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DR. PEDRO BALAGUERA CUERVO M.D.
NPI 1992236863
Psychiatry & Neurology - Neurology in Houston, TX

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
6410 FANNIN ST STE 1014, HOUSTON, TX 77030(832) 325-7080 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2022, Aug 8, 2022, Mar 22, 2017 (3 updates tracked since 2017).

About Dr. Pedro Balaguera Cuervo M.d. NPPES

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

DR. PEDRO BALAGUERA CUERVO M.D. (NPI 1992236863) is an individual neurology provider in Houston, Texas, licensed in Texas (T8479) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1992236863
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. PEDRO BALAGUERA CUERVOCredential: M.D.
Location Address6410 FANNIN ST STE 1014Houston, TX 77030-5301
Mailing Address7200 Cambridge St, 9th FloorHouston, TX 77030-4202 · (713) 798-6151
Phone(832) 325-7080
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 22, 2017
Last NPPES UpdateAugust 25, 20223 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1992236863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · T8479
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6410 FANNIN ST STE 1014, Houston, TX 77030
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pedro Balaguera Cuervo 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 ID840668505
PECOS Enrollment IDI20221130001804
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.

Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
19 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.64
Promoting Interoperability100
Improvement Activities40
Cost50.93

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.

JOHN W LINDSEY M.D.
Psychiatry & Neurology (Neurology)
6410 FANNIN ST STE 1014
HOUSTON, TX 77030
Harris County (832) 325-7080
RIJUL NANDA
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST STE 1014
HOUSTON, TX 77030
Harris County (832) 623-4001
BREANNA ROSE ALONZO MD
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST STE 1014
HOUSTON, TX 77030
Harris County (713) 512-2239
DR. CHAITANYA GANNE MBBS PHD
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST STE 1014
HOUSTON, TX 77030
Harris County (832) 325-7676
DR. SANGEETHA CHINGAPURATH NARAYAN MD
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST STE 1014
HOUSTON, TX 77030
Harris County (832) 325-7080
WEI ZHAO MD
Psychiatry & Neurology (Neurology)
6410 FANNIN ST STE 1014
HOUSTON, TX 77030
Harris County (832) 325-7080
DR. BHARTI MANWANI
Psychiatry & Neurology (Vascular Neurology)
6410 FANNIN ST STE 1014
HOUSTON, TX 77030
Harris County (832) 325-7080
KIMBERLY E MONDAY MD
Psychiatry & Neurology (Neurology)
6410 FANNIN ST STE 1014
HOUSTON, TX 77030
Harris County (832) 325-7080

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 Pedro Balaguera Cuervo's NPI number?

The NPI number for Pedro Balaguera Cuervo is 1992236863. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Pedro Balaguera Cuervo located?

Pedro Balaguera Cuervo practices at 6410 Fannin St Ste 1014, Houston, TX 77030. The listed phone number is (832) 325-7080.

What is Pedro Balaguera Cuervo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Pedro Balaguera Cuervo enrolled in Medicare?

Yes. Pedro Balaguera Cuervo 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 Pedro Balaguera Cuervo 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 Pedro Balaguera Cuervo 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 Pedro Balaguera Cuervo affiliated with any hospitals?

According to CMS data, Pedro Balaguera Cuervo is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Harris Health System, Memorial Hermann Memorial City Hospital and Memorial Hermann Northeast Hospital.

When was this NPI record last updated?

The NPPES record for Pedro Balaguera Cuervo was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.