Active NPI 1417960550 Individual Practitioner Male Practitioner

Dr. Mark J Pidala , MD

Colon & Rectal Surgery • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Pidala, MD is a certified Colon & Rectal Surgery practicing in Houston, TX. With approximately 36 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1990, Dr. Pidala delivers high-quality medical care to the local community at 800 PEAKWOOD DR.

Dr. Pidala is affiliated with Ut Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, diagnostic examination of rectum and large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 Peakwood Dr
Suite 2c

Houston, TX 77090

Telephone 7134864650

Fax 2814400759

Associated Practice Facility / Clinic

🏢 Crescent Neurology P.a. Facility NPI 1992795751

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +14.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

42 Specialists

Practicing in Houston, TX (213 Statewide)

Telehealth Adoption Rate

35.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pidala (36 Years) 36 Yrs

Houston Specialty Average (21.1 Years) 21.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$240.00	$107.74
99213 Established patient office or other outpatient visit, typically 15 minutes	80	65	$223.00	$87.53
45300 Diagnostic examination of rectum and large bowel using an endoscope	66	64	$300.00	$122.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	51	51	$1556.00	$245.12
46600 Diagnostic examination of the anus using an endoscope	39	33	$365.00	$109.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	19	$317.00	$123.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$379.00	$161.54
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$190.00	$69.04
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$864.00	$178.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$139.00	$53.90
45380 Biopsy of large bowel using an endoscope	11	11	$1318.00	$97.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$240.00	$110.80
99213 Established patient office or other outpatient visit, typically 15 minutes	89	70	$223.00	$88.78
45300 Diagnostic examination of rectum and large bowel using an endoscope	78	76	$300.00	$127.73
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	58	58	$1556.00	$254.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	32	$139.00	$55.33
46600 Diagnostic examination of the anus using an endoscope	33	30	$365.00	$118.38
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$190.00	$71.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$379.00	$163.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$317.00	$123.56
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$1053.60	$177.23
45380 Biopsy of large bowel using an endoscope	15	14	$1318.00	$103.40
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$864.00	$180.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45300 Diagnostic examination of rectum and large bowel using an endoscope	106	96	$300.00	$129.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$240.00	$110.43
99213 Established patient office or other outpatient visit, typically 15 minutes	89	69	$223.00	$89.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	53	53	$1556.00	$242.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	44	$139.00	$54.03
46600 Diagnostic examination of the anus using an endoscope	34	29	$365.00	$122.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	29	$318.82	$127.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$379.00	$165.12
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$190.00	$71.55
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$864.00	$185.23
45380 Biopsy of large bowel using an endoscope	11	11	$1318.00	$132.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45300 Diagnostic examination of rectum and large bowel using an endoscope	123	105	$300.00	$133.07
99213 Established patient office or other outpatient visit, typically 15 minutes	102	80	$223.00	$91.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$240.00	$112.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	44	$139.00	$56.09
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	51	51	$1556.00	$248.89
46600 Diagnostic examination of the anus using an endoscope	33	26	$365.00	$122.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$379.00	$162.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	16	$317.00	$127.13
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$864.00	$190.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45300 Diagnostic examination of rectum and large bowel using an endoscope	103	88	$300.00	$122.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$240.00	$107.92
99213 Established patient office or other outpatient visit, typically 15 minutes	73	58	$154.04	$74.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	50	$105.00	$44.84
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	51	51	$1556.00	$250.32
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$190.00	$73.85
46600 Diagnostic examination of the anus using an endoscope	32	24	$365.00	$102.37
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$864.00	$193.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$379.00	$163.42
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	13	$1556.00	$160.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$230.00	$106.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45300 Diagnostic examination of rectum and large bowel using an endoscope	121	111	$300.00	$119.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	79	$105.00	$44.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$240.00	$105.99
99213 Established patient office or other outpatient visit, typically 15 minutes	80	65	$152.70	$73.54
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	57	57	$1556.00	$258.84
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$190.00	$75.66
46600 Diagnostic examination of the anus using an endoscope	32	25	$365.00	$94.64
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$822.00	$194.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	16	$200.00	$72.99
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$1556.00	$218.74
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$981.00	$174.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$379.00	$161.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45300 Diagnostic examination of rectum and large bowel using an endoscope	119	108	$271.76	$123.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	78	$92.68	$43.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$225.51	$104.54
99213 Established patient office or other outpatient visit, typically 15 minutes	86	75	$147.26	$72.05
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$159.88	$74.34
46600 Diagnostic examination of the anus using an endoscope	43	33	$326.58	$88.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$1556.00	$257.47
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$1099.91	$186.17
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$1556.00	$200.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$352.27	$151.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	130	87	$88.00	$42.95
45300 Diagnostic examination of rectum and large bowel using an endoscope	123	111	$260.00	$120.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$217.00	$106.30
99213 Established patient office or other outpatient visit, typically 15 minutes	74	65	$146.00	$71.70
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	55	55	$1556.00	$242.73
99202 New patient office or other outpatient visit, typically 20 minutes	54	54	$149.00	$73.52
46600 Diagnostic examination of the anus using an endoscope	42	34	$306.00	$86.79
45378 Diagnostic exam of large bowel using a flexible endoscope	40	40	$1099.00	$188.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	11	$208.00	$87.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$271.00	$134.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$330.00	$162.06
45300 Diagnostic examination of rectum and large bowel using an endoscope	17	17	$260.00	$27.21
45380 Biopsy of large bowel using an endoscope	16	16	$1208.00	$100.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$214.00	$104.95
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	14	14	$1556.00	$137.61

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License TX K6239

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

037009002 (TX)

Hospital & Practice Group Affiliations

Ut Physicians

9250 Pinecroft Dr, Shenandoah, TX 773803218

Phone: 7138972300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Donald Butts , MD

Colon & Rectal Surgery

NPI 1336150119

Doctor of Medicine (M.D.)

Dr. Lisa Chen , MD

Colon & Rectal Surgery

NPI 1508879669

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location June 01, 2018

Registered at 800 PEAKWOOD DR, SUITE 2C, HOUSTON, TX 77090 (Tel: 7134864650)

✅

NPI Profile Active October 26, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 26, 2010

Registered at 800 PEAKWOOD DR, SUITE 2C, HOUSTON, TX 770902900 (Tel: 2814407495)

📍

Updated Business Mailing Address October 26, 2010

Registered at 6550 FANNIN ST, SUITE 2307, HOUSTON, TX 770302717 (Tel: 7137909250)

👤

Provider Name / Credentials Updated October 26, 2010

Recorded as MARK PIDALA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2010

Colon & Rectal Surgery (License #K6239 in TX)

🟢

Initial NPI Registration & Enumeration August 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417960550

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 13, 2006

Last Update: June 01, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6550 Fannin St, Suite 2307

Houston, TX 770302717

Phone: 7134864600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.