EBERE NMAEZI OKEKE M.D.
NPI 1225320070
Internal Medicine in Sherman, TX

Active since May 12, 2011PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
500 N HIGHLAND AVE, SHERMAN, TX 75092(903) 870-4630(903) 870-5520 Get Directions Write a Review

NPPES record last updated: September 12, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2017, Feb 27, 2017 (2 updates tracked since 2017).

About Ebere Nmaezi Okeke M.d. NPPES

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

EBERE NMAEZI OKEKE M.D. (NPI 1225320070) is an individual internal medicine provider in Sherman, Texas, licensed in Texas (Q1251) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1225320070
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameEBERE NMAEZI OKEKECredential: M.D.
Location Address500 N HIGHLAND AVESherman, TX 75092-7354
Mailing AddressPo Box 6395Mckinney, TX 75071-5110
Fax(903) 870-5520
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 12, 2011
Last NPPES UpdateSeptember 12, 20172 updates tracked since enumeration
NPI 1225320070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · Q1251
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

500 N HIGHLAND AVE, Sherman, TX 75092

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

Ebere Nmaezi Okeke 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 ID4385865922
PECOS Enrollment IDI20141023000251
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 2

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
85 services52 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75092 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

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.

General Acute Care Hospital
500 N HIGHLAND AVE
SHERMAN, TX 75092
Dietitian, Registered
500 N HIGHLAND AVE
SHERMAN, TX 75092
Nurse Practitioner (Family)
500 N HIGHLAND AVE
SHERMAN, TX 75092
Emergency Medicine
500 N HIGHLAND AVE
SHERMAN, TX 75092
Internal Medicine
500 N HIGHLAND AVE
SHERMAN, TX 75092
Emergency Medicine
500 N HIGHLAND AVE
SHERMAN, TX 75092
Nurse Anesthetist, Certified Registered
500 N HIGHLAND AVE
SHERMAN, TX 75092
Nurse Practitioner (Family)
500 N HIGHLAND AVE
SHERMAN, TX 75092

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 Ebere Okeke's NPI number?

The NPI number for Ebere Okeke is 1225320070. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Where is Ebere Okeke located?

Ebere Okeke practices at 500 N Highland Ave, Sherman, TX 75092. The listed phone number is (903) 870-4630.

What is Ebere Okeke's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ebere Okeke enrolled in Medicare?

Yes. Ebere Okeke 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 Ebere Okeke 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 Ebere Okeke 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 Ebere Okeke affiliated with any hospitals?

According to CMS data, Ebere Okeke is affiliated with Texas Health Presbyterian Hospital Plano.

When was this NPI record last updated?

The NPPES record for Ebere Okeke was last updated on September 12, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.