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DR. ELIAS M. NTSOANE MD
NPI 1720263874
Psychiatry & Neurology - Neurology in Port Arthur, TX

Active since January 08, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3780 MEMORIAL BLVD, PORT ARTHUR, TX 77640(409) 983-2711 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Elias M. Ntsoane Md NPPES

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

DR. ELIAS M. NTSOANE MD (NPI 1720263874) is an individual neurology provider in Port Arthur, Texas, licensed in Texas (N4629) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1720263874
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ELIAS M. NTSOANECredential: MD
Location Address3780 MEMORIAL BLVDPort Arthur, TX 77640-2629
Mailing Address3780 Memorial Blvd.Port Arthur, TX 77640 · (409) 983-2711
Phone(409) 983-2711
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 8, 2008
Last NPPES UpdateJune 16, 2010
✔ NPI 1720263874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · N4629
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3780 MEMORIAL BLVD, Port Arthur, TX 77640
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Other Identifiers 1

OtherCP0101TX · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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. Elias M. Ntsoane Md 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 ID7113067042
PECOS Enrollment IDI20091228000143
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 7

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.
344 services198 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.
68 services68 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
67 services38 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
57 services54 patients
Nerve conduction, 11-12 studies 95912
Nerve conduction studies are tests that measure how well your nerves are working. In 11-12 studies, small electrodes are placed on your skin to send and receive electrical signals. These signals show how quickly and effectively your nerves are transmitting signals, helping to identify any nerve damage or dysfunction.
28 services26 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

The Medical Center Of Southeast Texas

Acute Care Hospitals · Port Arthur, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450518
Location2555 Jimmy Johnson BlvdPort Arthur, TX 77640 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77640 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
$124.88 typical visit price
range $54.04 – $164.93
Typical copayment $31.22 (range $13.51 – $41.23)
Most-billed visit code 99204
Established Patient
$95.83 typical visit price
range $17.17 – $134.47
Typical copayment $23.95 (range $4.29 – $33.61)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers22 claims22 services$24.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. PAUL Q PROFFITT D.O.
Psychiatry & Neurology (Neurology)
3780 MEMORIAL BLVD, 3780 MEMORIAL BLVD
PORT ARTHUR, TX 77640
Jefferson County (409) 983-1161
DR. GILBERTO P. AGUSTIN M.D.
Psychiatry & Neurology (Neurology)
3780 MEMORIAL BLVD, BLVD
PORT ARTHUR, TX 77640
Jefferson County (409) 983-2711

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 Elias Ntsoane's NPI number?

The NPI number for Elias Ntsoane is 1720263874. It was assigned to this individual provider in the NPPES registry on January 8, 2008.

Where is Elias Ntsoane located?

Elias Ntsoane practices at 3780 Memorial Blvd, Port Arthur, TX 77640. The listed phone number is (409) 983-2711.

What is Elias Ntsoane's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Elias Ntsoane enrolled in Medicare?

Yes. Elias Ntsoane 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 Elias Ntsoane accept?

Health plans from UnitedHealthcare list Elias Ntsoane 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 Elias Ntsoane affiliated with any hospitals?

According to CMS data, Elias Ntsoane is affiliated with Christus Southeast Texas- St Elizabeth and The Medical Center Of Southeast Texas.

When was this NPI record last updated?

The NPPES record for Elias Ntsoane was last updated on June 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.