Active NPI 1164478194 Individual Practitioner Male Practitioner

Dr. Albert Sean Dalley , MD

Internal Medicine • Cleburne, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Albert Dalley, MD is a certified Internal Medicine practicing in Cleburne, TX. With approximately 26 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 2000, Dr. Dalley delivers high-quality medical care to the local community at 808 N NOLAN RIVER RD.

Dr. Dalley is affiliated with Medical Clinic Of North Texas, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

808 N Nolan River Rd

Cleburne, TX 760337012

Telephone 8175583937

Fax 8176416424

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cleburne, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -1.1 yrs vs City Avg

City Avg: 27.1 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

11 Specialists

Practicing in Cleburne, TX (9538 Statewide)

Telehealth Adoption Rate

63.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dalley (26 Years) 26 Yrs

Cleburne Specialty Average (27.1 Years) 27.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	64	55	$10.00	$2.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	59	52	$22.00	$7.73
80053 Blood test, comprehensive group of blood chemicals	57	52	$29.00	$10.50
80061 Blood test, lipids (cholesterol and triglycerides)	53	49	$37.00	$13.32
84443 Blood test, thyroid stimulating hormone (TSH)	46	44	$48.00	$16.72
83036 Hemoglobin A1C level	41	37	$27.00	$9.66
83970 Parathormone (parathyroid hormone) level	32	31	$114.00	$41.13
82570 Creatinine level to test for kidney function or muscle injury	30	29	$15.00	$5.16
82044 Urine microalbumin (protein) analysis	30	29	$13.00	$6.21
81003 Automated urinalysis test	25	25	$7.00	$2.24
81001 Manual urinalysis test with examination using microscope, automated	18	18	$9.00	$3.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	528	221	$10.00	$3.00
80053 Blood test, comprehensive group of blood chemicals	479	215	$29.00	$10.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	468	215	$22.00	$7.77
99213 Established patient office or other outpatient visit, typically 15 minutes	439	190	$150.00	$88.35
80061 Blood test, lipids (cholesterol and triglycerides)	342	201	$37.00	$13.39
84443 Blood test, thyroid stimulating hormone (TSH)	325	203	$48.00	$16.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	140	$219.00	$125.06
83036 Hemoglobin A1C level	213	128	$27.00	$9.71
82570 Creatinine level to test for kidney function or muscle injury	201	136	$15.00	$5.18
82044 Urine microalbumin (protein) analysis	197	134	$13.00	$6.23
81001 Manual urinalysis test with examination using microscope, automated	176	116	$9.00	$3.17
81003 Automated urinalysis test	159	112	$7.00	$2.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	142	142	$240.00	$130.20
83970 Parathormone (parathyroid hormone) level	108	94	$114.00	$41.28
82306 Vitamin d-3 level	74	60	$75.00	$29.60
87086 Bacterial colony count, urine	59	40	$24.00	$8.07
82550 Creatine kinase (cardiac enzyme) level, total	57	50	$18.00	$6.51
84153 Psa (prostate specific antigen) measurement, total	41	32	$51.00	$18.39
82607 Cyanocobalamin (vitamin B-12) level	41	38	$42.00	$15.08
G0008 Administration of influenza virus vaccine	38	38	$51.00	$16.47
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	38	38	$46.00	$29.94
84439 Thyroxine (thyroid chemical), free	35	27	$25.00	$9.02
83540 Iron level	34	26	$18.00	$6.47
83550 Iron binding capacity	33	25	$24.00	$8.74
82728 Ferritin (blood protein) level	30	25	$38.00	$13.63
82746 Folic acid level	23	20	$41.00	$14.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	19	$149.00	$51.91
87077 Bacterial culture for aerobic isolates	21	11	$24.00	$8.08
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	21	11	$24.00	$8.65
85652 Red blood cell sedimentation rate, to detect inflammation, automated	18	11	$8.00	$2.70
86140 Measurement C-reactive protein for detection of infection or inflammation	18	11	$15.00	$5.18
71046 X-ray of chest, 2 views	17	16	$31.00	$31.36
99496 Transitional care management services for problem of high complexity	13	12	$484.00	$275.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	493	253	$10.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	466	235	$150.00	$73.67
80053 Blood test, comprehensive group of blood chemicals	433	246	$29.00	$10.49
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	430	246	$22.00	$7.72
80061 Blood test, lipids (cholesterol and triglycerides)	339	235	$37.00	$13.29
81001 Manual urinalysis test with examination using microscope, automated	303	206	$9.00	$3.15
84443 Blood test, thyroid stimulating hormone (TSH)	275	211	$48.00	$16.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	272	158	$219.00	$105.56
83036 Hemoglobin A1C level	161	99	$27.00	$9.65
82044 Urine microalbumin (protein) analysis	149	112	$13.00	$6.18
82570 Creatinine level to test for kidney function or muscle injury	147	111	$15.00	$5.14
82550 Creatine kinase (cardiac enzyme) level, total	137	105	$18.00	$6.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	110	110	$240.00	$113.68
G0008 Administration of influenza virus vaccine	73	72	$51.00	$16.20
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	70	70	$46.00	$29.21
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	60	22	$114.00	$40.21
87086 Bacterial colony count, urine	57	41	$24.00	$8.04
G0103 Prostate cancer screening; prostate specific antigen test (psa)	54	54	$51.00	$18.83
82306 Vitamin d-3 level	51	46	$75.00	$29.37
87077 Bacterial culture for aerobic isolates	33	21	$24.00	$8.05
83970 Parathormone (parathyroid hormone) level	31	28	$114.00	$40.88
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	28	$149.00	$52.48
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	29	20	$24.00	$8.61
84439 Thyroxine (thyroid chemical), free	26	20	$25.00	$8.99
71046 X-ray of chest, 2 views	25	21	$31.00	$31.10
81003 Automated urinalysis test	20	20	$7.00	$2.25
82607 Cyanocobalamin (vitamin B-12) level	19	16	$42.00	$14.95
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	17	16	$30.00	$13.56
G0009 Administration of pneumococcal vaccine	16	16	$59.00	$16.04
83550 Iron binding capacity	15	11	$24.00	$8.69
83540 Iron level	15	11	$18.00	$6.44
82746 Folic acid level	14	12	$41.00	$14.55
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$51.00	$16.65
82728 Ferritin (blood protein) level	12	11	$38.00	$13.56
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$198.00	$117.30
84153 Psa (prostate specific antigen) measurement, total	11	11	$51.00	$18.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	546	251	$150.00	$72.33
36415 Insertion of needle into vein for collection of blood sample	496	255	$10.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	454	215	$219.00	$105.87
80053 Blood test, comprehensive group of blood chemicals	452	253	$29.00	$11.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	438	249	$22.00	$8.46
81001 Manual urinalysis test with examination using microscope, automated	332	198	$9.00	$3.44
80061 Blood test, lipids (cholesterol and triglycerides)	331	224	$37.00	$14.58
84443 Blood test, thyroid stimulating hormone (TSH)	268	206	$48.00	$18.30
82550 Creatine kinase (cardiac enzyme) level, total	162	124	$18.00	$7.09
82570 Creatinine level to test for kidney function or muscle injury	160	105	$15.00	$5.63
82044 Urine microalbumin (protein) analysis	159	104	$13.00	$6.11
83036 Hemoglobin A1C level	158	94	$27.00	$10.57
87086 Bacterial colony count, urine	93	55	$24.00	$8.79
G0008 Administration of influenza virus vaccine	91	89	$51.00	$15.92
90662 Influenza vaccine split virus, preservative free	88	86	$86.00	$54.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	67	67	$240.00	$113.71
G0103 Prostate cancer screening; prostate specific antigen test (psa)	65	65	$51.00	$20.03
85610 Blood test, clotting time	64	11	$11.00	$4.28
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	56	24	$114.00	$40.02
87077 Bacterial culture for aerobic isolates	46	28	$24.00	$8.79
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	46	29	$24.00	$9.42
82306 Vitamin d-3 level	44	41	$75.00	$32.23
84439 Thyroxine (thyroid chemical), free	35	26	$25.00	$9.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	28	$149.00	$51.87
G0009 Administration of pneumococcal vaccine	29	28	$59.00	$15.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	22	$54.00	$16.20
71046 X-ray of chest, 2 views	23	21	$31.00	$30.43
83550 Iron binding capacity	22	15	$24.00	$9.52
83540 Iron level	22	15	$18.00	$7.05
82607 Cyanocobalamin (vitamin B-12) level	22	19	$42.00	$16.41
83970 Parathormone (parathyroid hormone) level	21	20	$114.00	$44.94
82746 Folic acid level	19	17	$41.00	$16.01
93000 Routine ekg using at least 12 leads including interpretation and report	17	16	$51.00	$16.48
83880 Natriuretic peptide (heart and blood vessel protein) level	17	12	$94.00	$38.47
90670 Pneumococcal vaccine for injection into muscle	17	17	$386.00	$208.66
84550 Uric acid level, blood	14	11	$13.00	$4.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	566	227	$219.00	$100.70
36415 Insertion of needle into vein for collection of blood sample	503	261	$10.00	$2.93
80053 Blood test, comprehensive group of blood chemicals	458	256	$29.00	$12.76
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	448	253	$22.00	$9.38
99213 Established patient office or other outpatient visit, typically 15 minutes	412	206	$150.00	$68.32
80061 Blood test, lipids (cholesterol and triglycerides)	348	231	$37.00	$16.20
84443 Blood test, thyroid stimulating hormone (TSH)	324	220	$48.00	$20.33
81001 Manual urinalysis test with examination using microscope, automated	323	213	$9.00	$3.84
82570 Creatinine level to test for kidney function or muscle injury	198	140	$15.00	$6.26
82044 Urine microalbumin (protein) analysis	198	140	$13.00	$6.11
82550 Creatine kinase (cardiac enzyme) level, total	172	121	$18.00	$7.88
83036 Hemoglobin A1C level	152	75	$27.00	$11.75
G0008 Administration of influenza virus vaccine	85	84	$51.00	$19.54
90662 Influenza vaccine split virus, preservative free	84	83	$86.00	$52.15
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	66	25	$114.00	$38.92
85610 Blood test, clotting time	63	15	$11.00	$4.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$240.00	$109.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	31	$54.00	$19.07
87086 Bacterial colony count, urine	50	38	$24.00	$9.76
G0103 Prostate cancer screening; prostate specific antigen test (psa)	49	49	$51.00	$22.26
84439 Thyroxine (thyroid chemical), free	48	37	$25.00	$10.91
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	37	$149.00	$50.24
G0009 Administration of pneumococcal vaccine	37	35	$59.00	$19.53
84153 Psa (prostate specific antigen) measurement, total	35	33	$51.00	$22.26
90670 Pneumococcal vaccine for injection into muscle	31	31	$386.00	$198.25
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	30	21	$24.00	$10.46
87077 Bacterial culture for aerobic isolates	30	22	$24.00	$9.77
82306 Vitamin d-3 level	26	25	$75.00	$35.82
J1040 Injection, methylprednisolone acetate, 80 mg	22	19	$22.00	$12.95
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$51.00	$15.78
82607 Cyanocobalamin (vitamin B-12) level	14	14	$42.00	$18.24
82746 Folic acid level	13	13	$41.00	$17.79
85652 Red blood cell sedimentation rate, to detect inflammation, automated	12	11	$8.00	$3.26
80048 Blood test, basic group of blood chemicals (calcium, total)	11	11	$24.00	$10.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	534	246	$219.00	$103.10
36415 Insertion of needle into vein for collection of blood sample	528	282	$10.00	$2.93
80053 Blood test, comprehensive group of blood chemicals	458	277	$29.00	$10.83
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	449	269	$22.00	$10.45
80061 Blood test, lipids (cholesterol and triglycerides)	351	249	$37.00	$12.58
84443 Blood test, thyroid stimulating hormone (TSH)	317	231	$47.42	$22.59
81001 Manual urinalysis test with examination using microscope, automated	310	212	$9.00	$4.24
99213 Established patient office or other outpatient visit, typically 15 minutes	282	166	$149.79	$69.52
82550 Creatine kinase (cardiac enzyme) level, total	184	137	$18.00	$5.40
82570 Creatinine level to test for kidney function or muscle injury	180	112	$15.00	$6.89
82044 Urine microalbumin (protein) analysis	179	113	$13.00	$6.09
83036 Hemoglobin A1C level	177	92	$27.00	$12.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	116	116	$240.00	$110.88
G0008 Administration of influenza virus vaccine	100	100	$51.00	$23.93
90662 Influenza vaccine split virus, preservative free	96	96	$85.59	$47.86
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	80	26	$114.00	$39.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	66	34	$53.15	$24.08
84439 Thyroxine (thyroid chemical), free	57	46	$25.00	$12.12
84153 Psa (prostate specific antigen) measurement, total	48	45	$51.00	$24.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	42	35	$149.00	$51.40
87086 Bacterial colony count, urine	42	37	$23.10	$10.85
85610 Blood test, clotting time	40	18	$11.00	$5.28
82306 Vitamin d-3 level	35	33	$75.00	$36.53
G0103 Prostate cancer screening; prostate specific antigen test (psa)	25	25	$51.00	$24.73
82607 Cyanocobalamin (vitamin B-12) level	23	22	$42.00	$20.27
J1040 Injection, methylprednisolone acetate, 80 mg	23	20	$20.43	$10.87
G0009 Administration of pneumococcal vaccine	21	21	$59.00	$24.08
90670 Pneumococcal vaccine for injection into muscle	18	18	$374.50	$185.01
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$51.00	$16.18
82746 Folic acid level	15	15	$41.00	$19.77
87077 Bacterial culture for aerobic isolates	15	11	$23.73	$10.86

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX L5295

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

158206601 (TX)

Medicaid State Provider ID

158206603 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

8J5410 (TX)

Commercial Insurance / Payer ID Railroad Medicare

P00042091

Hospital & Practice Group Affiliations

Medical Clinic Of North Texas, Pllc

220 N Ridgeway Dr, Cleburne, TX 760334115

Phone: 8175564800

Medical Clinic Of North Texas, Pllc

4001 W 15th St, Plano, TX 750935839

Phone: 9725965222

Medical Clinic Of North Texas, Pllc

900 Airport Fwy, Hurst, TX 760543253

Phone: 8175144000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Siavosh Vafadari , MD

Internal Medicine

NPI 1154732030

Doctor of Medicine (M.D.)

Dr. Adam Bsiso , DO

Internal Medicine

NPI 1568882405

Doctor of Osteopathic Medicine (D.O.)

Kimberly Petrie , FNP-C

Nurse Practitioner - Family

NPI 1922507961

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 12, 2013

Registered at 808 N NOLAN RIVER RD, CLEBURNE, TX 760337012 (Tel: 8175583937)

📍

Updated Business Mailing Address July 12, 2013

Registered at 808 N NOLAN RIVER RD, CLEBURNE, TX 760337012 (Tel: 8175583937)

👤

Provider Name / Credentials Updated July 12, 2013

Recorded as ALBERT DALLEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2013

Internal Medicine (License #L5295 in TX)

🟢

Initial NPI Registration & Enumeration May 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164478194

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 25, 2006

Last Update: July 12, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

808 N Nolan River Rd

Cleburne, TX 760337012

Phone: 8175583937

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.