Active NPI 1629071709 Individual Practitioner Male Practitioner

Dr. John O'donnell , MD

Internal Medicine • Palestine, TX

Professional Overview & Biography Verified Profile Summary

Dr. John O'Donnell, MD is a registered healthcare professional specializing in Internal Medicine in Palestine, TX. Practice services are available at 3201 S LOOP 256 under active NPI credentials.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3201 S Loop 256
Ste 170

Palestine, TX 758016901

Telephone 9037238800

Associated Practice Facility / Clinic

🏢 East Texas Physician's Alliance, Llp Facility NPI 1205874880

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Palestine, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 34.3 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Palestine, TX (9538 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.8% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,950	37	$2.00	$0.12
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	612	241	$19.99	$16.19
36415 Insertion of needle into vein for collection of blood sample	543	245	$30.00	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	527	238	$289.00	$125.71
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	418	232	$27.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	405	233	$37.00	$10.33
84443 Blood test, thyroid stimulating hormone (TSH)	363	223	$59.00	$16.46
81001 Manual urinalysis test with examination using microscope, automated	363	223	$12.00	$3.10
80061 Blood test, lipids (cholesterol and triglycerides)	332	213	$46.00	$12.28
99213 Established patient office or other outpatient visit, typically 15 minutes	315	162	$204.00	$88.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	160	160	$295.00	$128.31
83036 Hemoglobin A1C level	117	61	$34.00	$9.52
84439 Thyroxine (thyroid chemical), free	79	56	$32.00	$8.84
77067 Screening mammography	78	78	$317.00	$87.44
77063 Screening digital tomography of both breasts	77	77	$81.00	$22.94
82043 Urine microalbumin (protein) level	72	51	$20.00	$5.66
82570 Creatinine level to test for kidney function or muscle injury	71	51	$18.00	$5.08
71046 X-ray of chest, 2 views	69	65	$105.00	$21.75
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	69	69	$687.00	$117.80
80048 Blood test, basic group of blood chemicals (calcium, total)	63	42	$29.00	$8.29
71250 Ct scan of chest without contrast	63	58	$600.00	$81.13
83721 Ldl cholesterol level	52	46	$37.00	$10.29
G0103 Prostate cancer screening; prostate specific antigen test (psa)	40	40	$67.00	$18.92
84153 Psa (prostate specific antigen) measurement, total	39	30	$64.00	$18.02
77080 Dxa bone density measurement of hip, pelvis, spine	39	39	$95.00	$28.49
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	32	31	$35.00	$5.79
72148 MRI scan of lower spinal canal	29	29	$854.00	$121.55
73564 X-ray of knee, 4 or more views	27	23	$114.07	$36.01
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	26	24	$108.00	$68.88
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	22	11	$235.00	$102.46
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	21	11	$91.00	$40.71
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	17	15	$540.00	$90.67
94618 Test for exercise-induced lung stress	16	16	$76.00	$11.76
94729 Test to examine how well the lungs exchange gases	16	16	$131.00	$45.60
94726 Determination of lung volumes using plethysmography	16	16	$123.00	$42.12
94060 Test to measure expiratory airflow and volume changes before and after medication administration	16	16	$126.00	$27.55
83880 Natriuretic peptide (heart and blood vessel protein) level	16	16	$137.00	$38.47
76536 Ultrasound of head and neck	16	16	$294.00	$80.28
73502 X-ray of hip, 2-3 views	16	16	$124.00	$35.30
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$105.00	$27.83
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	14	14	$1283.00	$343.59
99495 Transitional care management services for problem of at least moderate complexity	14	13	$463.00	$202.26
85652 Red blood cell sedimentation rate, to detect inflammation, automated	14	13	$9.00	$2.65
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$917.00	$241.43
93880 Ultrasound of both sides of head and neck blood flow	14	14	$820.00	$143.38
82565 Blood creatinine level	13	12	$18.00	$5.02
70220 X-ray of paranasal sinus, minimum of 3 views	13	12	$105.00	$25.81
73030 X-ray of shoulder, minimum of 2 views	13	13	$105.00	$24.84
76700 Ultrasound of abdomen	13	13	$275.00	$75.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,500	51	$2.00	$0.15
36415 Insertion of needle into vein for collection of blood sample	552	258	$20.36	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	443	241	$289.00	$124.41
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	438	250	$27.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	433	252	$37.00	$10.33
99213 Established patient office or other outpatient visit, typically 15 minutes	431	206	$204.00	$87.85
84443 Blood test, thyroid stimulating hormone (TSH)	403	238	$59.00	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	366	234	$46.00	$12.64
81001 Manual urinalysis test with examination using microscope, automated	300	209	$12.00	$3.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	188	188	$295.00	$126.47
83036 Hemoglobin A1C level	110	59	$34.00	$9.52
84439 Thyroxine (thyroid chemical), free	104	66	$32.00	$8.84
71046 X-ray of chest, 2 views	94	79	$82.04	$22.51
81003 Automated urinalysis test	87	82	$7.00	$2.18
77067 Screening mammography	85	85	$317.00	$89.38
77063 Screening digital tomography of both breasts	85	85	$81.00	$23.25
G0103 Prostate cancer screening; prostate specific antigen test (psa)	54	54	$67.00	$18.92
82043 Urine microalbumin (protein) level	50	42	$20.00	$5.66
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	49	18	$235.00	$101.61
82570 Creatinine level to test for kidney function or muscle injury	47	39	$18.00	$5.08
80048 Blood test, basic group of blood chemicals (calcium, total)	45	33	$29.00	$8.29
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	37	35	$687.00	$122.26
J1030 Injection, methylprednisolone acetate, 40 mg	37	18	$15.12	$7.71
71250 Ct scan of chest without contrast	37	36	$314.32	$83.82
84153 Psa (prostate specific antigen) measurement, total	32	25	$64.00	$18.02
83721 Ldl cholesterol level	27	27	$37.00	$10.29
20610 Aspiration and/or injection of fluid from large joint	27	23	$238.78	$67.45
70220 X-ray of paranasal sinus, minimum of 3 views	25	22	$98.00	$26.79
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	24	24	$108.00	$51.17
85652 Red blood cell sedimentation rate, to detect inflammation, automated	22	20	$9.00	$2.65
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	21	13	$91.00	$40.19
83880 Natriuretic peptide (heart and blood vessel protein) level	20	16	$137.00	$38.47
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	19	18	$119.00	$50.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$406.00	$174.74
74178 Ct scan of abdomen and pelvis before and after contrast	18	18	$917.00	$252.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$127.00	$55.00
82565 Blood creatinine level	15	13	$18.00	$5.02
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$100.33	$28.31
94060 Test to measure expiratory airflow and volume changes before and after medication administration	13	13	$126.00	$27.36
72148 MRI scan of lower spinal canal	13	13	$880.46	$124.42
94729 Test to examine how well the lungs exchange gases	13	13	$131.00	$46.08
77080 Dxa bone density measurement of hip, pelvis, spine	13	13	$95.00	$27.70
73562 X-ray of knee, 3 views	13	13	$109.00	$30.57
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$54.00	$14.02
71260 Ct scan of chest with contrast	12	12	$637.67	$85.33
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$377.00	$161.78
94726 Determination of lung volumes using plethysmography	11	11	$123.00	$40.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,075	46	$2.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	568	305	$11.00	$2.96
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	488	293	$28.57	$7.67
99213 Established patient office or other outpatient visit, typically 15 minutes	480	242	$180.89	$88.20
80053 Blood test, comprehensive group of blood chemicals	471	290	$39.11	$10.43
84443 Blood test, thyroid stimulating hormone (TSH)	430	267	$61.73	$16.60
80061 Blood test, lipids (cholesterol and triglycerides)	405	262	$48.72	$13.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	379	240	$266.35	$124.35
81001 Manual urinalysis test with examination using microscope, automated	285	206	$12.64	$3.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	212	212	$265.39	$127.76
83721 Ldl cholesterol level	154	143	$41.86	$10.39
81003 Automated urinalysis test	137	105	$7.95	$2.22
83036 Hemoglobin A1C level	127	74	$35.56	$9.59
77067 Screening mammography	105	105	$318.01	$89.93
77063 Screening digital tomography of both breasts	104	104	$81.50	$22.99
71046 X-ray of chest, 2 views	73	67	$71.93	$22.58
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	57	57	$685.32	$125.91
84439 Thyroxine (thyroid chemical), free	56	47	$32.75	$8.87
G0103 Prostate cancer screening; prostate specific antigen test (psa)	53	53	$68.92	$19.11
J1030 Injection, methylprednisolone acetate, 40 mg	52	22	$12.56	$6.61
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	36	34	$170.50	$30.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	35	$111.69	$54.78
93000 Routine ekg using at least 12 leads including interpretation and report	34	33	$63.71	$13.72
77080 Dxa bone density measurement of hip, pelvis, spine	31	31	$96.55	$26.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	30	30	$373.93	$163.46
71250 Ct scan of chest without contrast	27	25	$312.44	$83.51
20610 Aspiration and/or injection of fluid from large joint	26	23	$228.04	$66.36
80048 Blood test, basic group of blood chemicals (calcium, total)	25	20	$30.60	$8.34
74178 Ct scan of abdomen and pelvis before and after contrast	25	25	$875.00	$261.39
85652 Red blood cell sedimentation rate, to detect inflammation, automated	24	21	$10.50	$2.68
82043 Urine microalbumin (protein) level	24	22	$21.25	$5.71
83880 Natriuretic peptide (heart and blood vessel protein) level	23	18	$135.83	$38.69
83540 Iron level	22	19	$23.23	$6.38
83550 Iron binding capacity	20	17	$31.80	$8.62
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	19	18	$404.74	$97.05
70220 X-ray of paranasal sinus, minimum of 3 views	19	19	$90.74	$26.83
90662 Influenza vaccine split virus, preservative free	16	16	$70.00	$65.26
93880 Ultrasound of both sides of head and neck blood flow	16	16	$663.44	$149.33
72148 MRI scan of lower spinal canal	16	16	$897.00	$123.83
73562 X-ray of knee, 3 views	15	13	$100.13	$31.09
82728 Ferritin (blood protein) level	15	13	$49.33	$13.44
G0008 Administration of influenza virus vaccine	15	15	$32.00	$28.96
82607 Cyanocobalamin (vitamin B-12) level	14	14	$54.79	$14.86
84550 Uric acid level, blood	14	13	$17.71	$4.48
73030 X-ray of shoulder, minimum of 2 views	14	14	$75.57	$24.85
72100 X-ray of lower and sacral spine, 2-3 views	13	12	$88.92	$28.50
82570 Creatinine level to test for kidney function or muscle injury	13	12	$19.38	$5.13
99495 Transitional care management services for problem of at least moderate complexity	13	12	$421.46	$200.10
76700 Ultrasound of abdomen	12	12	$271.00	$78.27
17000 Destruction of skin growth	12	11	$222.42	$62.76
93242 Heart rhythm recording continous external ekg over more than 48 hours up to 7 days	11	11	$38.18	$13.34
85045 Red blood count, automated test	11	11	$14.55	$3.92
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$645.00	$153.48
70551 Mri scan of brain without contrast	11	11	$1110.45	$132.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,050	19	$2.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	599	312	$236.00	$127.08
36415 Insertion of needle into vein for collection of blood sample	588	326	$11.00	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	497	307	$30.00	$7.77
80053 Blood test, comprehensive group of blood chemicals	497	308	$41.00	$10.53
84443 Blood test, thyroid stimulating hormone (TSH)	434	288	$64.00	$16.77
80061 Blood test, lipids (cholesterol and triglycerides)	419	274	$51.00	$13.39
81001 Manual urinalysis test with examination using microscope, automated	406	276	$13.00	$3.16
99213 Established patient office or other outpatient visit, typically 15 minutes	395	206	$161.00	$89.43
A9576 Injection, gadoteridol, (prohance multipack), per ml	185	11	$9.00	$1.43
83036 Hemoglobin A1C level	131	78	$37.00	$9.71
81003 Automated urinalysis test	127	111	$9.00	$2.25
0011A Adm sarscov2 100mcg/0.5ml1st	113	104	$22.29	$21.60
77067 Screening mammography	104	104	$319.00	$92.81
71046 X-ray of chest, 2 views	83	66	$67.00	$22.42
G0008 Administration of influenza virus vaccine	80	80	$32.00	$16.46
90662 Influenza vaccine split virus, preservative free	76	76	$70.00	$65.15
G0103 Prostate cancer screening; prostate specific antigen test (psa)	69	69	$70.00	$19.31
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	69	68	$684.00	$129.19
0012A Adm sarscov2 100mcg/0.5ml2nd	51	50	$30.12	$29.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$252.00	$130.75
77080 Dxa bone density measurement of hip, pelvis, spine	39	39	$98.00	$27.91
93880 Ultrasound of both sides of head and neck blood flow	30	29	$434.63	$115.51
83880 Natriuretic peptide (heart and blood vessel protein) level	28	19	$134.00	$39.26
72148 MRI scan of lower spinal canal	28	28	$897.00	$135.83
77063 Screening digital tomography of both breasts	28	28	$82.00	$24.67
80048 Blood test, basic group of blood chemicals (calcium, total)	27	16	$33.00	$8.46
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	27	25	$398.00	$55.87
J1030 Injection, methylprednisolone acetate, 40 mg	26	18	$12.00	$5.70
83721 Ldl cholesterol level	25	25	$39.52	$10.50
82043 Urine microalbumin (protein) level	23	20	$22.00	$5.78
93970 Ultrasound study of arm or leg veins with compression and maneuvers	22	22	$641.00	$92.65
20610 Aspiration and/or injection of fluid from large joint	21	18	$230.57	$71.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$98.00	$55.33
82570 Creatinine level to test for kidney function or muscle injury	18	16	$20.00	$5.18
74178 Ct scan of abdomen and pelvis before and after contrast	18	18	$842.00	$271.69
0064A Adm sarscov2 50mcg/0.25mlbst	18	18	$40.00	$38.69
85652 Red blood cell sedimentation rate, to detect inflammation, automated	18	18	$11.00	$2.70
84439 Thyroxine (thyroid chemical), free	15	14	$35.00	$9.02
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	15	13	$258.00	$73.49
73562 X-ray of knee, 3 views	14	12	$90.00	$30.43
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$82.00	$28.12
99495 Transitional care management services for problem of at least moderate complexity	14	12	$355.00	$190.65
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$58.00	$14.49
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	13	13	$136.00	$45.23
69210 Removal of impacted ear wax	13	13	$158.00	$46.50
70220 X-ray of paranasal sinus, minimum of 3 views	13	13	$86.00	$26.49
82306 Vitamin d-3 level	12	11	$113.00	$29.60
99441 Telephone medical discussion with physician, 5-10 minutes	12	11	$98.00	$55.05
76700 Ultrasound of abdomen	12	11	$263.00	$81.67
76536 Ultrasound of head and neck	12	12	$283.00	$87.76
73030 X-ray of shoulder, minimum of 2 views	12	12	$67.00	$24.40
71250 Ct scan of chest without contrast	12	12	$324.00	$82.03
70551 Mri scan of brain without contrast	12	11	$1339.00	$136.90
73502 X-ray of hip, 2-3 views	11	11	$103.00	$32.97
93925 Ultrasound of leg arteries or artery grafts	11	11	$841.00	$221.15
71260 Ct scan of chest with contrast	11	11	$434.00	$106.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	658	363	$14.83	$2.97
80053 Blood test, comprehensive group of blood chemicals	557	336	$40.04	$10.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	534	300	$220.78	$106.59
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	531	330	$29.54	$7.71
99213 Established patient office or other outpatient visit, typically 15 minutes	527	257	$164.94	$73.58
84443 Blood test, thyroid stimulating hormone (TSH)	417	287	$62.59	$16.67
80061 Blood test, lipids (cholesterol and triglycerides)	401	281	$50.06	$13.26
81001 Manual urinalysis test with examination using microscope, automated	386	262	$13.00	$3.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	197	197	$240.15	$114.54
83036 Hemoglobin A1C level	151	92	$36.54	$9.56
G0008 Administration of influenza virus vaccine	133	130	$31.86	$16.20
90662 Influenza vaccine split virus, preservative free	130	127	$69.75	$60.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	96	13	$11.42	$1.46
77067 Screening mammography	85	85	$314.87	$95.70
71046 X-ray of chest, 2 views	74	55	$82.20	$20.87
85610 Blood test, clotting time	71	13	$15.99	$4.26
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	68	68	$660.54	$126.50
81003 Automated urinalysis test	62	59	$57.65	$2.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	55	$89.64	$44.26
93880 Ultrasound of both sides of head and neck blood flow	52	51	$415.90	$89.67
G0103 Prostate cancer screening; prostate specific antigen test (psa)	50	50	$84.28	$18.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	21	$51.98	$14.01
G0009 Administration of pneumococcal vaccine	38	38	$45.58	$16.08
77080 Dxa bone density measurement of hip, pelvis, spine	37	37	$153.16	$28.65
99441 Telephone medical discussion with physician, 5-10 minutes	37	36	$70.41	$41.37
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	34	34	$145.18	$117.08
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	32	28	$350.72	$54.71
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	31	30	$14.35	$4.22
83880 Natriuretic peptide (heart and blood vessel protein) level	29	19	$128.69	$38.01
J1030 Injection, methylprednisolone acetate, 40 mg	28	19	$11.46	$6.07
93970 Ultrasound study of arm or leg veins with compression and maneuvers	26	26	$556.00	$85.22
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	25	16	$95.16	$40.30
72100 X-ray of lower and sacral spine, 2-3 views	24	22	$89.08	$25.76
74178 Ct scan of abdomen and pelvis before and after contrast	23	20	$904.26	$258.91
82607 Cyanocobalamin (vitamin B-12) level	23	22	$56.43	$14.95
72148 MRI scan of lower spinal canal	23	23	$1100.91	$134.08
20610 Aspiration and/or injection of fluid from large joint	21	18	$253.76	$70.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$335.21	$162.03
99495 Transitional care management services for problem of at least moderate complexity	18	16	$424.44	$182.80
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	18	18	$134.67	$52.35
82043 Urine microalbumin (protein) level	17	16	$21.53	$5.50
82570 Creatinine level to test for kidney function or muscle injury	17	16	$35.06	$4.93
93000 Routine ekg using at least 12 leads including interpretation and report	16	14	$64.50	$16.68
80048 Blood test, basic group of blood chemicals (calcium, total)	16	13	$32.13	$8.44
76700 Ultrasound of abdomen	16	16	$242.00	$79.63
82565 Blood creatinine level	15	14	$19.40	$5.09
82270 Stool analysis for blood to screen for colon tumors	14	14	$14.14	$4.15
70220 X-ray of paranasal sinus, minimum of 3 views	14	13	$101.50	$24.36
17000 Destruction of skin growth	13	13	$184.69	$61.80
73502 X-ray of hip, 2-3 views	12	12	$107.00	$32.62
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$352.33	$169.96
73030 X-ray of shoulder, minimum of 2 views	12	11	$82.00	$22.56
70450 Ct scan head or brain without contrast	11	11	$288.45	$70.30
93925 Ultrasound of leg arteries or artery grafts	11	11	$696.45	$135.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	778	330	$168.00	$71.78
36415 Insertion of needle into vein for collection of blood sample	754	382	$19.00	$2.93
80053 Blood test, comprehensive group of blood chemicals	660	362	$39.00	$11.50
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	610	353	$29.00	$8.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	527	296	$206.00	$104.94
80061 Blood test, lipids (cholesterol and triglycerides)	478	297	$49.00	$14.53
84443 Blood test, thyroid stimulating hormone (TSH)	410	275	$61.00	$18.30
81001 Manual urinalysis test with examination using microscope, automated	360	251	$13.00	$3.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	210	210	$207.30	$112.97
83036 Hemoglobin A1C level	186	98	$36.00	$10.53
G0008 Administration of influenza virus vaccine	148	148	$30.00	$15.90
90662 Influenza vaccine split virus, preservative free	140	140	$64.71	$54.80
85610 Blood test, clotting time	135	18	$17.00	$4.28
77067 Screening mammography	112	112	$310.00	$92.64
81003 Automated urinalysis test	105	98	$113.00	$2.44
93880 Ultrasound of both sides of head and neck blood flow	87	87	$457.00	$92.06
71046 X-ray of chest, 2 views	75	65	$92.00	$18.39
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	73	72	$629.00	$122.15
J1030 Injection, methylprednisolone acetate, 40 mg	61	36	$11.00	$6.32
G0009 Administration of pneumococcal vaccine	56	56	$44.00	$15.90
82043 Urine microalbumin (protein) level	54	40	$21.00	$6.29
82570 Creatinine level to test for kidney function or muscle injury	53	39	$52.00	$5.63
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	53	51	$309.00	$49.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	16	$49.00	$16.14
G0103 Prostate cancer screening; prostate specific antigen test (psa)	46	46	$91.00	$20.03
77080 Dxa bone density measurement of hip, pelvis, spine	43	43	$255.00	$28.49
93970 Ultrasound study of arm or leg veins with compression and maneuvers	42	41	$471.00	$73.30
20610 Aspiration and/or injection of fluid from large joint	41	29	$258.56	$63.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	32	$83.00	$43.59
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	33	32	$14.00	$4.18
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$116.26	$110.50
72148 MRI scan of lower spinal canal	29	29	$1366.00	$135.82
83880 Natriuretic peptide (heart and blood vessel protein) level	27	21	$123.00	$38.47
82306 Vitamin d-3 level	27	26	$98.00	$32.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$311.00	$160.21
90670 Pneumococcal vaccine for injection into muscle	25	25	$819.00	$207.42
82607 Cyanocobalamin (vitamin B-12) level	24	23	$55.00	$16.41
70220 X-ray of paranasal sinus, minimum of 3 views	24	21	$117.00	$23.47
72100 X-ray of lower and sacral spine, 2-3 views	22	22	$99.00	$22.53
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	22	12	$111.00	$39.86
73502 X-ray of hip, 2-3 views	20	17	$111.00	$28.33
83735 Magnesium level	19	16	$25.00	$7.29
80162 Digoxin level, total	19	15	$49.00	$14.45
93000 Routine ekg using at least 12 leads including interpretation and report	18	17	$71.00	$16.42
76700 Ultrasound of abdomen	17	17	$215.00	$76.69
93925 Ultrasound of leg arteries or artery grafts	17	17	$576.00	$92.78
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	17	16	$144.00	$51.68
80048 Blood test, basic group of blood chemicals (calcium, total)	15	13	$31.00	$9.21
69210 Removal of impacted ear wax	15	14	$130.00	$44.58
84439 Thyroxine (thyroid chemical), free	15	13	$33.00	$9.82
73562 X-ray of knee, 3 views	14	13	$85.00	$24.64
73030 X-ray of shoulder, minimum of 2 views	13	11	$85.00	$18.42
74178 Ct scan of abdomen and pelvis before and after contrast	13	12	$1021.00	$245.37
94060 Test to measure expiratory airflow and volume changes before and after medication administration	13	13	$112.77	$41.97
94618 Test for exercise-induced lung stress	13	13	$210.00	$9.89
99495 Transitional care management services for problem of at least moderate complexity	12	11	$480.00	$159.39
94729 Test to examine how well the lungs exchange gases	12	12	$106.00	$41.42
94726 Determination of lung volumes using plethysmography	12	12	$107.00	$37.26
17000 Destruction of skin growth	12	12	$147.00	$60.61
72141 MRI scan of upper spinal canal	11	11	$1231.00	$137.95
70551 Mri scan of brain without contrast	11	11	$1313.00	$143.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,313	466	$168.00	$70.26
36415 Insertion of needle into vein for collection of blood sample	957	477	$19.00	$2.91
80053 Blood test, comprehensive group of blood chemicals	729	433	$39.00	$12.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	706	397	$206.00	$103.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	662	420	$29.00	$9.30
80061 Blood test, lipids (cholesterol and triglycerides)	495	343	$49.00	$16.14
84443 Blood test, thyroid stimulating hormone (TSH)	383	289	$61.00	$20.12
81003 Automated urinalysis test	265	232	$113.00	$2.67
83036 Hemoglobin A1C level	200	118	$36.00	$11.71
G0008 Administration of influenza virus vaccine	170	170	$30.00	$19.51
90662 Influenza vaccine split virus, preservative free	154	154	$64.00	$52.27
71046 X-ray of chest, 2 views	122	110	$92.34	$17.89
93880 Ultrasound of both sides of head and neck blood flow	117	112	$301.14	$83.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	115	115	$207.00	$111.34
77067 Screening mammography	113	113	$310.00	$93.27
85610 Blood test, clotting time	111	26	$17.00	$4.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	104	19	$11.00	$1.82
G0009 Administration of pneumococcal vaccine	103	103	$44.00	$19.32
90670 Pneumococcal vaccine for injection into muscle	91	91	$819.00	$196.25
82306 Vitamin d-3 level	85	79	$98.00	$35.15
81001 Manual urinalysis test with examination using microscope, automated	82	73	$13.00	$3.73
80048 Blood test, basic group of blood chemicals (calcium, total)	72	62	$31.00	$10.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	30	$49.00	$19.31
82043 Urine microalbumin (protein) level	58	56	$21.00	$7.00
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	55	53	$677.84	$123.35
20610 Aspiration and/or injection of fluid from large joint	55	41	$249.07	$60.57
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	47	45	$304.60	$40.87
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	47	41	$14.00	$4.11
G0103 Prostate cancer screening; prostate specific antigen test (psa)	46	46	$91.00	$22.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	41	$83.00	$42.11
82570 Creatinine level to test for kidney function or muscle injury	44	42	$52.00	$6.26
93970 Ultrasound study of arm or leg veins with compression and maneuvers	43	39	$443.16	$74.38
77080 Dxa bone density measurement of hip, pelvis, spine	43	43	$164.30	$36.70
J1030 Injection, methylprednisolone acetate, 40 mg	40	31	$11.00	$6.75
84153 Psa (prostate specific antigen) measurement, total	38	35	$67.00	$22.26
93000 Routine ekg using at least 12 leads including interpretation and report	37	36	$71.00	$15.71
83880 Natriuretic peptide (heart and blood vessel protein) level	36	28	$123.00	$41.06
83540 Iron level	30	27	$24.00	$7.57
93925 Ultrasound of leg arteries or artery grafts	30	29	$534.93	$117.29
84550 Uric acid level, blood	30	28	$44.00	$5.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$311.00	$153.76
73502 X-ray of hip, 2-3 views	25	25	$95.16	$26.87
82607 Cyanocobalamin (vitamin B-12) level	25	22	$55.00	$18.24
17000 Destruction of skin growth	22	17	$147.00	$60.30
87804 Detection test by immunoassay with direct visual observation for influenza virus	21	11	$44.00	$16.22
94729 Test to examine how well the lungs exchange gases	20	19	$110.20	$47.35
74178 Ct scan of abdomen and pelvis before and after contrast	19	19	$1021.00	$233.24
82728 Ferritin (blood protein) level	19	16	$50.00	$16.49
73030 X-ray of shoulder, minimum of 2 views	18	18	$80.00	$18.24
94726 Determination of lung volumes using plethysmography	18	17	$110.67	$46.30
72148 MRI scan of lower spinal canal	17	17	$1366.00	$135.20
94060 Test to measure expiratory airflow and volume changes before and after medication administration	17	17	$127.65	$51.76
93924 Ultrasound study of arteries of both legs at rest and exercise	16	16	$411.75	$47.85
69210 Removal of impacted ear wax	15	14	$130.00	$46.94
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$298.00	$159.68
70220 X-ray of paranasal sinus, minimum of 3 views	15	14	$95.40	$23.16
94618 Test for exercise-induced lung stress	14	13	$210.00	$23.51
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$89.36	$20.82
83550 Iron binding capacity	14	11	$32.00	$10.57
84439 Thyroxine (thyroid chemical), free	14	14	$33.00	$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	14	14	$144.00	$51.73
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$115.00	$105.59
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$32.00	$18.65
72040 X-ray of upper spine, 2-3 views	11	11	$89.55	$20.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,881	569	$162.34	$67.38
36415 Insertion of needle into vein for collection of blood sample	1,307	571	$19.44	$2.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,023	463	$223.76	$98.59
80053 Blood test, comprehensive group of blood chemicals	1,023	544	$61.37	$12.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	986	542	$26.77	$10.27
80061 Blood test, lipids (cholesterol and triglycerides)	674	425	$63.91	$12.72
84443 Blood test, thyroid stimulating hormone (TSH)	613	391	$58.00	$22.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	542	74	$4.61	$1.76
81003 Automated urinalysis test	514	370	$51.68	$2.96
83036 Hemoglobin A1C level	287	148	$46.31	$12.75
82306 Vitamin d-3 level	268	190	$80.46	$35.44
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	264	17	$69.02	$25.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	223	223	$173.06	$103.95
71020 X-ray of chest, 2 views, front and side	208	153	$70.76	$22.79
93880 Ultrasound of both sides of head and neck blood flow	208	196	$154.49	$74.55
80048 Blood test, basic group of blood chemicals (calcium, total)	186	146	$46.13	$10.86
85610 Blood test, clotting time	178	26	$14.30	$5.28
G0008 Administration of influenza virus vaccine	175	173	$29.83	$23.77
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	168	167	$27.68	$17.19
83735 Magnesium level	153	123	$34.21	$8.74
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	125	125	$300.57	$105.53
93000 Routine ekg using at least 12 leads including interpretation and report	121	108	$50.40	$15.55
84153 Psa (prostate specific antigen) measurement, total	109	93	$64.17	$24.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	106	65	$51.93	$23.36
83880 Natriuretic peptide (heart and blood vessel protein) level	102	69	$103.33	$45.31
87086 Bacterial colony count, urine	100	69	$27.78	$10.85
20610 Aspiration and/or injection of fluid from large joint	83	48	$187.45	$56.55
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	75	67	$12.69	$4.77
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	75	74	$379.48	$145.29
85576 Platelet function test	73	64	$75.86	$28.53
93970 Ultrasound study of arm or leg veins with compression and maneuvers	72	72	$225.72	$60.35
84550 Uric acid level, blood	67	51	$31.24	$4.99
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	63	59	$141.33	$37.18
82043 Urine microalbumin (protein) level	60	54	$27.48	$7.09
83540 Iron level	60	43	$35.47	$8.55
G0009 Administration of pneumococcal vaccine	60	60	$44.05	$23.51
82607 Cyanocobalamin (vitamin B-12) level	56	50	$74.05	$19.91
90670 Pneumococcal vaccine for injection into muscle	54	54	$796.07	$185.29
77080 Dxa bone density measurement of hip, pelvis, spine	52	52	$125.00	$37.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$335.18	$152.92
17000 Destruction of skin growth	49	44	$140.43	$58.72
82728 Ferritin (blood protein) level	47	35	$64.89	$17.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	45	$96.96	$40.23
87804 Detection test by immunoassay with direct visual observation for influenza virus	46	23	$41.48	$16.11
93924 Ultrasound study of arteries of both legs at rest and exercise	41	41	$203.98	$29.34
82570 Creatinine level to test for kidney function or muscle injury	40	40	$28.69	$6.69
87088 Bacterial urine culture	35	32	$28.23	$10.88
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	35	32	$45.29	$11.62
83550 Iron binding capacity	32	25	$31.25	$11.75
93925 Ultrasound of leg arteries or artery grafts	31	31	$283.81	$88.38
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	30	30	$61.67	$25.38
72100 X-ray of lower and sacral spine, 2-3 views	29	28	$84.00	$28.00
73560 X-ray of knee, 1-2 views	29	22	$71.00	$26.11
82150 Amylase (enzyme) level	28	26	$35.57	$8.71
81002 Urinalysis, manual test	28	23	$12.81	$3.31
80162 Digoxin level, total	26	16	$49.65	$17.85
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	21	$130.56	$49.79
74178 Ct scan of abdomen and pelvis before and after contrast	25	24	$626.47	$291.46
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$259.91	$154.56
80076 Liver function blood test panel	23	21	$46.52	$9.83
73502 X-ray of hip, 2-3 views	23	21	$78.13	$36.40
82550 Creatine kinase (cardiac enzyme) level, total	20	19	$32.25	$4.28
72148 MRI scan of lower spinal canal	20	16	$705.60	$179.46
85044 Red blood count, manual test	19	17	$15.74	$5.49
94620 Pulmonary exercise testing	19	16	$155.47	$51.18
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	18	12	$1606.11	$38.21
97161 Evaluation of physical therapy, typically 20 minutes	18	17	$150.00	$72.32
70220 X-ray of paranasal sinus, minimum of 3 views	17	14	$90.00	$33.06
94060 Test to measure expiratory airflow and volume changes before and after medication administration	16	16	$142.44	$46.63
84439 Thyroxine (thyroid chemical), free	16	16	$31.50	$12.12
73030 X-ray of shoulder, minimum of 2 views	16	15	$70.94	$24.82
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	16	16	$239.88	$73.52
94729 Test to examine how well the lungs exchange gases	15	15	$118.00	$48.40
76706 Ultrasound scan of abdominal aorta	15	15	$100.13	$57.86
94726 Determination of lung volumes using plethysmography	14	14	$118.00	$41.14
82746 Folic acid level	13	11	$67.15	$19.77
85379 Coagulation function measurement, d-dimer; quantitative	13	13	$32.31	$12.51
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	13	12	$161.44	$148.75
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral	12	11	$278.38	$102.83
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	12	12	$1018.34	$352.29
86430 Rheumatoid factor analysis	12	11	$19.50	$7.62
17003 Destruction of precancer skin growth, 2-14 growths	12	11	$32.13	$5.15
69210 Removal of impacted ear wax	12	11	$123.00	$43.54
74020 Imaging of abdomen	12	11	$83.66	$30.12
76642 Limited ultrasound scan of 1 breast	12	11	$139.25	$51.00
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$341.64	$154.23
71100 X-ray of ribs of one side of body, 2 views	11	11	$74.00	$29.12

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX E8773

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

139433009 (TX)

Commercial Insurance / Payer ID Additional Medicare

80X517

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Thomas Chick , MD

Internal Medicine - Pulmonary Disease

NPI 1295738466

Doctor of Medicine (M.D.)

Dr. Alec Law , MD

Internal Medicine

NPI 1578566683

Doctor of Medicine (M.D.)

Dr. Robert Mcfarlane , MD

Internal Medicine - Cardiovascular Disease

NPI 1710980826

Doctor of Medicine (M.D.)

Cassie Anderson , PA-C

Physician Assistant

NPI 1851335970

Physician Assistant (Certified)

Deborah Kendall , PT

Physical Therapist

NPI 1942423744

Physical Therapist

Klaus Kuehl , PA

Physician Assistant - Medical

NPI 1992764146

Physician Assistant

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address September 27, 2018

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246400)

✅

NPI Profile Active April 23, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 23, 2010

Registered at 3201 S LOOP 256, STE 170, PALESTINE, TX 758016901 (Tel: 9037238800)

📍

Updated Business Mailing Address April 23, 2010

Registered at PO BOX 4550, PALESTINE, TX 758024550

👤

Provider Name / Credentials Updated April 23, 2010

Recorded as JOHN O'DONNELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2010

Internal Medicine (License #E8773 in TX)

🟢

Initial NPI Registration & Enumeration May 23, 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: 1629071709

Entity Type:

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

Enumeration Date: May 23, 2005

Last Update: September 27, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246400

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.