ERICA M GILES MD
NPI 1952854002
Orthopaedic Surgery in Bellaire, TX

Active since July 25, 2016PECOS EnrolledAccepts Medicare Assignment
5420 WEST LOOP S STE 2400, BELLAIRE, TX 77401(713) 486-7550 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Erica M Giles Md NPPES

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

ERICA M GILES MD (NPI 1952854002) is an individual orthopaedic surgery provider in Bellaire, Texas, licensed in Texas (47794) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Yale University School Of Medicine (2016).

NPPES Registry Identity

NPI1952854002
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameERICA M GILESCredential: MD
Location Address5420 WEST LOOP S STE 2400Bellaire, TX 77401-2118
Mailing Address6400 Fannin St Ste 1700Houston, TX 77030-1526 · (713) 486-7500
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2016
Enumeration DateJuly 25, 2016
Last NPPES UpdateOctober 11, 2022
NPPES CertifiedSeptember 13, 2022
NPI 1952854002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · 47794
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

5420 WEST LOOP S STE 2400, Bellaire, TX 77401

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

Erica M Giles 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 ID1557737277
PECOS Enrollment IDI20221021000755
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 3

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services18 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.
21 services19 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Hermann Katy Hospital

Acute Care Hospitals · Katy, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450847
Location23900 Katy FreewayKaty, TX 77494 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77401 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
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Other Providers at the Same Location NPPES 12

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

Orthopaedic Surgery
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401
Physician Assistant
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401
Orthopaedic Surgery
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401
Physician Assistant
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401
Family Medicine (Sports Medicine)
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401
Nurse Practitioner (Acute Care)
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401
Physician Assistant
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401

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 Erica Giles's NPI number?

The NPI number for Erica Giles is 1952854002. It was assigned to this individual provider in the NPPES registry on July 25, 2016.

Where is Erica Giles located?

Erica Giles practices at 5420 West Loop S Ste 2400, Bellaire, TX 77401. The listed phone number is (713) 486-7550.

What is Erica Giles's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Erica Giles enrolled in Medicare?

Yes. Erica Giles 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 Erica Giles 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 4 other insurers list Erica Giles 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 Erica Giles affiliated with any hospitals?

According to CMS data, Erica Giles is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Memorial Hermann Northeast Hospital and Memorial Hermann Katy Hospital.

When was this NPI record last updated?

The NPPES record for Erica Giles was last updated on October 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.