DONALD A STEWART MD
NPI 1932212487
Specialist in Waco, TX

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
74.33/100
CMS Quality Rating
601 W STATE HIGHWAY 6, STE 105, WACO, TX 76710(254) 741-6113(254) 741-6629 Get Directions Write a Review

NPPES record last updated: March 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald A Stewart Md NPPES

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

DONALD A STEWART MD (NPI 1932212487) is an individual specialist in Waco, Texas, licensed in Texas (J1403) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of University Of Texas Medical School At San Antonio (1987).

NPPES Registry Identity

NPI1932212487
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDONALD A STEWARTCredential: MD
Location Address601 W STATE HIGHWAY 6, STE 105Waco, TX 76710-5591
Mailing Address601 W State Highway 6, Ste 105Waco, TX 76710-5591 · (254) 741-6113 · Fax (254) 741-6629
Fax(254) 741-6629
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1987
Enumeration DateAugust 17, 2006
Last NPPES UpdateMarch 13, 2009
NPI 1932212487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · J1403
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
601 W STATE HIGHWAY 6, Waco, TX 76710

Other Identifiers 3

Medicare UPINE71932TX
Medicaid047034601TX
Medicare ID-Type Unspecified88K693TX

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 and accepts Medicare assignment

Donald A Stewart 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 ID42266348
PECOS Enrollment IDI20110218000351
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 15

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
512 services438 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
425 services376 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.
270 services246 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.
220 services209 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
70 services12 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
49 services43 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Parkview Regional Hospital

Acute Care Hospitals · Mexia, TX
OwnershipProprietary
CMS Certification Number450400
Location600 South Bonham StreetMexia, TX 76667 · Limestone County
Emergency services

Limestone Medical Center

Critical Access Hospitals · Groesbeck, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451303
Location701 Mcclintic DriveGroesbeck, TX 76642 · Limestone County
Emergency services

Goodall Witcher Hospital

Critical Access Hospitals · Clifton, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451385
Location101 Posey AvenueClifton, TX 76634 · Bosque County
Emergency services Birthing friendly

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.

74.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.69
Promoting Interoperability100
Improvement Activities40
Cost41.75

Reported Quality Measures

Advance Care Plan
39%1,279 patients2/55-star benchmark: 100%
Breast Cancer Screening
49%264 patients3/55-star benchmark: 93%
Cervical Cancer Screening
30%153 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
65%91 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
41%1,060 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
65%560 patients3/55-star benchmark: 91%
Dementia: Cognitive Assessment
18%33 patients
Diabetes: Eye Exam
26%175 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
37%175 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%2,542 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
31%1,246 patients2/55-star benchmark: 100%
HIV Screening
8%615 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%1,748 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
28%1,536 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%1,309 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 1,337 patients
Patients screened: 99% · 1,337 patients
57%117 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 39% · 461 patients
38%461 patients
Screening for Osteoporosis for Women Aged 65-85 Years of Age
37%251 patients2/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%526 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 1,269 patients
Patients totalRate: 10% · 1,286 patients
9%1,286 patients4/55-star benchmark: 100%
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 5

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers66 claims10,620 services$0.10 avg. paid by Medicare
Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340
DME-Orthotic Devices · category DF000N
2 suppliers13 claims13 services$28.25 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers101 claims17,300 services$1.72 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers27 claims2,330 services$6.16 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers13 claims43 services$7.40 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 8

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

Obstetrics & Gynecology
601 W STATE HIGHWAY 6, SUITE 101
WACO, TX 76710
Dermatology
601 W STATE HIGHWAY 6, SUITE 103
WACO, TX 76710
Obstetrics & Gynecology
601 W STATE HIGHWAY 6, STE 101
WACO, TX 76710
Physical Therapist
601 W STATE HIGHWAY 6, SUITE 105
WACO, TX 76710
Pediatrics
601 W STATE HIGHWAY 6, SUITE 102
WACO, TX 76710
Urology
601 W STATE HIGHWAY 6, SUITE 105
WACO, TX 76710
Specialist
601 W STATE HIGHWAY 6, SUITE 105
WACO, TX 76710
Urology
601 W STATE HIGHWAY 6, SUITE 105
WACO, TX 76710

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 Donald Stewart's NPI number?

The NPI number for Donald Stewart is 1932212487. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Donald Stewart located?

Donald Stewart practices at 601 W State Highway 6 Ste 105, Waco, TX 76710. The listed phone number is (254) 741-6113.

What is Donald Stewart's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Donald Stewart enrolled in Medicare?

Yes. Donald Stewart 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 Donald Stewart accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Donald Stewart 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 Donald Stewart affiliated with any hospitals?

According to CMS data, Donald Stewart is affiliated with Ascension Providence, Parkview Regional Hospital, Limestone Medical Center and Goodall Witcher Hospital.

When was this NPI record last updated?

The NPPES record for Donald Stewart was last updated on March 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.