NPPES file of Aug 9, 2026

Fernando Scaglia, MD

Clinical Genetics (M.D.) Physician · Houston, TX

Fernando Scaglia, MD is a clinical genetics (m.d.) physician with a practice address in Houston, Texas, and NPI 1518047943, issued on Oct 17, 2006. Check the license (Texas K4998, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1518047943
Name
Fernando Scaglia
Credential
MD
Primary taxonomy
Clinical Genetics (M.D.) Physician 207SG0201X
License number
K4998 TX
Self-reported in NPPES; status is on the state search
Practice location
1504 Taub Loop, Houston, TX 77030
Phone
(713) 873-8890
Enumerated
Oct 17, 2006
Record last updated
Oct 23, 2025
Medicaid IDs
105439703 TX
105439701 TX
Medicare enrollment
Enrolled (PECOS I20110208000649); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 1504 Taub Loop

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kelechi AbarikwuEmergency Medicine Physician1316527609
  2. Robert Abbitt, AGACNP-BCAcute Care Nurse Practitioner1588165765
  3. Waleed Abdellatif, MBBCH, MSC, MSHPEDiagnostic Radiology Physician1629737770
  4. Roba Abousaway, MDStudent in an Organized Health Care Education/Training Program1396689360
  5. Shiny AbrahamNurse Practitioner1669857124
  6. Christina Ackerman-Banks, MDMaternal & Fetal Medicine Physician1568840494

Verify Fernando Scaglia in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license K4998
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

27% fewer Medicare Part D claims than the average clinical genetics (m.d.) physician in 2024

43 Medicare Part D claims, against an average of 59 among the 193 providers of this specialty who prescribed in Part D.

  1. Fernando Scaglia43
  2. Specialty average59

Most prescribed

  1. Miglustat22 claims
  2. Leucovorin Calcium11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 91.3 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score81.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%89.1
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $9,578.22

13 payments; by number, the most common kind was food and beverage; the largest payer was Ucb, Inc. The 306 providers of this specialty with any payment received $12,333.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Fernando Scaglia$9,578
  2. Specialty average$12,333

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Baylor College OF MedicineHouston, TX
  2. Texas Childrens Physician GroupHouston, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Fernando Scaglia among 59 clinical genetics (m.d.) physician records in Texas

Fernando Scaglia, MD is one of 59 clinical genetics (m.d.) physician records with a practice address in Texas. 53% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.

  • NPI issued2006 · 8% of these records are older, 61% newer
  • In a Medicare fileYes · 53% of these records are
  • In the CMS Doctors and Clinicians fileYes · 36% of these records are
  • Graduated1989 · median 2010 among the 21 with a school on file
  • Record last updated2025 · 39% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207SG0201X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Genetics (M.D.) Physician providers in Texas

There are 59 clinical genetics (m.d.) physician records in Texas.

The 8 clinical genetics (m.d.) physician records with the nearest ZIP codes

  1. Lindsay Burrage, M.D.Houston, TX 770301457513384
  2. Sanmati Cuddapah, M.D.Houston, TX 770301194043307
  3. Laura Farach, M.D.Houston, TX 770301952658247
  4. Seema Lalani, M.D.Houston, TX 770301952470569
  5. Brendan Lee, M.D., PH.D.Houston, TX 770301114007515
  6. Guohui Lu, M.D.Houston, TX 770301881891984
  7. Hope Northrup, M.D.Houston, TX 770301740218296
  8. Lorraine Potocki, MDHouston, TX 770301063592483

Common questions

What is Fernando Scaglia, MD's NPI number?

Fernando Scaglia, MD's National Provider Identifier (NPI) is 1518047943, issued on Oct 17, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Fernando Scaglia, MD located?

The NPPES record lists a practice address at 1504 Taub Loop, Houston, TX, 77030. Phone: (713) 873-8890. Providers update this record themselves, so call before visiting.

How can I verify Fernando Scaglia, MD's license?

NPPES lists Texas license number K4998, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Fernando Scaglia, MD prescribe under Medicare Part D?

In 2024, Fernando Scaglia, MD had 43 Medicare Part D claims; the average among clinical genetics (m.d.) physician prescribers was 59. Part D covers Medicare prescriptions only.

What is Fernando Scaglia, MD's MIPS final score?

The 2023 MIPS final score is 91.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.