MR. DAVID JOHN MACDOUGALL D.O., F.A.C.O.S., PA
NPI 1376662726
Neurological Surgery in Baytown, TX

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
11.06/100
CMS Quality Rating
4201 GARTH RD STE 205, BAYTOWN, TX 77521(713) 795-5300(713) 795-5720 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. David John Macdougall D.o., F.a.c.o.s., Pa NPPES

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

MR. DAVID JOHN MACDOUGALL D.O., F.A.C.O.S., PA (NPI 1376662726) is an individual neurological surgery provider in Baytown, Texas, licensed in Texas (G9493) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1376662726
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameMR. DAVID JOHN MACDOUGALLCredential: D.O., F.A.C.O.S., PA
Location Address4201 GARTH RD STE 205Baytown, TX 77521
Mailing Address3211 Savell DrBaytown, TX 77521-2700 · (713) 795-5300 · Fax (713) 795-5720
Fax(713) 795-5720
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateMarch 28, 2007
Last NPPES UpdateMay 17, 2018
NPI 1376662726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in TX · G9493
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

4201 GARTH RD STE 205, Baytown, TX 77521

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

Mr. David John Macdougall D.o., F.a.c.o.s., Pa 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 ID1153383179
PECOS Enrollment IDI20131212001083
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 11

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.
111 services80 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
96 services96 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
88 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
68 services63 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
37 services37 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

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

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

Ad Hospital East, LLC

Acute Care Hospitals · Houston, TX
OwnershipProprietary
CMS Certification Number670102
Location12950 East Freeway, Suite 100Houston, TX 77015 · Harris County
Emergency services

Altus Baytown Hospital

Acute Care Hospitals · Baytown, TX
OwnershipPhysician
CMS Certification Number670109
Location1626 W Baker RoadBaytown, TX 77521 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77521 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
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.

11.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality20
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims

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

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637
DME-Orthotic Devices · category DF007N
3 suppliers14 claims14 services$1,015.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 David Macdougall's NPI number?

The NPI number for David Macdougall is 1376662726. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is David Macdougall located?

David Macdougall practices at 4201 Garth Rd Ste 205, Baytown, TX 77521. The listed phone number is (713) 795-5300.

What is David Macdougall's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is David Macdougall enrolled in Medicare?

Yes. David Macdougall 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 David Macdougall accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list David Macdougall 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 David Macdougall affiliated with any hospitals?

According to CMS data, David Macdougall is affiliated with Memorial Hermann - Texas Medical Center, Houston Methodist Baytown Hospital, Ad Hospital East, LLC and Altus Baytown Hospital.

When was this NPI record last updated?

The NPPES record for David Macdougall was last updated on May 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.