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DR. NANCY CAROLYN O'NEAL M.D.
NPI 1669433991
Surgery in Medford, OR

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
83.78/100
CMS Quality Rating
3932 SOUTHVIEW TER, MEDFORD, OR 97504(541) 261-1122 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nancy Carolyn O'neal M.d. NPPES

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

DR. NANCY CAROLYN O'NEAL M.D. (NPI 1669433991) is an individual surgery provider in Medford, Oregon, licensed in Oregon (MD27835) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1991).

NPPES Registry Identity

NPI1669433991
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. NANCY CAROLYN O'NEALCredential: M.D.
Location Address3932 SOUTHVIEW TERMedford, OR 97504-9367
Mailing Address3932 Southview TerMedford, OR 97504-9367 · (541) 261-1122
Phone(541) 261-1122
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1991
Enumeration DateMarch 28, 2006
Last NPPES UpdateSeptember 27, 2021
NPPES CertifiedSeptember 27, 2021
✔ NPI 1669433991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OR · MD27835
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3932 SOUTHVIEW TER, Medford, OR 97504
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Other Identifiers 3

Medicaid241576OR
Other139572OR · Medicare
Other4898020OR · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan 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

Dr. Nancy Carolyn O'neal 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 ID6901994128
PECOS Enrollment IDI20071121000154
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 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.

Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
38 services35 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
21 services21 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Ashland Community Hospital

Acute Care Hospitals · Ashland, OR
OwnershipGovernment - Local
CMS Certification Number380005
Location280 Maple StreetAshland, OR 97520 · Jackson County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

83.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.08
Promoting Interoperability100
Improvement Activities40
Cost63.86

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 Nancy O'neal's NPI number?

The NPI number for Nancy O'neal is 1669433991. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Nancy O'neal located?

Nancy O'neal practices at 3932 Southview Ter, Medford, OR 97504. The listed phone number is (541) 261-1122.

What is Nancy O'neal's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nancy O'neal enrolled in Medicare?

Yes. Nancy O'neal 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 Nancy O'neal accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nancy 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.

Is Nancy O'neal affiliated with any hospitals?

According to CMS data, Nancy O'neal is affiliated with Asante Three Rivers Medical Center, Asante Ashland Community Hospital and Asante Rogue Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nancy O'neal was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.