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ETHAN PRESTON FNP
NPI 1982191169
Nurse Practitioner - Family in Georgetown, TX

Active since April 13, 2018PECOS Enrolled
1502 BLUE RIDGE DR STE 100, GEORGETOWN, TX 78626(855) 220-9655(855) 220-9655 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2025, Mar 4, 2024, Apr 3, 2023 and 1 more (4 updates tracked since 2018).

About Ethan Preston Fnp NPPES

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

ETHAN PRESTON FNP (NPI 1982191169) is an individual family provider in Georgetown, Texas, licensed in Texas (1077676) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1982191169
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameETHAN PRESTONCredential: FNP
Location Address1502 BLUE RIDGE DR STE 100Georgetown, TX 78626-1002
Mailing Address1502 Blue Ridge Dr Ste 100Georgetown, TX 78626-1002 · (855) 220-9655 · Fax (855) 220-9655
Phone(855) 220-9655
Fax(855) 220-9655
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 13, 2018
Last NPPES UpdateMarch 4, 20254 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1982191169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · 1077676✔ Licensed in MI · 4704266333
1502 BLUE RIDGE DR STE 100, Georgetown, TX 78626
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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)

Ethan Preston Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143585869
PECOS Enrollment IDI20220920000113
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78626 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%2,020 patients4/55-star benchmark: 99%
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.
93%301 patients3/55-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.
87%1,046 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%120 patients5/55-star benchmark: 100%
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…
71%1,046 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
24%1,046 patients2/55-star benchmark: 89%
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.
22%1,046 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.

Frequently Asked Questions

What is Ethan Preston's NPI number?

The NPI number assigned to this healthcare provider is 1982191169, enumerated as an "individual" on April 13, 2018.

Where is the provider located?

The provider is located at 1502 BLUE RIDGE DR STE 100 GEORGETOWN, TX 78626 and the phone number is (855) 220-9655.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

What insurance does Ethan Preston accept?

The provider might be accepting Accepts: Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.