFECTIOUS DISEASES
CONCORD, NC 28025
Cabarrus County (704) 403-1766
ASHLEY NOISETTE GREEN MD
Internal Medicine (Rheumatology)
200 MEDICAL PARK DR, STE 330
CONCORD, NC 28025
Cabarrus County (704) 403-1308
SARAH WOYTEK
Physician Assistant
200 MEDICAL PARK DR
CONCORD, NC 28025
Cabarrus County (704) 304-3000
BETTY ODELL NP
Nurse Practitioner
200 MEDICAL PARK DR, SUITE 145 NE ONCOLOGY
CONCORD, NC 28025
Cabarrus County (704) 783-1370
MARYAM HAMID MD
Internal Medicine
200 MEDICAL PARK DR, STE 300
CONCORD, NC 28025
Cabarrus County (704) 403-3676
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Internal Medicine (Rheumatology)
200 MEDICAL PARK DR, STE 330
CONCORD, NC 28025
Cabarrus County (704) 403-1308
ALYSSA HUGGINS KUPRENAS MD
Internal Medicine
200 MEDICAL PARK DR, STE 550
CONCORD, NC 28025
Cabarrus County (704) 403-1307

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 Michael Houston's NPI number?

The NPI number for Michael Houston is 1902025240. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Michael Houston located?

Michael Houston practices at 200 Medical Park Dr Ste 430, Concord, NC 28025. The listed phone number is (704) 403-7070.

What is Michael Houston's specialty?

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

Is Michael Houston enrolled in Medicare?

Yes. Michael Houston 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 Michael Houston accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Michael Houston 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 Michael Houston affiliated with any hospitals?

According to CMS data, Michael Houston is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Michael Houston was last updated on July 15, 2024. 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.