OSCAR ADOLFO RONCAL MD
NPI 1134359482
Pathology - Clinical Pathology in Rowlett, TX

Active since July 21, 2009PECOS EnrolledAccepts Medicare Assignment
98.81/100
CMS Quality Rating
6800 SCENIC DR, ROWLETT, TX 75088(972) 535-2946 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oscar Adolfo Roncal Md NPPES

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

OSCAR ADOLFO RONCAL MD (NPI 1134359482) is an individual clinical pathology provider in Rowlett, Texas, licensed in Texas (Q4508) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and maintains a secondary practice location in Rowlett.

NPPES Registry Identity

NPI1134359482
Entity TypeIndividualMale
Primary Taxonomy207ZC0006X
Provider Legal NameOSCAR ADOLFO RONCALCredential: MD
Location Address6800 SCENIC DRRowlett, TX 75088-4552
Mailing AddressPo Box 844658Dallas, TX 75284-4658
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2009
Enumeration DateJuly 21, 2009
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
NPI 1134359482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZC0006X
License Licensed in TX · Q4508
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License Q4508 (TX)
6800 SCENIC DR, Rowlett, TX 75088

Secondary Practice Location 1

Location 17501 Lakeview Pkwy Ste 160Rowlett, TX 75088-9327 · Phone (972) 526-0340 · Fax (972) 996-1857

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

Oscar Adolfo Roncal 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 ID3678711025
PECOS Enrollment IDI20150829000028
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 13

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
655 services338 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
182 services168 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
160 services46 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
102 services66 patients
Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode 88177
A Pap test is a procedure that checks for abnormal cells in the body, which could indicate a serious condition. The evaluation of a fine needle aspirate is a process where a small sample is taken with a thin needle for examination. This can be done multiple times for a thorough analysis.
51 services15 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
49 services48 patients

Hospital Affiliations CMS Care Compare 4

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

Baylor Scott & White Medical Center At Irving

Acute Care Hospitals · Irving, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450079
Location1901 N Macarthur BlvdIrving, TX 75061 · Dallas County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450742
Location6800 Scenic DrRowlett, TX 75088 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Centennial

Acute Care Hospitals · Frisco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450885
Location12505 Lebanon RoadFrisco, TX 75035 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75088 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
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.

98.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost96.06

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
6800 SCENIC DR
ROWLETT, TX 75088
Emergency Medicine
6800 SCENIC DR
ROWLETT, TX 75088
Emergency Medicine
6800 SCENIC DR
ROWLETT, TX 75088
Anesthesiology
6800 SCENIC DR
ROWLETT, TX 75088
General Acute Care Hospital
6800 SCENIC DR
ROWLETT, TX 75088
Internal Medicine
6800 SCENIC DR
ROWLETT, TX 75088
Obstetrics & Gynecology
6800 SCENIC DR
ROWLETT, TX 75088
Emergency Medicine
6800 SCENIC DR, BOX 1550
ROWLETT, TX 75088

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 Oscar Roncal's NPI number?

The NPI number for Oscar Roncal is 1134359482. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Where is Oscar Roncal located?

Oscar Roncal practices at 6800 Scenic Dr, Rowlett, TX 75088. The listed phone number is (972) 535-2946.

What is Oscar Roncal's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology, with taxonomy code 207ZC0006X.

Is Oscar Roncal enrolled in Medicare?

Yes. Oscar Roncal 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 Oscar Roncal accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Community Health Choice list Oscar Roncal 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 Oscar Roncal affiliated with any hospitals?

According to CMS data, Oscar Roncal is affiliated with Baylor Scott & White Medical Center - Temple, Baylor Scott & White Medical Center At Irving, Baylor Scott And White Medical Center Lake Pointe and Baylor Scott & White Medical Center - Centennial.

When was this NPI record last updated?

The NPPES record for Oscar Roncal was last updated on September 25, 2023. 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.