Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124287644 Individual Practitioner Male Practitioner

Dr. Theodore William Nagel , MD

Surgery - Plastic and Reconstructive Surgery • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Nagel, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Fort Worth, TX. Practice services are available at 1250 8TH AVE STE 265 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, reconstruction of breast with tissue graft. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1250 8th Ave Ste 265

Fort Worth, TX 761044124

Telephone 6822008580
Fax 6822008581
Associated Practice Facility / Clinic
🏢 Plastic Surgery Associates Pa Facility NPI 1588918551

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.2 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Fort Worth, TX (402 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
14 11 $267.68 $70.31

Medical Specialties & State Licenses

CMS Verified: 2021-09-17
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License TX Q6247

A surgeon who specializes in plastic and reconstructive surgery.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License OH 35122154

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License TX Q6247

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0092488 (OH)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Juan Martinez Grullon , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1154589950

Doctor of Medicine (M.D.)

NPI 1194983684

Doctor of Medicine (M.D.)

Hannah Bereuter , MPAS, PA-C

Physician Assistant

NPI 1326423278

MPAS, Physician Assistant (Certified)

NPI 1376995829

PHYSICIANASSISTANT

Dr. James Boehmler , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1578763496

Doctor of Medicine (M.D.)

Dr. Nabil Habash , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1720020878

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 17, 2021

Registered at 1250 8TH AVE STE 265, FORT WORTH, TX 761044124 (Tel: 6822008580)

📍
Updated Business Mailing Address September 17, 2021

Registered at 8601 CANTERA WAY, BENBROOK, TX 761261133 (Tel: 6822008580)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2021

Plastic Surgery (License #35122154 in OH)

NPI Profile Active July 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2016

Registered at 3201 S AUSTIN AVE, SUITE 305, GEORGETOWN, TX 786267545 (Tel: 5127634545)

📍
Updated Business Mailing Address July 27, 2016

Registered at 3201 S AUSTIN AVE, SUITE 305, GEORGETOWN, TX 786267545 (Tel: 5127634545)

👤
Provider Name / Credentials Updated July 27, 2016

Recorded as THEODORE NAGEL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2016

Plastic Surgery (License #Q6247 in TX)

🟢
Initial NPI Registration & Enumeration June 09, 2008

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: 1124287644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2008
Last Update: September 17, 2021
Sole Proprietor: No

Mailing Address

8601 Cantera Way

Benbrook, TX 761261133

Phone: 6822008580

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.