DR. MAURICIO A REINOSO MD PA
NPI 1972597474
Internal Medicine - Pulmonary Disease in Sugar Land, TX

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
86.62/100
CMS Quality Rating
16605 SOUTHWEST FWY, SUITE 310, SUGAR LAND, TX 77479(281) 980-1330(281) 980-1330 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mauricio A Reinoso Md Pa NPPES

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

DR. MAURICIO A REINOSO MD PA (NPI 1972597474) is an individual pulmonary disease provider in Sugar Land, Texas, licensed in Texas (J5877) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1972597474
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MAURICIO A REINOSOCredential: MD PA
Location Address16605 SOUTHWEST FWY, SUITE 310Sugar Land, TX 77479-3501
Mailing Address16605 Southwest Fwy, Suite 310Sugar Land, TX 77479-3501 · (281) 980-1330 · Fax (281) 980-1330
Fax(281) 980-1330
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateSeptember 12, 2005
Last NPPES UpdateDecember 5, 2013
NPI 1972597474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · J5877
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License J5877 (TX)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License J5877 (TX)
16605 SOUTHWEST FWY, Sugar Land, TX 77479

Other Identifiers 3

Other8W6180TX · Blue Cross Blue Shield
Medicare PIN8F5042TX
Medicaid128603102TX

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. Mauricio A Reinoso Md Pa 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 ID1355352022
PECOS Enrollment IDI20060509000539, I20140801000124
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 15

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.
849 services457 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
126 services47 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.
110 services110 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
92 services90 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
88 services79 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
83 services79 patients

Hospital Affiliations CMS Care Compare 3

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

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

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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.

86.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.04
Improvement Activities40
Cost60.67

Reported Quality Measures

Advance Care Plan
100%665 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
62%50 patients3/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%3,385 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,097 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 851 patients
Patients screened: 100% · 851 patients
100%58 patients5/55-star benchmark: 100%
Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy
100%251 patients
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 32

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
26 suppliers299 claims299 services$38.72 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
23 suppliers263 claims263 services$86.19 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
24 suppliers235 claims611 services$33.18 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
26 suppliers259 claims1,300 services$18.48 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
23 suppliers85 claims466 services$14.36 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
30 suppliers388 claims388 services$57.13 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 20

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

Psychiatry & Neurology (Neurology)
16605 SOUTHWEST FWY, SUITE 600
SUGAR LAND, TX 77479
Neurological Surgery
16605 SOUTHWEST FWY, SUITE 285
SUGAR LAND, TX 77479
Surgery (Vascular Surgery)
16605 SOUTHWEST FWY, SUITE 505
SUGAR LAND, TX 77479
Hospitalist
16605 SOUTHWEST FWY, SUITE 175
SUGAR LAND, TX 77479
Psychiatry & Neurology (Neurology)
16605 SOUTHWEST FWY, MEDICAL OFFICE BUILDING 3 SUITE 320
SUGAR LAND, TX 77479
Nurse Practitioner (Family)
16605 SOUTHWEST FWY
SUGAR LAND, TX 77479
Hospitalist
16605 SOUTHWEST FWY, SUITE 175
SUGAR LAND, TX 77479
Surgery
16605 SOUTHWEST FWY, SUITE 450
SUGAR LAND, TX 77479

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 Mauricio Reinoso's NPI number?

The NPI number for Mauricio Reinoso is 1972597474. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Mauricio Reinoso located?

Mauricio Reinoso practices at 16605 Southwest Fwy Suite 310, Sugar Land, TX 77479. The listed phone number is (281) 980-1330.

What is Mauricio Reinoso's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mauricio Reinoso enrolled in Medicare?

Yes. Mauricio Reinoso 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 Mauricio Reinoso accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Premera Blue Cross Blue Shield of Alaska list Mauricio Reinoso 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 Mauricio Reinoso affiliated with any hospitals?

According to CMS data, Mauricio Reinoso is affiliated with Memorial Hermann Hospital System, Houston Methodist Sugarland Hospital and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Mauricio Reinoso was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.