Active NPI 1609840339 Individual Practitioner Female Practitioner

Mary Ellen Halamicek , NP

Nurse Practitioner • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Halamicek, NP is a certified Nurse Practitioner practicing in Houston, TX. With approximately 25 years of clinical experience since completing medical education in 2001, Mary Halamicek delivers high-quality medical care to the local community at 7401 MAIN ST.

Mary Halamicek is affiliated with Ortholonestar Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7401 Main St

Houston, TX 770304509

Telephone 7137992300

Fax 7137943380

Associated Practice Facility / Clinic

🏢 Baylor College Of Medicine Facility NPI 1265416978

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +13.1 yrs vs City Avg

City Avg: 11.9 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

800 Specialists

Practicing in Houston, TX (4894 Statewide)

Telehealth Adoption Rate

13.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Halamicek (25 Years) 25 Yrs

Houston Specialty Average (11.9 Years) 11.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	126	$338.00	$109.69
99213 Established patient office or other outpatient visit, typically 15 minutes	50	47	$233.00	$77.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$334.00	$95.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$233.00	$77.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	340	226	$233.00	$76.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	165	138	$141.00	$46.85
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	133	126	$552.96	$244.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	66	$338.00	$111.85
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$236.00	$64.35
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	15	$72.00	$17.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$334.00	$85.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	479	315	$223.70	$79.26
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	312	273	$618.00	$246.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	188	$315.50	$113.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	76	$140.66	$49.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$313.54	$98.57
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	36	33	$72.00	$20.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$479.29	$147.98
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$236.00	$62.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$411.65	$159.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	491	327	$278.00	$94.73
99213 Established patient office or other outpatient visit, typically 15 minutes	227	160	$188.40	$64.02
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	204	178	$618.00	$244.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$424.00	$138.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$278.00	$94.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	761	492	$278.00	$93.33
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	324	287	$618.00	$240.01
99213 Established patient office or other outpatient visit, typically 15 minutes	115	81	$188.00	$63.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$424.00	$139.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	51	$374.00	$123.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$278.00	$93.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	108	$269.27	$91.60
99213 Established patient office or other outpatient visit, typically 15 minutes	85	78	$136.86	$62.74
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	73	72	$1200.25	$241.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$190.77	$92.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	663	445	$195.11	$61.37
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	307	260	$1542.00	$248.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	127	$224.29	$89.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$309.63	$91.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	21	$164.70	$36.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$275.00	$121.50
96102 Psychological testing with interpretation and report by technician per hour	13	12	$75.00	$52.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$375.00	$137.96

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 04491

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Ortholonestar Pllc

7401 Main St, Houston, TX 770304509

Phone: 7137992300

Practice Associates & Co-Workers

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

40 Associated Practitioners

Juliette Zumwalt , PA

Physician Assistant

NPI 1003000738

Physician Assistant

David Loncarich

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1003804428

Karen Gunter , PA

Physician Assistant - Surgical

NPI 1013021534

Physician Assistant

Cuong Phan

Clinical Nurse Specialist

NPI 1013610757

Angela Nguyen , PA-C

Physician Assistant - Surgical

NPI 1013857754

Physician Assistant (Certified)

Susan Ball , RN

Registered Nurse

NPI 1013907278

Registered Nurse

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location October 11, 2018

Registered at 7401 MAIN ST, HOUSTON, TX 770304509 (Tel: 7137992300)

✅

NPI Profile Active October 15, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2007

Registered at 7505 MAIN ST, SUITE 150, HOUSTON, TX 770304520 (Tel: 7137901500)

📍

Updated Business Mailing Address October 15, 2007

Registered at 7505 MAIN ST, SUITE 150, HOUSTON, TX 770304520

👤

Provider Name / Credentials Updated October 15, 2007

Recorded as MARY HALAMICEK, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2007

Nurse Practitioner (License #04491 in TX)

🟢

Initial NPI Registration & Enumeration February 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1609840339

Entity Type:

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

Enumeration Date: February 17, 2006

Last Update: October 11, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7505 Main St, Suite 150

Houston, TX 770304520

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.