DR. PETE EDWARD O'DONALD D.P.M.
NPI 1992111538
Podiatrist - Foot & Ankle Surgery in Port Neches, TX

Q: What is the provider's specialty?

The provider's specialty is Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

Active since July 03, 2014PECOS EnrolledAccepts Medicare Assignment

76.83/100

CMS Quality Rating

2234 NEDERLAND AVENUE, 101, PORT NECHES, TX 77651(409) 727-1122(409) 727-1114 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, Jan 17, 2018 (2 updates tracked since 2018).

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About Dr. Pete Edward O'donald D.p.m. NPPES

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

DR. PETE EDWARD O'DONALD D.P.M. (NPI 1992111538) is an individual foot & ankle surgery provider in Port Neches, Texas, licensed in Texas (2254) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1992111538

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. PETE EDWARD O'DONALDCredential: D.P.M.

Location Address2234 NEDERLAND AVENUE, 101Port Neches, TX 77651-3926

Mailing Address2234 Nederland Avenue, 101Port Neches, TX 77651-3926 · (409) 727-1122 · Fax (409) 727-1114

Phone(409) 727-1122

Fax(409) 727-1114

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 3, 2014

Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1992111538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in TX · 2254

2234 NEDERLAND AVENUE, Port Neches, TX 77651

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Pete Edward O'donald D.p.m. 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 ID6103103106

PECOS Enrollment IDI20170428001779

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 12

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.

552 services243 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

153 services108 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

99 services99 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.

88 services61 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

54 services25 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

48 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

45 services33 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.

35 services35 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

29 services15 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

15 services13 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

15 services14 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450034

Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County

Emergency services Birthing friendly

The Medical Center Of Southeast Texas

Acute Care Hospitals · Port Arthur, TX

3/5 CMS rating

OwnershipPhysician

CMS Certification Number450518

Location2555 Jimmy Johnson BlvdPort Arthur, TX 77640 · Jefferson 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.

76.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

63.51

Promoting Interoperability

Improvement Activities

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure	Performance	Number of Patients
Advance Care Plan	1%	1005
Colorectal Cancer Screening	0%	1075
Controlling High Blood Pressure	0%	92
Diabetes: Eye Exam	0%	417
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)	100% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	417
Documentation of Current Medications in the Medical Record	98%	4429
Falls: Screening for Future Fall Risk	0%	973
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	13%	1748
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	0%	2461
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	0%	1087
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	0%	1087
Provide Patients Electronic Access to Their Health Information	41%	819
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	79%	626
Use of High-Risk Medications in Older Adults	0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	1007
Use of High-Risk Medications in Older Adults	0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	1007
Use of High-Risk Medications in Older Adults	0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	1007

DR. PETE EDWARD O'DONALD D.P.M.
NPI 1992111538
Podiatrist - Foot & Ankle Surgery in Port Neches, TX

About Dr. Pete Edward O'donald D.p.m. NPPES

NPPES Registry Identity

Specialties & Licenses

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Areas of Expertise CMS Part B claims 12

Hospital Affiliations CMS Care Compare 2

Christus Southeast Texas- St Elizabeth

The Medical Center Of Southeast Texas

Medicare Quality Performance CMS QPP · MIPS

MIPS Quality Measures

Frequently Asked Questions

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