DR. DANIEL FLEMING M.D.
NPI 1891797254
Otolaryngology in San Antonio, TX

Active since August 15, 2005PECOS Enrolled
85.87/100
CMS Quality Rating
4775 HAMILTON WOLFE RD STE 1, SAN ANTONIO, TX 78229(210) 616-0283(210) 616-0071 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Daniel Fleming M.d. NPPES

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

DR. DANIEL FLEMING M.D. (NPI 1891797254) is an individual otolaryngology provider in San Antonio, Texas, licensed in Texas (L3645) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891797254
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. DANIEL FLEMINGCredential: M.D.
Location Address4775 HAMILTON WOLFE RD STE 1San Antonio, TX 78229-3456
Mailing Address10740 N Gessner Rd Ste 310Houston, TX 77064-1240 · (281) 897-0416 · Fax (800) 346-9037
Fax(210) 616-0071
Sole ProprietorNo
Enumeration DateAugust 15, 2005
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
NPI 1891797254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in TX · L3645
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

4775 HAMILTON WOLFE RD STE 1, San Antonio, TX 78229

Other Identifiers 1

Medicaid152524801TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Daniel Fleming M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 19

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,400 services23 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.
307 services223 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.
207 services138 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
150 services119 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
60 services55 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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.

85.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.13
Promoting Interoperability98
Improvement Activities40
Cost63.43

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers11 claims11 services$29.19 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers13 claims14 services$64.25 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims27 services$24.54 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers21 claims124 services$14.00 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers29 claims29 services$45.43 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers26 claims27 services$13.33 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 18

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

Speech-Language Pathologist
4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229
Physician Assistant (Medical)
4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229
Otolaryngology
4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229
Otolaryngology
4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229
Otolaryngology
4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229
Audiologist
4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229
Hearing Instrument Specialist
4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229
Otolaryngology
4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 78229

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 Daniel Fleming's NPI number?

The NPI number for Daniel Fleming is 1891797254. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Daniel Fleming located?

Daniel Fleming practices at 4775 Hamilton Wolfe Rd Ste 1, San Antonio, TX 78229. The listed phone number is (210) 616-0283.

What is Daniel Fleming's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Daniel Fleming enrolled in Medicare?

Yes. Daniel Fleming is registered in the Medicare PECOS enrollment system.

What insurance does Daniel Fleming accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and WellPoint list Daniel Fleming 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.

When was this NPI record last updated?

The NPPES record for Daniel Fleming was last updated on September 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.