Dr. Marco A Giannotti , MD
Specialist • Shenandoah, TX
9180 Pinecroft Dr Ste 100
Shenandoah, TX 77380
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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NPI assigned on July 12, 2005; this date does not establish years in practice.
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Published CMS data list 499 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:
- 99214 — Established patient outpatient office visit: 139 service units.
- G0101 — Cervical or vaginal cancer screening; pelvic and clinical breast examination: 112 service units.
- Q0091 — Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory: 112 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 7 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 500 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:
- Estradiol — 148 prescription fills, including refills.
- Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) — 59 prescription fills, including refills.
- Fluconazole — 34 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 15 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 65% of clinicians listed under Specialist in Texas (2024, 303 clinicians with data). Median for this group: 1,078. Middle half: 330 to 2,616.
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 188 in 2020 to 499 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
9180 Pinecroft Dr Ste 100
Shenandoah, TX 77380
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: Women'S Healthcare Affiliates, P. A.. 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 Texas Medical School At Houston
1993
What Public CMS Data Show
Specialist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
219 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 $33,113 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 $25,460 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
980 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
$24,202 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: $222.80 across 10 records.
By nature of payment
- Food and Beverage: $222.80 across 10 records.
Reporting-company totals (3 largest of 7)
- Astellas Pharma US Inc: $65.34 across 3 records.
- Dexcom, Inc.: $47.33 across 2 records.
- HOLOGIC INC: $31.28 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
33 years (graduated 1993)
CMS Doctors and Clinicians data list 1993 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
2005
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. Giannotti 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. Giannotti 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 Shenandoah and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 65% of clinicians listed under Specialist in Texas (2024, 303 clinicians with data). Median for this group: 1,078. Middle half: 330 to 2,616.
Too few clinicians listed under Specialist in Shenandoah have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Specialist in Texas (2024, 303 clinicians with data). Median for this group: $96,216. Middle half: $29,655 to $195,861.
Too few clinicians listed under Specialist in Shenandoah have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Specialist in Texas (2024, 303 clinicians with data). Median for this group: $71,444. Middle half: $21,098 to $143,993.
Too few clinicians listed under Specialist in Shenandoah have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Specialist in Texas (2024, 360 clinicians with data). Median for this group: 461. Middle half: 87 to 1,432.
Too few clinicians listed under Specialist in Shenandoah have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Specialist in Texas (2024, 360 clinicians with data). Median for this group: $19,796. Middle half: $1,234 to $179,419.
Too few clinicians listed under Specialist in Shenandoah have Medicare Part D data for 2024 to compare.
9 active clinicians are listed under Specialist with a practice address in Shenandoah, TX (1,712 in Texas).
Addresses are self-reported to NPPES and may be out of date.
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 increased 165% from 188 in 2020 to 499 in 2024.
- 2020: 188
- 2021: 235
- 2022: 285
- 2023: 315
- 2024: 499
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Medicare-allowed amount
Medicare-allowed amount increased 250% from $9,465 in 2020 to $33,113 in 2024.
- 2020: $9,465
- 2021: $14,534
- 2022: $17,846
- 2023: $19,494
- 2024: $33,113
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Paid by Medicare
Paid by Medicare increased 222% from $7,908 in 2020 to $25,460 in 2024.
- 2020: $7,908
- 2021: $11,839
- 2022: $14,914
- 2023: $15,553
- 2024: $25,460
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 247% from 144 in 2020 to 500 in 2024.
- 2020: 144
- 2021: 151
- 2022: 225
- 2023: 314
- 2024: 500
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30-day fills
30-day fills increased 214% from 313 in 2020 to 980 in 2024.
- 2020: 313
- 2021: 344
- 2022: 471
- 2023: 680
- 2024: 980
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Part D drug cost
Part D drug cost increased 22% from $19,859 in 2020 to $24,202 in 2024.
- 2020: $19,859
- 2021: $19,175
- 2022: $19,705
- 2023: $20,841
- 2024: $24,202
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $54.65 in 2021 to $222.80 in 2025.
- 2021: $54.65
- 2024: $210.97
- 2025: $222.80
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 $222.80.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| HOLOGIC INC |
Food and Beverage
In-kind items and services
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THINPREP 2000 PROCESSOR | General | $31.28 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
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Veozah | General | $24.93 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $24.76 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
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Veozah | General | $24.68 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $22.57 |
| OptumHealth Care Solutions, LLC |
Food and Beverage
In-kind items and services
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VIVIFY HEALTH CARE TEAM PORTAL 001 | General | $21.76 |
| Organon LLC |
Food and Beverage
In-kind items and services
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NEXPLANON | General | $21.59 |
| Acella Pharmaceuticals, LLC |
Food and Beverage
In-kind items and services
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NP Thyroid 60 | General | $18.31 |
| Evofem Biosciences, Inc. |
Food and Beverage
In-kind items and services
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Phexxi | General | $17.19 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
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Veozah | General | $15.73 |
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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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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139 | 112 | $120.00 | $117.29 |
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G0101
Cervical or vaginal cancer screening; pelvic and clinical breast examination
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112 | 112 | $147.00 | $37.03 |
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Q0091
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
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112 | 112 | $50.00 | $41.51 |
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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
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79 | 76 | $16.04 | $15.76 |
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76856
Complete ultrasound scan of pelvis
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22 | 20 | $307.00 | $98.98 |
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76830
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
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21 | 20 | $350.00 | $112.12 |
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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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14 | 14 | $205.00 | $159.70 |
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 |
|---|---|---|---|---|---|
| Estradiol | Estradiol | 148 | 12,407 | $9,585.60 | 57 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 59 | 841 | $801.73 | 29 |
| Fluconazole | Fluconazole | 34 | 157 | $92.85 | 21 |
| Levothyroxine Sodium | Levothyroxine Sodium | 33 | 2,957 | $436.47 | — |
| Azithromycin | Azithromycin | 30 | 150 | $89.74 | 23 |
| Progesterone | Progesterone, Micronized | 28 | 1,980 | $1,210.75 | — |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 27 | 335 | $204.69 | 16 |
| Ibandronate Sodium | Ibandronate Sodium | 27 | 2,394 | $1,090.20 | — |
| Clobetasol Propionate | Clobetasol Propionate | 22 | 630 | $370.85 | 15 |
| Methylprednisolone | Methylprednisolone | 18 | 123 | $135.28 | 16 |
| Estradiol (Twice Weekly) | Estradiol | 18 | 1,456 | $2,504.89 | — |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 17 | 365 | $136.41 | — |
| Terconazole | Terconazole | 14 | 208 | $257.09 | — |
| Premarin | Estrogens, Conjugated | 13 | 1,080 | $7,181.10 | — |
| Ibuprofen | Ibuprofen | 12 | 420 | $104.28 | — |
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
Self-certified to NPPES: 2020-08-19NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OBSTETRICS/GYNECOLOGY
I20110214000909
TX
5799773594
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
Women's Healthcare Affiliates, P. A.
9180 Pinecroft Dr, Shenandoah, TX 773803880
Phone: 7135688513
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Specialist
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Specialist
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 9180 PINECROFT DR STE 100, SHENANDOAH, TX 77380 (Tel: 2813676836)
Registered at 9180 PINECROFT DR STE 100, SHENANDOAH, TX 773803880 (Tel: 2813676836)
NPI status registered as active in NPPES database
Registered at 8850 SIX PINES DR., SUITE 100, THE WOODLANDS, TX 773802680 (Tel: 2813676836)
Registered at 8850 SIX PINES DR., SUITE 100, THE WOODLANDS, TX 773802680 (Tel: 2813676836)
Recorded as MARCO GIANNOTTI, M. D.
Specialist (license number reported to NPPES: TX J7331)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Specialists in Shenandoah
- Dr. Blake Berryhill, MD
- Dr. Bryan Behne, MD
- Dr. Shelby Hampton, MD
- Dr. Heidi Lyn Stern, MD
- Dr. Ralph Pearce, MD
- Dr. Khoa Nguyen, MD
Mailing Address
9180 Pinecroft Dr Ste 100
Shenandoah, TX 773803880
Phone: 2813676836