Deactivated NPI 1316954183 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Mcdaniel , MD

Family Medicine • Gladewater, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Mcdaniel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 02, 2006

NPI Deactivation Date August 02, 2021

Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Mcdaniel, MD was a registered Family Medicine practicing in Gladewater, TX. Throughout an active medical career spanning 15 years, Dr. Mcdaniel provided care at the practice location at 307 W UPSHUR AVE until profile deactivation on 2021-08-02.

Historical Medicare Part B clinical services included chronic care management services, first, established patient outpatient office visit, 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. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

307 W Upshur Ave

Gladewater, TX 756472121

Telephone 9038452159

Fax 9038455451

Associated Practice Facility / Clinic

🏢 Phynet, Inc. Facility NPI 1912174111

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Gladewater, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Gladewater, TX (11742 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.4% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	63	55	$55.00	$40.03
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$120.00	$86.62
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	14	11	$100.00	$40.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	360	169	$55.00	$40.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	138	$180.00	$103.75
J1100 Injection, dexamethasone sodium phosphate, 1 mg	148	18	$2.50	$0.12
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	117	40	$100.00	$40.09
36415 Insertion of needle into vein for collection of blood sample	115	89	$21.00	$2.80
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	61	18	$156.00	$105.73
99213 Established patient office or other outpatient visit, typically 15 minutes	49	38	$120.00	$69.61
81003 Automated urinalysis test	38	35	$18.00	$2.11
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	37	31	$74.00	$36.92
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	25	23	$125.00	$52.08
99496 Transitional care management services for problem of high complexity	19	16	$270.00	$240.08
83036 Hemoglobin A1C level	18	16	$45.00	$7.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$155.00	$114.49

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	269	184	$180.00	$100.34
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	161	120	$55.00	$40.40
36415 Insertion of needle into vein for collection of blood sample	157	127	$21.00	$2.75
J1100 Injection, dexamethasone sodium phosphate, 1 mg	149	21	$2.50	$0.12
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	93	42	$100.00	$39.72
99213 Established patient office or other outpatient visit, typically 15 minutes	77	55	$120.00	$69.73
81003 Automated urinalysis test	46	38	$18.00	$2.39
83036 Hemoglobin A1C level	34	33	$45.00	$10.04
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	26	$125.00	$51.51
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	19	15	$156.00	$105.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	33	$120.00	$65.34
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	57	24	$100.00	$38.96
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	38	29	$55.00	$39.46
36415 Insertion of needle into vein for collection of blood sample	22	17	$21.00	$2.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	14	$180.00	$82.03
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	11	11	$125.00	$46.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	113	39	$100.00	$39.41
99213 Established patient office or other outpatient visit, typically 15 minutes	63	30	$120.00	$60.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	38	$180.00	$93.95
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	25	23	$125.00	$51.34
36415 Insertion of needle into vein for collection of blood sample	23	20	$21.00	$2.13
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	14	14	$55.00	$40.40

Medical Specialties & State Licenses

Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License TX O5133

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Practice Associates & Co-Workers

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

7 Associated Practitioners

Macy Santee , FNP-C

Nurse Practitioner - Family

NPI 1306615315

Family Nurse Practitioner (Certified)

Dr. Warren Hunt , MD

Family Medicine

NPI 1396754164

Doctor of Medicine (M.D.)

Cassandra Ford , APRN

Nurse Practitioner - Family

NPI 1447813449

Advanced Practice Registered Nurse

Dr. Robert Davidson , MD

Internal Medicine

NPI 1497869804

Doctor of Medicine (M.D.)

Dr. Juan Zapata , MD

Family Medicine

NPI 1518986959

Doctor of Medicine (M.D.)

Dr. George Smith , MD

Internal Medicine

NPI 1669491015

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated August 02, 2021

Record deactivated on August 02, 2021

✅

NPI Profile Active September 19, 2014

NPI status registered as active in NPPES database

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Updated Practice Location September 19, 2014

Registered at 307 W UPSHUR AVE, GLADEWATER, TX 756472121 (Tel: 9038452159)

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Updated Business Mailing Address September 19, 2014

Registered at 4005 TECHNOLOGY CNTR, LONGVIEW, TX 756052697 (Tel: 9032470484)

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Provider Name / Credentials Updated September 19, 2014

Recorded as ROBERT MCDANIEL, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2014

Family Medicine (License #O5133 in TX)

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Initial NPI Registration & Enumeration August 02, 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: 1316954183

Entity Type:

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

Enumeration Date: August 02, 2006

Last Update: September 19, 2014

Deactivation Date: August 02, 2021

Update or Correct Profile

Mailing Address

4005 Technology Cntr

Longview, TX 756052697

Phone: 9032470484

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.