MRS. DAWN ELISE O'NEAL PA-C
NPI 1013901339
Physician Assistant - Medical in Tyler, TX

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
79.43/100
CMS Quality Rating
700 OLYMPIC PLAZA CIR STE 410, TYLER, TX 75701(903) 531-8950 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2020, Dec 12, 2017 (2 updates tracked since 2017).

About Mrs. Dawn Elise O'neal Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DAWN ELISE O'NEAL PA-C (NPI 1013901339) is an individual medical provider in Tyler, Texas, licensed in Texas (PA03230) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1013901339
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. DAWN ELISE O'NEALCredential: PA-C
Location Address700 OLYMPIC PLAZA CIR STE 410Tyler, TX 75701-1952
Mailing Address700 Olympic Plaza Cir Ste 410Tyler, TX 75701-1952 · (903) 531-8950
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 31, 2005
Last NPPES UpdateJanuary 9, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
NPI 1013901339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA03230
700 OLYMPIC PLAZA CIR STE 410, Tyler, TX 75701

Other Names 1

Former Name (1)Ms. Dawn Elise Gerland Pa-c

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Dawn Elise O'neal Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183808835
PECOS Enrollment IDI20110405000646
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services82 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
87 services87 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450690
Location11937 Us Highway 271Tyler, TX 75708 · Smith County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.61
Promoting Interoperability100
Improvement Activities40
Cost78.84

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
700 OLYMPIC PLAZA CIR STE 410
TYLER, TX 75701
Internal Medicine (Gastroenterology)
700 OLYMPIC PLAZA CIR STE 410
TYLER, TX 75701
Internal Medicine (Gastroenterology)
700 OLYMPIC PLAZA CIR STE 410
TYLER, TX 75701
Nurse Practitioner
700 OLYMPIC PLAZA CIR STE 410
TYLER, TX 75701
Internal Medicine (Gastroenterology)
700 OLYMPIC PLAZA CIR STE 410
TYLER, TX 75701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dawn O'neal's NPI number?

The NPI number for Dawn O'neal is 1013901339. It was assigned to this individual provider in the NPPES registry on August 31, 2005. The provider is also known as Ms. Dawn Elise Gerland Pa-C.

Where is Dawn O'neal located?

Dawn O'neal practices at 700 Olympic Plaza Cir Ste 410, Tyler, TX 75701. The listed phone number is (903) 531-8950.

What is Dawn O'neal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dawn O'neal enrolled in Medicare?

Yes. Dawn O'neal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dawn O'neal accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Dawn O'neal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dawn O'neal affiliated with any hospitals?

According to CMS data, Dawn O'neal is affiliated with Ut Health East Texas Tyler Regional Hospital and The University Of Texas Health Science Center At Tyler.

When was this NPI record last updated?

The NPPES record for Dawn O'neal was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.