ETHAN A. COLBY M.D.
NPI 1841450376
Radiology - Diagnostic Radiology in Plano, TX

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
78.75/100
CMS Quality Rating
3901 W 15TH ST, PLANO, TX 75075(972) 596-6800 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ethan A. Colby M.d. NPPES

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

ETHAN A. COLBY M.D. (NPI 1841450376) is an individual diagnostic radiology provider in Plano, Texas, licensed in Virginia (0101243349) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Methodist Richardson Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2003).

NPPES Registry Identity

NPI1841450376
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameETHAN A. COLBYCredential: M.D.
Location Address3901 W 15TH STPlano, TX 75075-7738
Mailing Address1820 Preston Park Blvd, 1200Plano, TX 75093-3656 · (972) 867-7862 · Fax (972) 612-1623
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2003
Enumeration DateJune 9, 2008
Last NPPES UpdateSeptember 5, 2013
✔ NPI 1841450376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in VA · 0101243349
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3901 W 15TH ST, Plano, TX 75075

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

Ethan A. Colby 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 ID2860564531
PECOS Enrollment IDI20090805000577
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 Ethan Colby reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1820 PRESTON PARK BLVD STE 2400
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 209 clinicians in this Medicare group
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 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 44

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
724 services674 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
448 services444 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
194 services190 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
145 services143 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
139 services136 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
117 services117 patients

Hospital Affiliations CMS Care Compare 4

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

Methodist Richardson Medical Center

Acute Care Hospitals · Richardson, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450537
Location2831 E President George Bush HighwayRichardson, TX 75082 · Collin County
Emergency services Birthing friendly

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Baylor Scott & White Medical Center - Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450853
Location5601 Warren ParkwayFrisco, TX 75034 · Denton County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Sunnyvale

Acute Care Hospitals · Sunnyvale, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number670060
Location231 South Collins RoadSunnyvale, TX 75182 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75075 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
$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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Improvement Activities40

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
0%26 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%694 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
98%46 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.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
3901 W 15TH ST
PLANO, TX 75075
Radiology (Diagnostic Radiology)
3901 W 15TH ST
PLANO, TX 75075
Emergency Medicine
3901 W 15TH ST
PLANO, TX 75075
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST
PLANO, TX 75075
Anesthesiology
3901 W 15TH ST
PLANO, TX 75075
Pharmacist
3901 W 15TH ST
PLANO, TX 75075
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST
PLANO, TX 75075
Nurse Practitioner (Neonatal)
3901 W 15TH ST
PLANO, TX 75075

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 Ethan Colby's NPI number?

The NPI number for Ethan Colby is 1841450376. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Ethan Colby located?

Ethan Colby practices at 3901 W 15th St, Plano, TX 75075. The listed phone number is (972) 596-6800.

What is Ethan Colby's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ethan Colby enrolled in Medicare?

Yes. Ethan Colby 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 Ethan Colby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Colby reassigns Medicare benefits to 2 organizations: Texas Radiology Associates LLP (Plano, TX) and Utmb Faculty Group Practice (Galveston, TX). 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 Ethan Colby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Colby accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Insurance Company list Ethan Colby 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 Ethan Colby affiliated with any hospitals?

According to CMS data, Ethan Colby is affiliated with Methodist Richardson Medical Center, Medical City Denton, Baylor Scott & White Medical Center - Frisco and Baylor Scott And White Medical Center Sunnyvale.

When was this NPI record last updated?

The NPPES record for Ethan Colby was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.