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DR. JOHN MICHAEL O'NEAL M.D.
NPI 1639512296
Emergency Medicine in The Colony, TX

Active since April 14, 2013PECOS Enrolled
4777 MEMORIAL DR, APT 852, THE COLONY, TX 75056(228) 861-1351 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 4, 2022, Nov 7, 2016, Jun 21, 2016 (3 updates tracked since 2016).

About Dr. John Michael O'neal M.d. NPPES

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

DR. JOHN MICHAEL O'NEAL M.D. (NPI 1639512296) is an individual emergency medicine provider in The Colony, Texas, licensed in Texas (Q8985) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639512296
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHN MICHAEL O'NEALCredential: M.D.
Location Address4777 MEMORIAL DR, APT 852The Colony, TX 75056-2804
Mailing Address13737 Noel Rd Ste 1600Dallas, TX 75240-1374 · (228) 861-1351
Phone(228) 861-1351
Sole ProprietorNo
Enumeration DateApril 14, 2013
Last NPPES UpdateJanuary 4, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
✔ NPI 1639512296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in TX · Q8985✔ Licensed in CA · A133100
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4777 MEMORIAL DR, The Colony, TX 75056
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Michael O'neal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
163 services158 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
95 services92 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
81 services75 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75056 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 John O'neal's NPI number?

The NPI number for John O'neal is 1639512296. It was assigned to this individual provider in the NPPES registry on April 14, 2013.

Where is John O'neal located?

John O'neal practices at 4777 Memorial Dr Apt 852, The Colony, TX 75056. The listed phone number is (228) 861-1351.

What is John O'neal's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John O'neal enrolled in Medicare?

Yes. John O'neal is registered in the Medicare PECOS enrollment system.

What insurance does John O'neal accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list John O'neal 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 John O'neal was last updated on January 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.