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DR. JOSEPH MICHAEL O'DWYER M.D.
NPI 1992815963
Internal Medicine in Houston, TX

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
56.53/100
CMS Quality Rating
2260 W HOLCOMBE BLVD, SUITE 447, HOUSTON, TX 77030(713) 882-1884(713) 521-0680 Get Directions Write a Review

NPPES record last updated: December 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Joseph Michael O'dwyer M.d. NPPES

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

DR. JOSEPH MICHAEL O'DWYER M.D. (NPI 1992815963) is an individual internal medicine provider in Houston, Texas, licensed in Texas (H8297) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of University Of Texas Medical School At Houston (1989).

NPPES Registry Identity

NPI1992815963
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSEPH MICHAEL O'DWYERCredential: M.D.
Location Address2260 W HOLCOMBE BLVD, SUITE 447Houston, TX 77030-2008
Mailing Address2260 W Holcombe Blvd, Suite 447Houston, TX 77030-2008 · (713) 882-1884 · Fax (713) 521-0680
Phone(713) 882-1884
Fax(713) 521-0680
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1989
Enumeration DateAugust 30, 2006
Last NPPES UpdateDecember 19, 2008
✔ NPI 1992815963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · H8297
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2260 W HOLCOMBE BLVD, Houston, TX 77030
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Other Identifiers 2

Medicare PIN8A0435TX
Medicare UPINF33121TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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. Joseph Michael O'dwyer 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 ID5294897088
PECOS Enrollment IDI20090105000352
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,212 services810 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
863 services847 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
666 services429 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
222 services220 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
99 services93 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
78 services50 patients

Hospital Affiliations CMS Care Compare 3

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Medical Center

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450659
Location1313 Hermann DrHouston, TX 77004 · Harris County
Emergency services

Texas Orthopedic Hospital

Acute Care Hospitals · Houston, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number450804
Location7401 South Main StreetHouston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

56.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality51.66
Improvement Activities40
Cost19.56

Reported Quality Measures

Advance Care Plan
100%1,599 patients5/55-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 3

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$67.38 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers22 claims26 services$12.92 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier15 claims15 services$6.35 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 3

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

DR. ANNETTE E BRISSETT PHD
Psychologist (Clinical)
2260 W HOLCOMBE BLVD, SUITE 445
HOUSTON, TX 77030
Harris County (713) 679-3677
JOSEPH MICHAEL O'DWYER M.D.,P.A.
Internal Medicine
2260 W HOLCOMBE BLVD, SUITE 447
HOUSTON, TX 77030
Harris County (713) 882-1884
HEALTH PRO RESOURCE LLC
Health Maintenance Organization
2260 W HOLCOMBE BLVD, SUITE 304
HOUSTON, TX 77030
Harris County (713) 795-5117

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 Joseph O'dwyer's NPI number?

The NPI number for Joseph O'dwyer is 1992815963. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Joseph O'dwyer located?

Joseph O'dwyer practices at 2260 W Holcombe Blvd Suite 447, Houston, TX 77030. The listed phone number is (713) 882-1884.

What is Joseph O'dwyer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joseph O'dwyer enrolled in Medicare?

Yes. Joseph O'dwyer 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 Joseph O'dwyer accept?

Health plans from Blue Cross and Blue Shield of Texas list Joseph O'dwyer 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 Joseph O'dwyer affiliated with any hospitals?

According to CMS data, Joseph O'dwyer is affiliated with Houston Methodist Hospital, Hca Houston Healthcare Medical Center and Texas Orthopedic Hospital.

When was this NPI record last updated?

The NPPES record for Joseph O'dwyer was last updated on December 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.