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DOUGLAS M MACINERNEY MD
NPI 1376530444
Radiology - Diagnostic Radiology in Houston, TX

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
83.13/100
CMS Quality Rating
1415 NORTH LOOP W, SUITE 820, HOUSTON, TX 77008(713) 861-8200(713) 861-8261 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas M Macinerney Md NPPES

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

DOUGLAS M MACINERNEY MD (NPI 1376530444) is an individual diagnostic radiology provider in Houston, Texas, licensed in Texas (J0084) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1376530444
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDOUGLAS M MACINERNEYCredential: MD
Location Address1415 NORTH LOOP W, SUITE 820Houston, TX 77008-1664
Mailing Address1415 North Loop W, Suite 820Houston, TX 77008-1664 · (713) 861-8200 · Fax (713) 861-8261
Phone(713) 861-8200
Fax(713) 861-8261
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 4, 2005
Last NPPES UpdateOctober 3, 2011
✔ NPI 1376530444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · J0084
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1415 NORTH LOOP W, Houston, TX 77008
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified84520RTX
Medicare UPING08130
Medicare PIN8F6970TX
Medicaid116867604TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona, Sendero Health Plans, Local Nonprofit.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

Douglas M Macinerney 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 ID8325149180
PECOS Enrollment IDI20070723000849
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

5

Medicare enrollment records show Douglas Macinerney reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Synergy Radiology Associates PLLC
4.4 mi
Body Imaging
7026 OLD KATY RD, SUITE 276
Houston, TX 77024
  • Reassigned Medicare billing, Texas enrollment
  • 140 clinicians in this Medicare group
NPI 1902802986 (713) 621-7436
Singleton Associates PA
25 mi
Diagnostic Radiology
9250 PINECROFT DR
Shenandoah, TX 77380
  • Reassigned Medicare billing, Texas enrollment
  • 1,278 clinicians in this Medicare group
NPI 1487811766 (936) 266-2000
Eagle Partners, PLLC
358 mi
Diagnostic Radiology
2621 N WHISENANT DR
Duncan, OK 73533
  • Reassigned Medicare billing, Texas enrollment
  • 192 clinicians in this Medicare group
NPI 1548450976 (580) 252-5300
Mountain Radiology, Inc
986 mi
Diagnostic Radiology
2635 N 7TH ST
Grand Junction, CO 81501
  • Reassigned Medicare billing, Colorado and Texas enrollments
  • 99 clinicians in this Medicare group
NPI 1093823742 (970) 945-7564
Sonoran Radiology Ltd
1,002 mi
Vascular & Interventional Radiology
1400 S DOBSON RD
Mesa, AZ 85202
  • Reassigned Medicare billing, Arizona and Texas enrollments
  • 447 clinicians in this Medicare group
NPI 1033745708 (623) 299-8743

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 8

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.

Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
115 services113 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.
52 services52 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
36 services36 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
29 services29 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
25 services24 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Memorial Hermann Katy Hospital

Acute Care Hospitals · Katy, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450847
Location23900 Katy FreewayKaty, TX 77494 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77008 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

83.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.16
Improvement Activities40

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.

EDWIN RODRIGUEZ-REYES MD
Radiology (Diagnostic Radiology)
1415 NORTH LOOP W, SUITE 820
HOUSTON, TX 77008
Harris County (713) 861-8200
VIREN J BALSARA M.D.
Radiology (Diagnostic Radiology)
1415 NORTH LOOP W, SUITE 820
HOUSTON, TX 77008
Harris County (713) 861-8200
DR. PAUL GREGORY SELINA M.D.
Radiology (Diagnostic Radiology)
1415 NORTH LOOP W, SUITE 820
HOUSTON, TX 77008
Harris County (713) 861-8200
BITA POUR-JAFARI MD
Family Medicine
1415 NORTH LOOP W
HOUSTON, TX 77008
Harris County (713) 714-2448
MICHAEL S RODRIGUEZ MD
Radiology (Diagnostic Radiology)
1415 NORTH LOOP W, SUITE 820
HOUSTON, TX 77008
Harris County (713) 861-8200
SELECT RADIOLOGY ASSOCIATES, P.L.L.C.
Radiology (Diagnostic Radiology)
1415 NORTH LOOP W, SUITE 240
HOUSTON, TX 77008
Harris County (713) 426-9100
STEVEN S GERGUIS MD
Radiology (Diagnostic Radiology)
1415 NORTH LOOP W, SUITE 820
HOUSTON, TX 77008
Harris County (713) 861-8200
TERENCE D OCONNOR MD
Radiology (Diagnostic Radiology)
1415 NORTH LOOP W, SUITE 820
HOUSTON, TX 77008
Harris County (713) 861-8200

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 Douglas Macinerney's NPI number?

The NPI number for Douglas Macinerney is 1376530444. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Douglas Macinerney located?

Douglas Macinerney practices at 1415 North Loop W Suite 820, Houston, TX 77008. The listed phone number is (713) 861-8200.

What is Douglas Macinerney's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Douglas Macinerney enrolled in Medicare?

Yes. Douglas Macinerney 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.

Which organizations bill Medicare for Douglas Macinerney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Macinerney reassigns Medicare benefits to 5 organizations: Synergy Radiology Associates PLLC (Houston, TX), Singleton Associates PA (Shenandoah, TX), Eagle Partners, PLLC (Duncan, OK), Mountain Radiology, Inc (Grand Junction, CO) and Sonoran Radiology Ltd (Mesa, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Macinerney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Macinerney accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Douglas Macinerney 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 Douglas Macinerney affiliated with any hospitals?

According to CMS data, Douglas Macinerney is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Hca Houston Healthcare Kingwood and Memorial Hermann Katy Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Macinerney was last updated on October 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.