JONATHAN SEALE MD
NPI 1255714739
Family Medicine in Waco, TX

Q: What is Jonathan Seale's NPI number?

The NPI number for Jonathan Seale is 1255714739. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Q: What is Jonathan Seale's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Seale was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 02, 2015PECOS EnrolledAccepts Medicare Assignment

74.33/100

CMS Quality Rating

1600 PROVIDENCE DR, WACO, TX 76707(254) 313-4200 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jonathan Seale Md NPPES

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

JONATHAN SEALE MD (NPI 1255714739) is an individual family medicine provider in Waco, Texas, licensed in Texas (R0124) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2014).

NPPES Registry Identity

NPI1255714739

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJONATHAN SEALECredential: MD

Location Address1600 PROVIDENCE DRWaco, TX 76707-2261

Mailing Address1600 Providence DrWaco, TX 76707-2261 · (254) 313-4200

Phone(254) 313-4200

Sole ProprietorNo

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2014

Enumeration DateJuly 2, 2015

Last NPPES UpdateOctober 6, 2016

✔ NPI 1255714739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · R0124✔ Licensed in TX · BP10054659

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1600 PROVIDENCE DR, Waco, TX 76707

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Seale 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 ID7618255464

PECOS Enrollment IDI20161028000976

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.

Medicare Billing Reassignments

Medicare enrollment records show Jonathan Seale reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart Of Texas Community Health Center Inc

Same address

Federally Qualified Health Center (FQHC)

1610 PROVIDENCE DR
Waco, TX 76707

Reassigned Medicare billing, Texas enrollment
166 clinicians in this Medicare group

NPI 1568191492 (254) 313-4200

Hill County Hospitalist Group PLLC

31 mi

Hospitalist

101 CIRCLE DR
Hillsboro, TX 76645

Reassigned Medicare billing, Texas enrollment
5 clinicians in this Medicare group

NPI 1093581365 (512) 740-3399

Concord Medical Group PLLC

308 mi

Emergency Medicine

1602 AVENUE Q
Lubbock, TX 79401

Reassigned Medicare billing, Texas enrollment
1,338 clinicians in this Medicare group

NPI 1083630610 (888) 264-0330

Concord Medical Group Of Texas PLLC

308 mi

Emergency Medicine

1602 AVENUE Q
Lubbock, TX 79401

Reassigned Medicare billing, Texas enrollment
1,439 clinicians in this Medicare group

NPI 1750790762 (888) 264-0330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

177 services122 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

168 services112 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

128 services97 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

116 services86 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

100 services56 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

49 services39 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

43 services26 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

37 services20 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.

35 services34 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

30 services28 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.

28 services28 patients

Cerebrospinal fluid, or amniotic fluid albumin (protein) level 82042

The cerebrospinal fluid or amniotic fluid albumin level test measures the amount of albumin protein present in your spinal or amniotic fluid. This test helps doctors assess your body's response to various conditions, such as infection, inflammation or disease in the brain or spinal cord.

23 services23 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

23 services23 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

20 services17 patients

Hepatitis c antibody measurement 86803

Hepatitis C antibody measurement is a blood test to check if you have been exposed to the Hepatitis C virus. This virus affects your liver. If the test is positive, it means you have had the virus at some point. Additional tests are needed to determine if the virus is currently active.

19 services19 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence

Acute Care Hospitals · Waco, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450042

Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Hill Regional Hospital

Critical Access Hospitals · Hillsboro, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451395

Location101 Circle DriveHillsboro, TX 76645 · Hill County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76707 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

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.

74.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.69

Promoting Interoperability

100

Improvement Activities

Cost

41.75

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%118 patients

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

Lower rates are better for this measure.

72%25 patients2/55-star benchmark: 100%

Advance Care Plan

68%484 patients3/55-star benchmark: 100%

Age Appropriate Screening Colonoscopy

Lower rates are better for this measure.

0%36 patients

Appropriate Treatment for Upper Respiratory Infection (URI)

97%146 patients4/55-star benchmark: 100%

Breast Cancer Screening

57%234 patients3/55-star benchmark: 93%

Cervical Cancer Screening

42%302 patients2/55-star benchmark: 98%

Childhood Immunization Status

4%26 patients

Chlamydia Screening for Women

40%96 patients

Closing the Referral Loop: Receipt of Specialist Report

53%382 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

56%591 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

62%465 patients3/55-star benchmark: 91%

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation

6%224 patients1/55-star benchmark: 100%

Diabetes: Eye Exam

52%218 patients3/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

24%218 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

81%3,202 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

63%347 patients3/55-star benchmark: 100%

HIV Screening

40%816 patients3/55-star benchmark: 60%

Non-Recommended Cervical Cancer Screening in Adolescent Females

Lower rates are better for this measure.

3%38 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

23%1,039 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

66%866 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

35%1,311 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 79% · 923 patients

Patients screened: 86% · 923 patients

66%196 patients3/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients combinedPopulations: 64% · 832 patients

Patients screened: 70% · 832 patients

6%50 patients

Screening for Osteoporosis for Women Aged 65-85 Years of Age

55%141 patients3/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

71%340 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 370 patients

Patients totalRate: 15% · 376 patients

14%376 patients3/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier28 claims28 services$20.18 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

1 supplier12 claims12 services$13.88 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers40 claims40 services$113.36 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$168.18 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ALLISON L HULME MD

Family Medicine