Active NPI 1598761934 Individual Practitioner Male Practitioner

Dr. Donald E Cagle , MD

Surgery • Nacogdoches, TX

Professional Overview & Biography Verified Profile Summary

Dr. Donald Cagle, MD is a registered healthcare professional specializing in Surgery in Nacogdoches, TX. Practice services are available at 320 RUSSELL BLVD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, diagnostic exam of large bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

320 Russell Blvd

Nacogdoches, TX 759651240

Telephone 9365696411

Fax 9365696446

Associated Practice Facility / Clinic

🏢 Donald E. Cagle, M.d. Facility NPI 1083733257

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Nacogdoches, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.1 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

11 Specialists

Practicing in Nacogdoches, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.3% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$175.00	$98.96
99213 Established patient office or other outpatient visit, typically 15 minutes	88	74	$115.00	$68.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$270.00	$151.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	43	$175.00	$100.30
45378 Diagnostic exam of large bowel using a flexible endoscope	34	34	$491.00	$161.25
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	31	31	$491.00	$171.27
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$396.00	$83.06
45380 Biopsy of large bowel using an endoscope	20	20	$625.00	$171.33
47562 Removal of gallbladder using an endoscope	12	12	$1500.00	$612.92
43450 Dilation of esophagus	12	12	$243.00	$37.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$660.00	$229.52

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	227	203	$189.07	$104.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$254.58	$155.55
45378 Diagnostic exam of large bowel using a flexible endoscope	59	59	$472.73	$177.53
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	52	52	$473.19	$170.54
99213 Established patient office or other outpatient visit, typically 15 minutes	50	48	$148.30	$70.56
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	45	$321.18	$85.04
45380 Biopsy of large bowel using an endoscope	37	37	$542.24	$196.91
47562 Removal of gallbladder using an endoscope	34	34	$1599.21	$617.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$177.27	$103.91
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	31	$368.03	$88.33
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	27	27	$470.44	$183.41
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$648.05	$254.55
49505 Repair of groin hernia (5 years or older)	18	18	$1362.22	$510.05
43450 Dilation of esophagus	15	15	$205.73	$41.82

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	261	231	$190.23	$97.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	123	$250.00	$149.89
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	88	87	$314.55	$83.48
99213 Established patient office or other outpatient visit, typically 15 minutes	88	79	$160.00	$66.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$175.00	$96.91
45378 Diagnostic exam of large bowel using a flexible endoscope	63	63	$465.27	$170.12
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	60	60	$469.00	$166.66
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	48	48	$468.00	$173.65
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	46	46	$350.00	$96.60
47562 Removal of gallbladder using an endoscope	39	39	$1625.00	$598.90
43450 Dilation of esophagus	26	26	$201.00	$37.42
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	19	19	$578.00	$215.88
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$645.00	$233.86
17000 Destruction of skin growth	17	15	$161.00	$56.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$250.00	$186.47
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$1076.00	$254.28
49505 Repair of groin hernia (5 years or older)	14	14	$1374.64	$495.81
17003 Destruction of precancer skin growth, 2-14 growths	14	12	$13.00	$4.74
19081 Biopsy of breast accessed through the skin with stereotactic guidance	13	13	$1668.00	$620.20
38900 Lymph node imaging during surgery	11	11	$341.00	$127.41
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$847.00	$314.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	226	189	$160.07	$64.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	178	$189.85	$95.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$175.00	$96.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$250.00	$146.37
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	79	78	$311.42	$82.72
45378 Diagnostic exam of large bowel using a flexible endoscope	70	70	$470.00	$163.60
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	58	58	$469.69	$163.94
17003 Destruction of precancer skin growth, 2-14 growths	47	11	$13.00	$4.97
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	42	42	$468.29	$164.68
47562 Removal of gallbladder using an endoscope	39	39	$1625.92	$588.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	35	$352.87	$90.35
43450 Dilation of esophagus	34	31	$201.71	$36.23
17000 Destruction of skin growth	27	21	$160.85	$52.59
19081 Biopsy of breast accessed through the skin with stereotactic guidance	24	24	$1652.50	$609.77
49505 Repair of groin hernia (5 years or older)	23	23	$1283.91	$439.46
45380 Biopsy of large bowel using an endoscope	21	21	$509.00	$177.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$250.00	$183.75
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$728.71	$182.29
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	12	$646.85	$237.87
49585 Repair of hernia at navel (5 years or older)	11	11	$1095.73	$385.36

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX F7713

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1547184-01 (TX)

Commercial Insurance / Payer ID Bcbs Prov Id

8G8160 (TX)

Commercial Insurance / Payer ID Bcbs Prov #

00000021JK (TX)

Commercial Insurance / Payer ID Aetna Prov #

751702073 (TX)

Commercial Insurance / Payer ID Rr Medicare

827023082 (TX)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Larry Malone , FNP

Nurse Practitioner - Family

NPI 1447244132

Family Nurse Practitioner

Dr. Tamara Harris , DNP, RN, FNP

Nurse Practitioner - Family

NPI 1649608027

Doctor of Nursing Practice, Registered Nurse, Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 17, 2014

Registered at 320 RUSSELL BLVD, NACOGDOCHES, TX 759651240 (Tel: 9365696411)

📍

Updated Business Mailing Address July 17, 2014

Registered at 320 RUSSELL BLVD, NACOGDOCHES, TX 759651240 (Tel: 9365696411)

👤

Provider Name / Credentials Updated July 17, 2014

Recorded as DONALD CAGLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2014

Surgery (License #F7713 in TX)

🟢

Initial NPI Registration & Enumeration June 21, 2005

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: 1598761934

Entity Type:

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

Enumeration Date: June 21, 2005

Last Update: July 17, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

320 Russell Blvd

Nacogdoches, TX 759651240

Phone: 9365696411

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.