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JOHN ROUFAIL M.D
NPI 1033454194
Neurological Surgery in Denison, TX

Active since November 30, 2012PECOS EnrolledAccepts Medicare Assignment
5012 S US HIGHWAY 75 STE 300, DENISON, TX 75020(903) 416-6065 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2025, Nov 25, 2020 (2 updates tracked since 2020).

About John Roufail M.d NPPES

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

JOHN ROUFAIL M.D (NPI 1033454194) is an individual neurological surgery provider in Denison, Texas, licensed in Texas (V6387) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS, is affiliated with Alliancehealth Durant, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1033454194
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJOHN ROUFAILCredential: M.D
Location Address5012 S US HIGHWAY 75 STE 300Denison, TX 75020-4589
Mailing Address4717 Bear Run DrPlano, TX 75093-7321
Phone(903) 416-6065
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 30, 2012
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1033454194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in TX · V6387✔ Licensed in OK · 38891
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
5012 S US HIGHWAY 75 STE 300, Denison, TX 75020
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Mending Health and more.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

John Roufail M.d 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 ID2567746688
PECOS Enrollment IDI20211216000335, I20250306001995
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 5

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 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.
80 services59 patients
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.
45 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Alliancehealth Durant

Acute Care Hospitals · Durant, OK
1/5 CMS rating
OwnershipProprietary
CMS Certification Number370014
Location1800 University BoulevardDurant, OK 74702 · Bryan County
Emergency services Birthing friendly

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Wilson N Jones Regional Medical Center

Acute Care Hospitals · Sherman, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450469
Location500 N Highland AvenueSherman, TX 75091 · Grayson County
Emergency services Birthing friendly

Tmc- Bonham Hospital

Critical Access Hospitals · Bonham, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451370
Location504 Lipscomb StreetBonham, TX 75418 · Fannin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

SHAYLON MILLER
Nurse Practitioner (Family)
5012 S US HIGHWAY 75 STE 300
DENISON, TX 75020
Grayson County (903) 416-6430
JOHN B SISSNEY D.O.
Family Medicine
5012 S US HIGHWAY 75 STE 300
DENISON, TX 75020
Grayson County (903) 416-6025
MRS. ANGELA POSEY CPNP
Nurse Practitioner (Pediatrics)
5012 S US HIGHWAY 75 STE 300
DENISON, TX 75020
Grayson County (903) 416-6200
DR. ANGELICA SANDOVAL BALINGIT MD
Internal Medicine
5012 S US HIGHWAY 75 STE 300
DENISON, TX 75020
Grayson County (903) 416-6015

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 John Roufail's NPI number?

The NPI number for John Roufail is 1033454194. It was assigned to this individual provider in the NPPES registry on November 30, 2012.

Where is John Roufail located?

John Roufail practices at 5012 S Us Highway 75 Ste 300, Denison, TX 75020. The listed phone number is (903) 416-6065.

What is John Roufail's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is John Roufail enrolled in Medicare?

Yes. John Roufail 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 John Roufail accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Mending Health, Providence Health Plan and UnitedHealthcare list John Roufail 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 John Roufail affiliated with any hospitals?

According to CMS data, John Roufail is affiliated with Alliancehealth Durant, Texoma Medical Center, Wilson N Jones Regional Medical Center and Tmc- Bonham Hospital.

When was this NPI record last updated?

The NPPES record for John Roufail was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.