Dr. Mark J Pidala , MD
Colon & Rectal Surgery • Houston, TX
800 Peakwood Dr, Suite 2c
Houston, TX 77090
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Mark Pidala is listed in NPPES under Colon & Rectal Surgery.
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NPI assigned on August 13, 2006; this date does not establish years in practice.
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Published CMS data list 430 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99203 — New patient outpatient office visit: 90 service units.
- 99213 — Established patient outpatient office visit: 80 service units.
- 45300 — Diagnostic exam of rectum and lower large bowel using an endoscope: 66 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 11 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 67 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocortisone — 21 prescription fills, including refills.
- Metronidazole — 19 prescription fills, including refills.
- Neomycin Sulfate — 16 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Colon & Rectal Surgery in Houston, TX (2024, 32 clinicians with data). Median for this group: 240. Middle half: 147 to 352.
More Medicare Part B services than 70% of clinicians listed under Colon & Rectal Surgery in Texas (2024, 154 clinicians with data). Median for this group: 270. Middle half: 170 to 449.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 514 in 2020 to 430 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
800 Peakwood Dr
Suite 2c
Houston, TX 77090
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Ut Physicians. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Cincinnati College Of Medicine
1990
What Public CMS Data Show
Colon & Rectal Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
239 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $54,077 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $41,011 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
73 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$4,433 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $803.08 across 6 records.
By nature of payment
- Food and Beverage: $803.08 across 6 records.
Reporting-company totals (3 largest of 6)
- Aroa Biosurgery Incorporated: $167.06 across 1 record.
- Baxter Healthcare: $148.39 across 1 record.
- Ethicon Inc.: $138.41 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
36 years (graduated 1990)
CMS Doctors and Clinicians data list 1990 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Pidala has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Pidala as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Houston and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Colon & Rectal Surgery in Houston, TX (2024, 32 clinicians with data). Median for this group: 240. Middle half: 147 to 352.
More Medicare Part B services than 70% of clinicians listed under Colon & Rectal Surgery in Texas (2024, 154 clinicians with data). Median for this group: 270. Middle half: 170 to 449.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Colon & Rectal Surgery in Houston, TX (2024, 32 clinicians with data). Median for this group: $31,737. Middle half: $15,706 to $50,987.
A higher Medicare-allowed amount than 65% of clinicians listed under Colon & Rectal Surgery in Texas (2024, 154 clinicians with data). Median for this group: $36,460. Middle half: $19,698 to $63,515.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Colon & Rectal Surgery in Houston, TX (2024, 32 clinicians with data). Median for this group: $23,914. Middle half: $11,414 to $38,668.
A higher Medicare payment amount than 65% of clinicians listed under Colon & Rectal Surgery in Texas (2024, 154 clinicians with data). Median for this group: $27,753. Middle half: $14,300 to $48,419.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Colon & Rectal Surgery in Houston, TX (2024, 29 clinicians with data). Median for this group: 124. Middle half: 58 to 220.
Fewer Part D prescriptions than 65% of clinicians listed under Colon & Rectal Surgery in Texas (2024, 149 clinicians with data). Median for this group: 131. Middle half: 58 to 266.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Colon & Rectal Surgery in Houston, TX (2024, 29 clinicians with data). Median for this group: $3,142. Middle half: $1,387 to $7,096.
A higher Part D drug cost than 60% of clinicians listed under Colon & Rectal Surgery in Texas (2024, 149 clinicians with data). Median for this group: $2,678. Middle half: $546 to $9,892.
41 active clinicians are listed under Colon & Rectal Surgery with a practice address in Houston, TX (209 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Houston
36.6% of these 41 clinicians have the CMS telehealth indicator.
87.8% of these 41 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 16% from 514 in 2020 to 430 in 2024.
- 2020: 514
- 2021: 523
- 2022: 552
- 2023: 499
- 2024: 430
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $58,930 in 2020 and $54,077 in 2024.
- 2020: $58,930
- 2021: $66,087
- 2022: $68,763
- 2023: $63,266
- 2024: $54,077
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Paid by Medicare
Paid by Medicare stayed about the same: $44,681 in 2020 and $41,011 in 2024.
- 2020: $44,681
- 2021: $50,456
- 2022: $51,720
- 2023: $48,196
- 2024: $41,011
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 40% from 112 in 2020 to 67 in 2024.
- 2020: 112
- 2021: 92
- 2022: 77
- 2023: 113
- 2024: 67
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30-day fills
30-day fills decreased 35% from 112 in 2020 to 73 in 2024.
- 2020: 112
- 2021: 94
- 2022: 77
- 2023: 124
- 2024: 73
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Part D drug cost
Part D drug cost increased 22% from $3,627 in 2020 to $4,433 in 2024.
- 2020: $3,627
- 2021: $3,990
- 2022: $5,402
- 2023: $10,816
- 2024: $4,433
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $123.55 in 2021 to $803.08 in 2025.
- 2021: $123.55
- 2022: $310.30
- 2023: $395.56
- 2024: $726.65
- 2025: $803.08
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $803.08.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Aroa Biosurgery Incorporated |
Food and Beverage
Cash or cash equivalent
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— | General | $167.06 |
| Baxter Healthcare |
Food and Beverage
In-kind items and services
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PERCLOT | General | $148.39 |
| Ethicon Inc. |
Food and Beverage
In-kind items and services
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Echelon Flex | General | $138.41 |
| Pacira Pharmaceuticals Incorporated |
Food and Beverage
In-kind items and services
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Exparel | General | $119.94 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
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Da Vinci Surgical System | General | $119.45 |
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
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JOURNAVX | General | $109.83 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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90 | 90 | $240.00 | $107.74 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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80 | 65 | $223.00 | $87.53 |
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45300
Diagnostic exam of rectum and lower large bowel using an endoscope
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66 | 64 | $300.00 | $122.72 |
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45385
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
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51 | 51 | $1556.00 | $245.12 |
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46600
Diagnostic exam of anus using an endoscope
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39 | 33 | $365.00 | $109.83 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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30 | 19 | $317.00 | $123.15 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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23 | 23 | $379.00 | $161.54 |
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99202
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
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15 | 15 | $190.00 | $69.04 |
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G0105
Colorectal cancer screening; colonoscopy on individual at high risk
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13 | 13 | $864.00 | $178.79 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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12 | 12 | $139.00 | $53.90 |
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45380
Biopsy of large bowel using a flexible endoscope
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11 | 11 | $1318.00 | $97.95 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocortisone | Hydrocortisone | 21 | 418 | $303.30 | 16 |
| Metronidazole | Metronidazole | 19 | 77 | $49.58 | 19 |
| Neomycin Sulfate | Neomycin Sulfate | 16 | 52 | $81.70 | 16 |
| Mesalamine | Mesalamine | 11 | 510 | $3,998.69 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208C00000X
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
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - COLORECTAL SURGERY (PROCTOLOGY)
I20101110000902
TX
6103835640
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Ut Physicians
9250 Pinecroft Dr, Shenandoah, TX 773803218
Phone: 7138972300
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Colon & Rectal Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 800 PEAKWOOD DR, SUITE 2C, HOUSTON, TX 77090 (Tel: 7134864650)
NPI status registered as active in NPPES database
Registered at 800 PEAKWOOD DR, SUITE 2C, HOUSTON, TX 770902900 (Tel: 2814407495)
Registered at 6550 FANNIN ST, SUITE 2307, HOUSTON, TX 770302717 (Tel: 7137909250)
Recorded as MARK PIDALA, M.D.
Colon & Rectal Surgery (license number reported to NPPES: TX K6239)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Colon & Rectal Surgery Specialists in Houston
- Dr. Atif Iqbal, MD
- Dr. Rachel Ellsworth, MD
- Dr. Diego Marines Copado, MD
- Dr. Jean Paul Lefave, MD
- Dr. Lisa Chen, MD
- Dr. Anne Le, MD
Mailing Address
6550 Fannin St, Suite 2307
Houston, TX 770302717
Phone: 7134864600