DR. TIMOTHY RAE CHAPPELL M.D.
NPI 1285696914
Internal Medicine - Pulmonary Disease in Allen, TX

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
72.17/100
CMS Quality Rating
1101 RAINTREE CIR STE 100, ALLEN, TX 75013(972) 964-0170(972) 596-8928 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2021, Dec 15, 2016 (2 updates tracked since 2016).

About Dr. Timothy Rae Chappell M.d. NPPES

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

DR. TIMOTHY RAE CHAPPELL M.D. (NPI 1285696914) is an individual pulmonary disease provider in Allen, Texas, licensed in Texas (E7029) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and is a graduate of University Of Nebraska College Of Medicine (1975).

NPPES Registry Identity

NPI1285696914
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. TIMOTHY RAE CHAPPELLCredential: M.D.
Location Address1101 RAINTREE CIR STE 100Allen, TX 75013-4999
Mailing Address6100 Windcom Ct, #102Plano, TX 75093-7886 · (972) 964-0170 · Fax (972) 596-8928
Fax(972) 596-8928
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1975
Enumeration DateApril 6, 2006
Last NPPES UpdateSeptember 28, 20212 updates tracked since enumeration
NPPES CertifiedAugust 31, 2021
NPI 1285696914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · E7029
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1101 RAINTREE CIR STE 100, Allen, TX 75013

Other Identifiers 1

Medicaid122878503TX

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

Dr. Timothy Rae Chappell 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 ID3476441122
PECOS Enrollment IDI20040429000404
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.

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.
605 services395 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
271 services245 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
269 services245 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
256 services233 patients
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.
228 services214 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
195 services195 patients

Hospital Affiliations CMS Care Compare 5

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

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

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

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75013 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.

72.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality72.62
Promoting Interoperability99
Improvement Activities40
Cost35.46

Reported Quality Measures

Breast Cancer Screening
0%518 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%307 patients1/55-star benchmark: 98%
Controlling High Blood Pressure
76%25 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%2,692 patients4/55-star benchmark: 100%
e-Prescribing
96%2,407 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%1,110 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%1,628 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,688 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%2,637 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 88% · 734 patients
Patients screened: 91% · 734 patients
23%30 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
75%1,221 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 1,146 patients
Patients totalRate: 4% · 1,147 patients
3%1,147 patients4/55-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 30

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers106 claims106 services$32.94 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers21 claims36 services$1.20 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers52 claims52 services$80.81 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers56 claims162 services$29.35 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers50 claims289 services$16.76 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers37 claims214 services$13.03 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 2

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

Internal Medicine (Pulmonary Disease)
1101 RAINTREE CIR STE 100
ALLEN, TX 75013
Physical Therapist
1101 RAINTREE CIR STE 100
ALLEN, TX 75013

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 Timothy Chappell's NPI number?

The NPI number for Timothy Chappell is 1285696914. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Timothy Chappell located?

Timothy Chappell practices at 1101 Raintree Cir Ste 100, Allen, TX 75013. The listed phone number is (972) 964-0170.

What is Timothy Chappell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Timothy Chappell enrolled in Medicare?

Yes. Timothy Chappell 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 Timothy Chappell accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Timothy Chappell 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 Timothy Chappell affiliated with any hospitals?

According to CMS data, Timothy Chappell is affiliated with Medical Center Of Mckinney, Medical City Plano, Texas Health Presbyterian Hospital Plano, Texas Health Presbyterian Hospital Allen and Baylor Scott & White The Heart Hospital - Plano.

When was this NPI record last updated?

The NPPES record for Timothy Chappell was last updated on September 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.