JOSEPH A NIGHTINGALE MD
NPI 1073577656
Radiology - Diagnostic Radiology in Port Arthur, TX

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment
88.12/100
CMS Quality Rating
8801 9TH AVE, PORT ARTHUR, TX 77642(409) 724-3600(985) 646-0750 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph A Nightingale Md NPPES

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

JOSEPH A NIGHTINGALE MD (NPI 1073577656) is an individual diagnostic radiology provider in Port Arthur, Texas, licensed in Texas (J6022) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1073577656
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOSEPH A NIGHTINGALECredential: MD
Location Address8801 9TH AVEPort Arthur, TX 77642-8013
Mailing AddressPo Box 2409Indianapolis, IN 46206-2409 · (800) 550-5606 · Fax (985) 646-0750
Fax(985) 646-0750
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1993
Enumeration DateApril 12, 2006
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
NPI 1073577656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · J6022
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
8801 9TH AVE, Port Arthur, TX 77642

Secondary Practice Locations 7

Location 12555 Jimmy Johnson BlvdPort Arthur, TX 77643 · Phone (409) 853-5863
Location 2709 Little Jeff DrPort Neches, TX 77651-4822 · Phone (409) 729-5400 · Fax (409) 729-5400
Location 32830 Calder StBeaumont, TX 77702-1809 · Phone (409) 892-7171 · Fax (985) 646-0750
Location 4755 N 11th StBeaumont, TX 77702-1500 · Phone (409) 899-7500 · Fax (985) 646-0750
Location 53650 Laurel StBeaumont, TX 77707-2216 · Phone (409) 838-0346 · Fax (985) 646-0750
Location 66901 Medical Center Dr Ste 100Orange, TX 77630-1410 · Phone (409) 792-6500 · Fax (985) 646-0750
Location 71275 Marvin Hancock DrJasper, TX 75951-4935 · Phone (409) 384-5461 · Fax (985) 646-0750

Other Identifiers 1

Medicaid100766802TX

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

Joseph A Nightingale Md 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 ID5597725663
PECOS Enrollment IDI20041013000553
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 44

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.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
258 services255 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
193 services193 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
193 services193 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
191 services153 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
104 services101 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
94 services94 patients

Hospital Affiliations CMS Care Compare 5

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450346
Location3080 College StreetBeaumont, TX 77701 · Jefferson County
Emergency services Birthing friendly

The Medical Center Of Southeast Texas

Acute Care Hospitals · Port Arthur, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450518
Location2555 Jimmy Johnson BlvdPort Arthur, TX 77640 · Jefferson County
Emergency services Birthing friendly

Christus Jasper Memorial Hospital

Acute Care Hospitals · Jasper, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450573
Location1275 Marvin Hancock DriveJasper, TX 75951 · Jasper County
Emergency services

Riceland Medical Center

Critical Access Hospitals · Winnie, TX
OwnershipProprietary
CMS Certification Number451328
Location538 BroadwayWinnie, TX 77665 · Chambers County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77642 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
$83.80 typical visit price
range $54.04 – $164.93
Typical copayment $20.95 (range $13.51 – $41.23)
Most-billed visit code 99203
Established Patient
$67.64 typical visit price
range $17.17 – $134.47
Typical copayment $16.91 (range $4.29 – $33.61)
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.

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.

88.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
99%340 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%100 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

Radiology (Diagnostic Radiology)
8801 9TH AVE
PORT ARTHUR, TX 77642
Nurse Practitioner (Family)
8801 9TH AVE
PORT ARTHUR, TX 77642
Nurse Practitioner
8801 9TH AVE
PORT ARTHUR, TX 77642
Emergency Medicine
8801 9TH AVE
PORT ARTHUR, TX 77642
Nurse Practitioner (Family)
8801 9TH AVE
PORT ARTHUR, TX 77642
Physical Therapist
8801 9TH AVE
PORT ARTHUR, TX 77642
Emergency Medicine
8801 9TH AVE
PORT ARTHUR, TX 77642
Radiology (Diagnostic Radiology)
8801 9TH AVE
PORT ARTHUR, TX 77642

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 Joseph Nightingale's NPI number?

The NPI number for Joseph Nightingale is 1073577656. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Joseph Nightingale located?

Joseph Nightingale practices at 8801 9th Ave, Port Arthur, TX 77642. The listed phone number is (409) 724-3600.

What is Joseph Nightingale's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Joseph Nightingale enrolled in Medicare?

Yes. Joseph Nightingale 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 Joseph Nightingale accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice and Molina Healthcare list Joseph Nightingale 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 Joseph Nightingale affiliated with any hospitals?

According to CMS data, Joseph Nightingale is affiliated with Christus Southeast Texas- St Elizabeth, Baptist Beaumont Hospital, The Medical Center Of Southeast Texas, Christus Jasper Memorial Hospital and Riceland Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Nightingale was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.