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DR. JOEL ORNELAS M.D.
NPI 1528290509
Radiology - Diagnostic Radiology in Austin, TX

Active since August 10, 2009PECOS EnrolledAccepts Medicare Assignment
92.71/100
CMS Quality Rating
12554 RIATA VISTA CIR, AUSTIN, TX 78727(512) 795-5100(512) 795-5122 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Joel Ornelas M.d. NPPES

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

DR. JOEL ORNELAS M.D. (NPI 1528290509) is an individual diagnostic radiology provider in Austin, Texas, licensed in California (A114623) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1528290509
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JOEL ORNELASCredential: M.D.
Location Address12554 RIATA VISTA CIRAustin, TX 78727-6431
Mailing Address12554 Riata Vista CirAustin, TX 78727-6431 · (512) 795-5100 · Fax (512) 795-5122
Phone(512) 795-5100
Fax(512) 795-5122
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 10, 2009
Last NPPES UpdateDecember 22, 2023
✔ NPI 1528290509 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 CA · A114623
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
12554 RIATA VISTA CIR, Austin, TX 78727
Open in Google Maps ↗

Other Identifiers 2

Other00A1164230CA · Bcbs Of Ca
Medicaid1528290509CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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

Dr. Joel Ornelas 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 ID244497451
PECOS Enrollment IDI20120131000169
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

4

Medicare enrollment records show Joel Ornelas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Austin Radiological Association
Same address
Radiology
12554 RIATA VISTA CIR
Austin, TX 78727
  • Reassigned Medicare billing, Texas enrollment
  • 187 clinicians in this Medicare group
NPI 1033196464 (512) 795-5100
Singleton Associates PA
138 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
Southern California Permanente Medical Group
1,147 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1225060742 (California)
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044
Beverly Radiology Medical Group III
1,161 mi
Diagnostic Radiology
27168 NEWPORT RD, SUITE B
Menifee, CA 92584
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1043681752 (California), NPI 1285867887 (California)
  • 372 clinicians in this Medicare group
NPI 1649599085 (310) 445-2800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78727 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

92.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.42
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.

DR. GREGORY CONNOR MD
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100
AUSTIN RADIOLOGICAL ASSOCIATION
Clinic/Center (Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100
DR. BRADLEY BRENNER MD
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100
DR. MAEGAN KELLIE GARCIA LAZAGA M.D.
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100
ERIC EDWARD MAHLMANN
Physician Assistant
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100
SETH D. O'BRIEN M.D.
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100
KAETHAN BYSANI DO
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100
MICHAEL A. JAIMES M.D.
Radiology (Vascular & Interventional Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Travis County (512) 795-5100

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 Joel Ornelas's NPI number?

The NPI number for Joel Ornelas is 1528290509. It was assigned to this individual provider in the NPPES registry on August 10, 2009.

Where is Joel Ornelas located?

Joel Ornelas practices at 12554 Riata Vista Cir, Austin, TX 78727. The listed phone number is (512) 795-5100.

What is Joel Ornelas's specialty?

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

Is Joel Ornelas enrolled in Medicare?

Yes. Joel Ornelas 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 Joel Ornelas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Ornelas reassigns Medicare benefits to 4 organizations: Austin Radiological Association (Austin, TX), Singleton Associates PA (Shenandoah, TX), Southern California Permanente Medical Group (Hemet, CA) and Beverly Radiology Medical Group III (Menifee, CA). 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 Joel Ornelas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joel Ornelas accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Joel Ornelas 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.

When was this NPI record last updated?

The NPPES record for Joel Ornelas was last updated on December 22, 2023. 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.