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CHARLES W. MCDANIEL DO
NPI 1497250377
Internal Medicine - Gastroenterology in Sunnyvale, TX

Active since March 24, 2018PECOS EnrolledAccepts Medicare Assignment
480 US HIGHWAY 80 E STE 200, SUNNYVALE, TX 75182(214) 327-2727(214) 327-1394 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2021, Mar 24, 2018 (2 updates tracked since 2018).

About Charles W. Mcdaniel Do NPPES

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

CHARLES W. MCDANIEL DO (NPI 1497250377) is an individual gastroenterology provider in Sunnyvale, Texas, licensed in Texas (V0472) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2018).

NPPES Registry Identity

NPI1497250377
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameCHARLES W. MCDANIELCredential: DO
Location Address480 US HIGHWAY 80 E STE 200Sunnyvale, TX 75182-9226
Mailing AddressPo Box 35629Dallas, TX 75235-0629 · (214) 424-2200 · Fax (214) 231-2159
Phone(214) 327-2727
Fax(214) 327-1394
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2018
Enumeration DateMarch 24, 2018
Last NPPES UpdateMay 29, 20242 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
✔ NPI 1497250377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · V0472
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
480 US HIGHWAY 80 E STE 200, Sunnyvale, TX 75182
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Charles W. Mcdaniel Do 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 ID2365707221
PECOS Enrollment IDI20240510000390
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 6

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.
40 services37 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.
28 services28 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
26 services26 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
21 services21 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
14 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450742
Location6800 Scenic DrRowlett, TX 75088 · Dallas County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670044
Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County
Emergency services

Baylor Scott And White Medical Center Sunnyvale

Acute Care Hospitals · Sunnyvale, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number670060
Location231 South Collins RoadSunnyvale, TX 75182 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75182 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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.

KRISTA TODD FNP
Nurse Practitioner (Family)
480 US HIGHWAY 80 E STE 200
SUNNYVALE, TX 75182
Dallas County (214) 327-2727
GABRIELA AYALA NP
Nurse Practitioner (Family)
480 US HIGHWAY 80 E STE 200
SUNNYVALE, TX 75182
Dallas County (972) 681-2226

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 Charles Mcdaniel's NPI number?

The NPI number for Charles Mcdaniel is 1497250377. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Where is Charles Mcdaniel located?

Charles Mcdaniel practices at 480 Us Highway 80 E Ste 200, Sunnyvale, TX 75182. The listed phone number is (214) 327-2727.

What is Charles Mcdaniel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Charles Mcdaniel enrolled in Medicare?

Yes. Charles Mcdaniel 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 Charles Mcdaniel 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 2 other insurers list Charles Mcdaniel 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 Charles Mcdaniel affiliated with any hospitals?

According to CMS data, Charles Mcdaniel is affiliated with Hunt Regional Medical Center, Baylor Scott And White Medical Center Lake Pointe, Texas Health Presbyterian Hospital Rockwall and Baylor Scott And White Medical Center Sunnyvale.

When was this NPI record last updated?

The NPPES record for Charles Mcdaniel was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.