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MRS. KELLY RENEE AGUILAR M.D.
NPI 1932316395
Internal Medicine - Endocrinology, Diabetes & Metabolism in Spring, TX

Active since May 16, 2007PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
2255 E MOSSY OAKS RD, SPRING, TX 77389(936) 266-2190(936) 266-8580 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 10, 2024, Jul 15, 2016 (2 updates tracked since 2016).

About Mrs. Kelly Renee Aguilar M.d. NPPES

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

MRS. KELLY RENEE AGUILAR M.D. (NPI 1932316395) is an individual endocrinology, diabetes & metabolism provider in Spring, Texas, licensed in Texas (M8474) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with St Luke's The Woodlands Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1932316395
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMRS. KELLY RENEE AGUILARCredential: M.D.
Location Address2255 E MOSSY OAKS RDSpring, TX 77389-1768
Mailing Address2255 E Mossy Oaks RdSpring, TX 77389-1768 · (936) 266-2190 · Fax (936) 266-8580
Phone(936) 266-2190
Fax(936) 266-8580
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 16, 2007
Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1932316395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · M8474
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License M8474 (TX)
2255 E MOSSY OAKS RD, Spring, TX 77389
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mrs. Kelly Renee Aguilar 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 ID7517031776
PECOS Enrollment IDI20080806000151
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 Reassignment

Medicare enrollment records show Kelly Aguilar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baylor St. Luke's Medical Group
7.8 mi
Internal Medicine
17350 ST LUKES WAY STE 400
The Woodlands, TX 77384
  • Reassigned Medicare billing, Texas enrollment
  • 169 clinicians in this Medicare group
NPI 1740485879 (936) 266-3513

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

Areas of Expertise CMS Part B claims 7

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.

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.
301 services164 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
183 services102 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
166 services70 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
111 services62 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
40 services39 patients
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.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77389 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers49 claims685 services$18.43 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers51 claims1,774 services$2.36 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
4 suppliers100 claims100 services$169.30 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
34 suppliers91 claims409 services$6.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
23 suppliers46 claims79 services$1.12 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers63 claims63 services$300.75 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 2

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

KATHRYN FERRY ZIEGLER MD
Internal Medicine
2255 E MOSSY OAKS RD, STE 680
SPRING, TX 77389
Harris County (281) 537-0300
MELINDA GUERRY PA
Internal Medicine
2255 E MOSSY OAKS RD, STE 680
SPRING, TX 77389
Harris County (281) 537-0300

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 Kelly Aguilar's NPI number?

The NPI number for Kelly Aguilar is 1932316395. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Kelly Aguilar located?

Kelly Aguilar practices at 2255 E Mossy Oaks Rd, Spring, TX 77389. The listed phone number is (936) 266-2190.

What is Kelly Aguilar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kelly Aguilar enrolled in Medicare?

Yes. Kelly Aguilar 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 organization bills Medicare for Kelly Aguilar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Aguilar reassigns Medicare benefits to Baylor St. Luke's Medical Group (The Woodlands, TX). The 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 Kelly Aguilar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Aguilar 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 5 other insurers list Kelly Aguilar 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 Kelly Aguilar affiliated with any hospitals?

According to CMS data, Kelly Aguilar is affiliated with St Luke's The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Aguilar was last updated on October 10, 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.