ANDREW PARKER M.D.
NPI 1316232689
Orthopaedic Surgery - Sports Medicine in Allen, TX

Active since June 15, 2011PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
1110 RAINTREE CIRCLE, SUITE 100, ALLEN, TX 75013(214) 383-9356 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2021, Feb 18, 2019, May 7, 2018 and 3 more (6 updates tracked since 2016).

About Andrew Parker M.d. NPPES

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

ANDREW PARKER M.D. (NPI 1316232689) is an individual sports medicine provider in Allen, Texas, licensed in Texas (Q9705) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and maintains a secondary practice location in Allen.

NPPES Registry Identity

NPI1316232689
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameANDREW PARKERCredential: M.D.
Location Address1110 RAINTREE CIRCLE, SUITE 100Allen, TX 75013
Mailing Address1110 Raintree Circle, Suite 100Allen, TX 75013 · (214) 383-9356
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2011
Enumeration DateJune 15, 2011
Last NPPES UpdateJune 18, 20216 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
NPI 1316232689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in TX · Q9705
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License BP10039662 (TX), MD.35014 (AL)
1110 RAINTREE CIRCLE, SUITE 100, Allen, TX 75013

Secondary Practice Location 1

Location 11120 Raintree Circle, Suite 280Allen, TX 75013 · Phone (214) 383-9356 · Fax (214) 383-9886

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

Andrew Parker 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 ID5890080766
PECOS Enrollment IDI20170912002191
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 19

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
1,824 services25 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,070 services96 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
139 services107 patients
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.
115 services92 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
89 services72 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.
82 services82 patients

Hospital Affiliations CMS Care Compare 4

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

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

Methodist Mckinney Hospital

Acute Care Hospitals · Mckinney, TX
OwnershipProprietary
CMS Certification Number670069
Location8000 W Eldorado Pkwy Bldg C Suite CMckinney, TX 75070 · Collin County
Emergency services

Methodist Hospital For Surgery

Acute Care Hospitals · Addison, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670073
Location17101 Dallas ParkwayAddison, TX 75001 · Dallas County
Emergency services

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 2

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

Family Medicine (Sports Medicine)
1110 RAINTREE CIRCLE, SUITE 100
ALLEN, TX 75013
Physician Assistant (Surgical)
1110 RAINTREE CIRCLE, SUITE 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 Andrew Parker's NPI number?

The NPI number for Andrew Parker is 1316232689. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Where is Andrew Parker located?

Andrew Parker practices at 1110 Raintree Circle, Suite 100, Allen, TX 75013. The listed phone number is (214) 383-9356.

What is Andrew Parker's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Andrew Parker enrolled in Medicare?

Yes. Andrew Parker 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 Andrew Parker 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 1 other insurer list Andrew Parker 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 Andrew Parker affiliated with any hospitals?

According to CMS data, Andrew Parker is affiliated with Texas Health Presbyterian Hospital Plano, Texas Health Presbyterian Hospital Allen, Methodist Mckinney Hospital and Methodist Hospital For Surgery.

When was this NPI record last updated?

The NPPES record for Andrew Parker was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.