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JOSEPH KEITH PRESTON MD
NPI 1801807649
Neurological Surgery in Paris, TX

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4015 LAMAR AVE, PARIS, TX 75462(903) 784-7959(903) 784-7969 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2026, Nov 3, 2016 (2 updates tracked since 2016).

About Joseph Keith Preston Md NPPES

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

JOSEPH KEITH PRESTON MD (NPI 1801807649) is an individual neurological surgery provider in Paris, Texas, licensed in Texas (L5880) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Muhlenberg Community Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1801807649
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJOSEPH KEITH PRESTONCredential: MD
Location Address4015 LAMAR AVEParis, TX 75462-5212
Mailing Address4015 Lamar AveParis, TX 75462-5212 · (903) 784-7959 · Fax (903) 784-7969
Phone(903) 784-7959
Fax(903) 784-7969
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 10, 2006
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1801807649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in TX · L5880✔ Licensed in KY · 61590
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
4015 LAMAR AVE, Paris, TX 75462
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Other Identifiers 1

Medicaid156446002TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Joseph Keith Preston 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 ID3375563935
PECOS Enrollment IDI20051129000425, I20260310002084
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

2

Medicare enrollment records show Joseph Preston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prmc Healthcare Group Inc
3.0 mi
General Practice
865 DESHONG DR
Paris, TX 75460
  • Reassigned Medicare billing, Texas enrollment
  • 51 clinicians in this Medicare group
NPI 1457514648 (903) 739-7461
Owensboro Health Medical Group Inc
515 mi
Nurse Practitioner
1871 US HIGHWAY 41A S
Dixon, KY 42409
  • Reassigned Medicare billing, Kentucky enrollment
  • 643 clinicians in this Medicare group
NPI 1649652249 (270) 639-9440

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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
215 services79 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.
185 services120 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
127 services127 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
100 services97 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
58 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services33 patients

Hospital Affiliations CMS Care Compare 4

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

Owensboro Health Muhlenberg Community Hospital

Acute Care Hospitals · Greenville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180004
Location440 Hopkinsville StreetGreenville, KY 42345 · Muhlenberg County
Emergency services

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Ohio County Hospital

Critical Access Hospitals · Hartford, KY
OwnershipProprietary
CMS Certification Number181323
Location1211 Old Main StreetHartford, KY 42347 · Ohio County
Emergency services

Paris Regional Medical Center

Acute Care Hospitals · Paris, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450196
Location865 Deshong DrParis, TX 75460 · Lamar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75462 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%339 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%403 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%347 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
6%403 patients1/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%403 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier35 claims35 services$3,760.15 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

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

J KEITH PRESTON MD PA
Neurological Surgery
4015 LAMAR AVE
PARIS, TX 75462
Lamar County (903) 784-7959

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 Joseph Preston's NPI number?

The NPI number for Joseph Preston is 1801807649. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Joseph Preston located?

Joseph Preston practices at 4015 Lamar Ave, Paris, TX 75462. The listed phone number is (903) 784-7959.

What is Joseph Preston's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Joseph Preston enrolled in Medicare?

Yes. Joseph Preston 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 Joseph Preston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Preston reassigns Medicare benefits to 2 organizations: Prmc Healthcare Group Inc (Paris, TX) and Owensboro Health Medical Group Inc (Dixon, KY). 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 Joseph Preston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Preston accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Joseph Preston 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 Joseph Preston affiliated with any hospitals?

According to CMS data, Joseph Preston is affiliated with Owensboro Health Muhlenberg Community Hospital, Owensboro Health Regional Hospital, Ohio County Hospital and Paris Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Preston was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.