DR. JAMES PATRICK O'NEAL MD
NPI 1376527218
Otolaryngology in Conroe, TX
About Dr. James Patrick O'neal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES PATRICK O'NEAL MD (NPI 1376527218) is an individual otolaryngology provider in Conroe, Texas, licensed in Texas (M1272) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Conroe, and is a graduate of Baylor College Of Medicine (2000).
NPPES Registry Identity
Specialties & Licenses
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Other Identifiers 6
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. James Patrick O'neal 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.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hca Houston Healthcare Conroe
Acute Care Hospitals · Conroe, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| e-Prescribing | 98% | 555 |
| Provide Patients Electronic Access to Their Health Information | 100% | 833 |
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.
CONROE, TX 77304
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376527218, enumerated as an "individual" on December 05, 2005.
The provider is located at 508 MEDICAL CENTER BLVD CONROE, TX 77304 and the phone number is (936) 523-1422.
Otolaryngology with taxonomy code 207Y00000X.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.
James O'neal is affiliated with: HCA HOUSTON HEALTHCARE CONROE.
