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DR. BERTA CECILIA DELEON-SCAGLIA MD
NPI 1932201134
Family Medicine in Houston, TX

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
6515 LAWDALE STREET, HOUSTON, TX 77023(713) 928-3300(713) 928-3833 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 20, 2021, Apr 30, 2019 (2 updates tracked since 2019).

About Dr. Berta Cecilia Deleon-scaglia Md NPPES

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

DR. BERTA CECILIA DELEON-SCAGLIA MD (NPI 1932201134) is an individual family medicine provider in Houston, Texas, licensed in Texas (M0051) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1932201134
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BERTA CECILIA DELEON-SCAGLIACredential: MD
Location Address6515 LAWDALE STREETHouston, TX 77023
Mailing Address6515 Lawdale StreetHouston, TX 77023 · (713) 928-3300 · Fax (713) 928-3833
Phone(713) 928-3300
Fax(713) 928-3833
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
✔ NPI 1932201134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M0051
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6515 LAWDALE STREET, Houston, TX 77023
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Other Identifiers 1

Medicaid179325903TX

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Berta Cecilia Deleon-scaglia 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 ID840211181
PECOS Enrollment IDI20051214000258
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Berta Deleon-scaglia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Berta De Leon Scaglia MD PA
10 mi
Family Medicine
6515 LAWDALE STREET
Houston, TX 77023
  • Reassigned Medicare billing, Texas enrollment
NPI 1174920706 (713) 928-3300
Ut Physicians
13 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77023 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
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
73%33 patients3/55-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.
69%1,798 patients3/55-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…
35%161 patients2/55-star benchmark: 96%
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.
99%105 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.
78%572 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
60%42 patients3/55-star benchmark: 100%
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…
100%50 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%33 patients5/55-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…
97%572 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…
36%572 patients3/55-star benchmark: 59%
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers12 claims40 services$6.78 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

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

BERTA DE LEON SCAGLIA MD PA
Family Medicine
6515 LAWDALE STREET
HOUSTON, TX 77023
Harris County (713) 928-3300

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 Berta Deleon-scaglia's NPI number?

The NPI number for Berta Deleon-scaglia is 1932201134. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Berta Deleon-scaglia located?

Berta Deleon-scaglia practices at 6515 Lawdale Street, Houston, TX 77023. The listed phone number is (713) 928-3300.

What is Berta Deleon-scaglia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Berta Deleon-scaglia enrolled in Medicare?

Yes. Berta Deleon-scaglia 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.

Which organizations bill Medicare for Berta Deleon-scaglia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Berta Deleon-scaglia reassigns Medicare benefits to 2 organizations: Berta De Leon Scaglia MD PA (Houston, TX) and Ut Physicians (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Berta Deleon-scaglia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Berta Deleon-scaglia accept?

Health plans from Blue Cross and Blue Shield of Texas list Berta Deleon-scaglia 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 Berta Deleon-scaglia affiliated with any hospitals?

According to CMS data, Berta Deleon-scaglia is affiliated with Memorial Hermann - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Berta Deleon-scaglia was last updated on January 20, 2021. 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.