DR. EIMILE DALTON M.D.
NPI 1801156088
Internal Medicine - Gastroenterology in Austin, TX

Active since May 22, 2012PECOS EnrolledAccepts Medicare Assignment
79.43/100
CMS Quality Rating
4310 JAMES CASEY ST STE 4A, AUSTIN, TX 78745(512) 448-4588(512) 445-4511 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, Mar 5, 2026, Aug 23, 2023 (3 updates tracked since 2023).

About Dr. Eimile Dalton M.d. NPPES

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

DR. EIMILE DALTON M.D. (NPI 1801156088) is an individual gastroenterology provider in Austin, Texas, licensed in Indiana (01098918A) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1801156088
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. EIMILE DALTONCredential: M.D.
Location Address4310 JAMES CASEY ST STE 4AAustin, TX 78745-1120
Mailing AddressPo Box 10597Austin, TX 78766-1597 · (512) 485-5889 · Fax (512) 420-0397
Fax(512) 445-4511
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2012
Enumeration DateMay 22, 2012
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1801156088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in IN · 01098918A✔ Licensed in TX · Q5168
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.
4310 JAMES CASEY ST STE 4A, Austin, TX 78745

Other Names 1

Former Name (1)Eimile Rowan Dalton-fitzgerald

Secondary Practice Location 1

Location 11402 E County Line RdIndianapolis, IN 46227-0963 · Phone (317) 887-7000 · Fax (317) 887-7606

Other Identifiers 1

Medicaid300128825IN

Accepted 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. Eimile Dalton 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 ID2365797230
PECOS Enrollment IDI20180618000590, I20260313001733
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

7

Medicare enrollment records show Eimile Dalton reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology
9211 WATERFORD CENTRE BLVD, STE 200
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 85 clinicians in this Medicare group
Emergency Medicine
1400 N TEXANA ST
Hallettsville, TX 77964
  • Reassigned Medicare billing, Texas enrollment
  • 43 clinicians in this Medicare group
Internal Medicine
709 HOLLYBROOK DR STE 2301
Longview, TX 75605
  • Reassigned Medicare billing, Texas enrollment
  • 92 clinicians in this Medicare group
Neurological Surgery
132 W MAIN ST STE A
Aspen, CO 81611
  • Reassigned Medicare billing, Colorado enrollment
  • 163 clinicians in this Medicare group
Family Medicine
221 S 6TH ST
Terre Haute, IN 47807
  • Reassigned Medicare billing, Indiana enrollment
  • 306 clinicians in this Medicare group
Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
Neurology
364 SE 8TH AVE STE 101
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 691 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 10

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.

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.
95 services94 patients
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.
88 services70 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.
74 services68 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.
59 services59 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.
42 services42 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.
38 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150128
Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County
Emergency services Birthing friendly

Longview Regional Medical Center

Acute Care Hospitals · Longview, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450702
Location2901 N Fourth StLongview, TX 75605 · Gregg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78745 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

79.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.61
Promoting Interoperability100
Improvement Activities40
Cost78.84

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4310 JAMES CASEY ST STE 4A
AUSTIN, TX 78745
Nurse Practitioner (Acute Care)
4310 JAMES CASEY ST STE 4A
AUSTIN, TX 78745
Internal Medicine (Gastroenterology)
4310 JAMES CASEY ST STE 4A
AUSTIN, TX 78745
Physician Assistant
4310 JAMES CASEY ST STE 4A
AUSTIN, TX 78745
Internal Medicine (Gastroenterology)
4310 JAMES CASEY ST STE 4A
AUSTIN, TX 78745
Internal Medicine (Gastroenterology)
4310 JAMES CASEY ST STE 4A
AUSTIN, TX 78745
Internal Medicine (Gastroenterology)
4310 JAMES CASEY ST STE 4A
AUSTIN, TX 78745
Internal Medicine (Gastroenterology)
4310 JAMES CASEY ST STE 4A
AUSTIN, TX 78745

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 Eimile Dalton's NPI number?

The NPI number for Eimile Dalton is 1801156088. It was assigned to this individual provider in the NPPES registry on May 22, 2012. The provider is also known as Eimile Rowan Dalton-Fitzgerald.

Where is Eimile Dalton located?

Eimile Dalton practices at 4310 James Casey St Ste 4A, Austin, TX 78745. The listed phone number is (512) 448-4588.

What is Eimile Dalton's specialty?

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

Is Eimile Dalton enrolled in Medicare?

Yes. Eimile Dalton 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 Eimile Dalton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eimile Dalton reassigns Medicare benefits to 7 organizations: Austin Gastroenterology, PLLC (Austin, TX), Lavaca Hospital District (Hallettsville, TX), Regional Clinics Of Longview (Longview, TX), Valley View Hospital Association (Aspen, CO), Union Associated Physicians Clinic, LLC (Terre Haute, IN) and 2 more organizations, listed in the Medicare section above. 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 Eimile Dalton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eimile Dalton accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource, Cigna Healthcare and Moda Health Plan, Inc. and 1 other insurer list Eimile Dalton 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 Eimile Dalton affiliated with any hospitals?

According to CMS data, Eimile Dalton is affiliated with Union Hospital Inc, Community Hospital South, Inc. and Longview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Eimile Dalton was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.