Active NPI 1669483483 Individual Practitioner Male Practitioner

Dr. Mark H. Edelman , MD

Surgery - Plastic and Reconstructive Surgery • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Edelman, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Houston, TX. With approximately 38 years of clinical experience since graduating from Baylor College Of Medicine in 1988, Dr. Edelman delivers high-quality medical care to the local community at 9055 KATY FWY.

Dr. Edelman is affiliated with Villagemd Of Southeast Texas Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9055 Katy Fwy
Suite 304

Houston, TX 770241624

Telephone 7133659990

Associated Practice Facility / Clinic

🏢 Spring Branch Podiatry Pllc Facility NPI 1851361679

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +17.1 yrs vs City Avg

City Avg: 20.9 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

104 Specialists

Practicing in Houston, TX (402 Statewide)

Telehealth Adoption Rate

9.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edelman (38 Years) 38 Yrs

Houston Specialty Average (20.9 Years) 20.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	34	14	$206.00	$90.09
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	19	14	$32.00	$16.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$254.00	$112.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	12	$206.00	$91.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$254.00	$114.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	11	$292.00	$124.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	47	18	$205.11	$91.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	11	$292.00	$125.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$247.93	$107.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99183 Management and supervision of oxygen chamber therapy per session	53	11	$275.00	$115.37
99213 Established patient office or other outpatient visit, typically 15 minutes	23	11	$185.00	$52.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$237.00	$105.31
11042 Removal of skin and tissue, 20.0 sq cm or less	13	11	$237.00	$63.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	30	$185.00	$46.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	19	$235.00	$75.85
11042 Removal of skin and tissue, 20.0 sq cm or less	32	17	$237.00	$59.77
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$185.00	$75.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$237.00	$77.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$291.00	$138.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$361.00	$130.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$237.00	$109.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	34	$185.00	$47.28
11042 Removal of skin and tissue, 20.0 sq cm or less	35	21	$237.00	$55.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	13	$153.00	$69.76
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$185.00	$69.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	17	$291.00	$124.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$237.00	$73.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$361.00	$124.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	192	59	$185.00	$51.54
99183 Management and supervision of oxygen chamber therapy per session	79	16	$275.00	$112.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	24	$165.38	$73.03
11042 Removal of skin and tissue, 20.0 sq cm or less	55	33	$243.20	$60.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	30	$309.56	$138.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$248.03	$77.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	19	$248.68	$79.51
99213 Established patient office or other outpatient visit, typically 15 minutes	23	17	$185.00	$73.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$375.75	$131.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$253.29	$108.90

Medical Specialties & State Licenses

CMS Verified: 2020-08-11

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License TX H6186

A surgeon who specializes in plastic and reconstructive surgery.

Hospital & Practice Group Affiliations

Villagemd Of Southeast Texas Pa

9055 Katy Fwy, Houston, TX 770241629

Phone: 3466464954

Practice Associates & Co-Workers

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

31 Associated Practitioners

Dr. Sonja Kristiansen , MD

Specialist

NPI 1073608295

Doctor of Medicine (M.D.)

Dr. Harold Fields , MD

Family Medicine

NPI 1164427977

Doctor of Medicine (M.D.)

Dr. Marc Feldman , MD

Family Medicine

NPI 1205831310

Doctor of Medicine (M.D.)

Dr. Alan Chapman , MD

Internal Medicine - Infectious Disease

NPI 1245239177

Doctor of Medicine (M.D.)

Dr. Michael Noel , MD

Family Medicine

NPI 1366447526

Doctor of Medicine (M.D.)

Dr. Clive Fields , MD

Family Medicine

NPI 1366447583

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 9055 KATY FWY, SUITE 304, HOUSTON, TX 770241624 (Tel: 7133659990)

📍

Updated Business Mailing Address July 08, 2007

Registered at 9055 KATY FWY, SUITE 304, HOUSTON, TX 770241624

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARK EDELMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #H6186 in TX)

🟢

Initial NPI Registration & Enumeration August 10, 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: 1669483483

Entity Type:

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

Enumeration Date: August 10, 2006

Last Update: August 11, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9055 Katy Fwy, Suite 304

Houston, TX 770241624

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.