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IDRIS GHARBAOUI M.D.
NPI 1992731392
Orthopaedic Surgery in Houston, TX

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment
7401 S. MAIN, HOUSTON, TX 77030(713) 799-2300(713) 794-3380 Get Directions Write a Review

NPPES record last updated: May 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idris Gharbaoui M.d. NPPES

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

IDRIS GHARBAOUI M.D. (NPI 1992731392) is an individual orthopaedic surgery provider in Houston, Texas, licensed in Texas (M0087) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Orthopedic Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1992731392
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameIDRIS GHARBAOUICredential: M.D.
Location Address7401 S. MAINHouston, TX 77030
Mailing Address7401 S. MainHouston, TX 77030 · (713) 799-2300 · Fax (713) 794-3380
Phone(713) 799-2300
Fax(713) 794-3380
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJune 25, 2006
Last NPPES UpdateMay 16, 2013
✔ NPI 1992731392 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 · M0087
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.
7401 S. MAIN, Houston, TX 77030
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Other Identifiers 1

Medicare PIN8L19368TX

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

Idris Gharbaoui 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 ID345210597
PECOS Enrollment IDI20040727000800
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 11

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 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.
92 services65 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.
85 services79 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
72 services45 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.
58 services58 patients
Application of elbow to finger cast 29075
An elbow to finger cast is applied to immobilize the arm from the elbow down to the fingers. This aids in healing fractures or severe sprains. The cast, made from plaster or fiberglass, wraps around the arm, providing support and limiting movement to promote recovery.
54 services44 patients
Cast supplies, short arm cast, adult (11 years +), fiberglass Q4010
A short arm cast, made from fiberglass, is often used for fractures or injuries to the wrist or forearm in adults and children over 11. It's lightweight, durable, and can be molded to fit your arm comfortably. This cast allows for limited movement while ensuring proper healing.
53 services44 patients

Hospital Affiliations CMS Care Compare

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

Texas Orthopedic Hospital

Acute Care Hospitals · Houston, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number450804
Location7401 South Main StreetHouston, TX 77030 · Harris County
Emergency services

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
$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.

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

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,558 patients4/55-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.
87%203 patients3/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
2%125 patients1/55-star benchmark: 99%
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.
97%1,082 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.
0%1,156 patients1/55-star benchmark: 97%
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…
29%683 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 97% · 190 patients
99%190 patients
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…
55%1,156 patients3/55-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…
59%1,156 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 3% · 125 patients
6%125 patients3/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
10%1,156 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.

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.

JULIETTE A. ZUMWALT P.A.
Physician Assistant
7401 S. MAIN
HOUSTON, TX 77030
Harris County (713) 799-2300
KAREN ANN GUNTER P.A.
Physician Assistant (Surgical)
7401 S. MAIN
HOUSTON, TX 77030
Harris County (713) 799-2300
BABAK SHERKAT R.N.
Registered Nurse
7401 S. MAIN
HOUSTON, TX 77030
Harris County (713) 799-2300
ALISHA SMITH PTA
Physical Therapist
7401 S. MAIN
HOUSTON, TX 77030
Harris County (713) 799-2300
BRANDON THOMPSON LSA
Specialist/Technologist, Other (Surgical Assistant)
7401 S. MAIN
HOUSTON, TX 77030
Harris County (713) 799-2300
MRS. CHRISTINA KARIAN DONAHUE PA-C
Physician Assistant (Surgical)
7401 S. MAIN, FONDREN ORTHOPEDIC GROUP LLP
HOUSTON, TX 77030
Harris County (281) 799-2300
DARREN DOWNING GORE PA
Physician Assistant (Surgical)
7401 S. MAIN, FONDREN ORTHOPEDIC GROUP L.L.P.
HOUSTON, TX 77030
Harris County (713) 799-2300
HUSSEIN A ELKOUSY M.D.
Orthopaedic Surgery (Sports Medicine)
7401 S. MAIN
HOUSTON, TX 77030
Harris County (713) 799-2300

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 Idris Gharbaoui's NPI number?

The NPI number for Idris Gharbaoui is 1992731392. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Idris Gharbaoui located?

Idris Gharbaoui practices at 7401 S. Main, Houston, TX 77030. The listed phone number is (713) 799-2300.

What is Idris Gharbaoui's specialty?

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

Is Idris Gharbaoui enrolled in Medicare?

Yes. Idris Gharbaoui 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 Idris Gharbaoui 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 Idris Gharbaoui 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 Idris Gharbaoui affiliated with any hospitals?

According to CMS data, Idris Gharbaoui is affiliated with Texas Orthopedic Hospital.

When was this NPI record last updated?

The NPPES record for Idris Gharbaoui was last updated on May 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.