Active NPI 1801807649 Individual Practitioner Male Practitioner

Dr. Joseph Keith Preston , MD

Neurological Surgery • Paris, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Preston, MD is a certified Neurological Surgery practicing in Paris, TX. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Preston delivers high-quality medical care to the local community at 4015 LAMAR AVE.

Dr. Preston maintains professional affiliations with Prmc Healthcare Group, Inc., Owensboro Health Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4015 Lamar Ave

Paris, TX 754625212

Telephone 9037847959

Fax 9037847969

Associated Practice Facility / Clinic

🏢 J Keith Preston Md Pa Facility NPI 1437219995

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Paris, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs Matches City Avg

City Avg: 31.0 Yrs

State Avg: 25.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Paris, TX (703 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Preston (31 Years) 31 Yrs

Paris Specialty Average (31.0 Years) 31.0 Yrs

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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	215	79	$205.00	$108.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	120	$206.00	$121.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	127	$317.00	$159.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	100	97	$396.00	$164.34
63048 Partial removal of spine bone with release of spinal cord and/or nerves	58	37	$394.18	$198.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	33	$142.00	$74.26
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	43	43	$2135.16	$571.61
22614 Fusion of additional segment of spine	41	34	$745.22	$372.09
22612 Fusion of spine in lower back	39	39	$3054.04	$1516.55
22842 Placement of stabilizing device to back, 3-6 spine bone segments	32	32	$1454.92	$725.78
61783 Computer-assisted spinal procedure	17	17	$448.00	$221.13
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	16	16	$917.68	$423.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	185	73	$205.00	$112.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	116	$206.19	$120.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$317.21	$159.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	87	85	$396.00	$164.50
63048 Partial removal of spine bone with release of spinal cord and/or nerves	70	37	$494.12	$195.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	56	56	$399.00	$210.63
22614 Fusion of additional segment of spine	41	27	$911.15	$346.97
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	39	38	$2557.35	$592.20
22612 Fusion of spine in lower back	38	36	$3778.50	$1468.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	15	$142.00	$76.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	29	$280.00	$162.86
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	25	13	$944.75	$242.14
22842 Placement of stabilizing device to back, 3-6 spine bone segments	24	24	$1903.86	$699.28
22845 Placement of stabilizing device to front, 2-3 spine bone segments	17	17	$2146.71	$681.66
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	13	13	$5105.11	$1610.36
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$1689.94	$669.30

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	199	123	$206.84	$122.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$318.06	$158.49
63048 Partial removal of spine bone with release of spinal cord and/or nerves	64	34	$1052.25	$194.75
22614 Fusion of additional segment of spine	40	27	$2127.45	$361.55
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	37	37	$5428.25	$560.34
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	33	17	$1624.00	$239.23
22612 Fusion of spine in lower back	32	32	$8559.95	$1490.62
22842 Placement of stabilizing device to back, 3-6 spine bone segments	26	26	$4148.55	$705.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$396.26	$189.88
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$140.12	$88.65
22845 Placement of stabilizing device to front, 2-3 spine bone segments	17	17	$3975.20	$673.72
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$9230.70	$1590.98
20900 Small bone graft harvest	16	16	$1022.45	$86.49
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	16	14	$2170.10	$366.77

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	205	136	$206.84	$126.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	159	159	$318.06	$162.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	28	$203.50	$99.96
63048 Partial removal of spine bone with release of spinal cord and/or nerves	45	24	$1052.25	$199.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$396.26	$193.71
22614 Fusion of additional segment of spine	32	21	$2127.45	$368.97
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	31	31	$5428.25	$611.31
22612 Fusion of spine in lower back	26	26	$8559.95	$1515.44
22842 Placement of stabilizing device to back, 3-6 spine bone segments	18	18	$4148.55	$719.50

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	222	141	$206.84	$103.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	141	141	$318.06	$158.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	21	$203.50	$102.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	32	$396.26	$199.50
63048 Partial removal of spine bone with release of spinal cord and/or nerves	29	20	$1052.25	$205.84
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	28	27	$5428.25	$575.30
22614 Fusion of additional segment of spine	26	17	$2127.45	$382.94
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	25	11	$1624.00	$252.09
22612 Fusion of spine in lower back	25	24	$8559.95	$1551.58
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$140.12	$61.12
22842 Placement of stabilizing device to back, 3-6 spine bone segments	16	16	$4148.55	$745.11
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	14	11	$2170.10	$386.75
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	11	11	$9230.70	$1653.70
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$4135.35	$741.88

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	268	181	$206.84	$104.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	216	216	$318.06	$157.57
63048 Partial removal of spine bone with release of spinal cord and/or nerves	68	41	$1052.25	$207.92
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	48	47	$5428.25	$552.50
22612 Fusion of spine in lower back	47	47	$8559.95	$1531.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	34	$141.06	$70.86
22614 Fusion of additional segment of spine	44	30	$2127.45	$384.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$267.78	$133.45
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	36	18	$1624.00	$254.43
22842 Placement of stabilizing device to back, 3-6 spine bone segments	28	28	$4148.55	$752.15
99291 Critical care, first 30-74 minutes	28	16	$533.62	$217.12
22840 Placement of stabilizing device to back of 1 spine bone in neck	22	22	$4135.35	$725.65
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	18	17	$9230.70	$1668.82
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	18	15	$9600.00	$3182.87
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	17	14	$2170.10	$391.59
22845 Placement of stabilizing device to front, 2-3 spine bone segments	17	16	$3975.20	$717.90
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$140.12	$71.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	11	$203.50	$101.29

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	67	67	$207.36	$103.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$318.06	$158.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	38	$206.84	$103.82
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$140.12	$70.32
63048 Partial removal of spine bone with release of spinal cord and/or nerves	22	15	$1052.25	$207.73
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	20	$5428.25	$697.84
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	17	$37.86	$20.67
22612 Fusion of spine in lower back	15	15	$8559.95	$1551.42

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	138	138	$207.36	$101.03
99213 Established patient office or other outpatient visit, typically 15 minutes	81	71	$140.12	$67.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	43	$82.84	$40.60
63048 Partial removal of spine bone with release of spinal cord and/or nerves	47	27	$1052.25	$203.19
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$143.12	$69.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	43	38	$37.86	$18.76
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	39	17	$1624.00	$250.43
22614 Fusion of additional segment of spine	32	19	$2127.45	$376.56
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	32	30	$5428.25	$639.23
22612 Fusion of spine in lower back	26	25	$8559.95	$1514.81
22842 Placement of stabilizing device to back, 3-6 spine bone segments	22	21	$4148.55	$734.03
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	22	15	$2170.10	$382.90
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$9230.70	$1631.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$318.06	$154.88
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$3975.20	$702.40
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	13	12	$9600.00	$5125.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$396.26	$192.51

Medical Specialties & State Licenses

CMS Verified: 2026-01-12

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License TX L5880

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License KY 61590

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

156446002 (TX)

Hospital & Practice Group Affiliations

Prmc Healthcare Group, Inc.

865 Deshong Dr, Paris, TX 754609313

Phone: 9037371111

Owensboro Health Medical Group Inc

2200 E Parrish Ave, Owensboro, KY 423031450

Phone: 2706881650

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2026

Neurological Surgery (License #61590 in KY)

✅

NPI Profile Active November 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 03, 2016

Registered at 4015 LAMAR AVE, PARIS, TX 754625212 (Tel: 9037847959)

📍

Updated Business Mailing Address November 03, 2016

Registered at 4015 LAMAR AVE, PARIS, TX 754625212 (Tel: 9037847959)

👤

Provider Name / Credentials Updated November 03, 2016

Recorded as JOSEPH PRESTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2016

Neurological Surgery (License #L5880 in TX)

🟢

Initial NPI Registration & Enumeration August 10, 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: 1801807649

Entity Type:

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

Enumeration Date: August 10, 2006

Last Update: January 12, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4015 Lamar Ave

Paris, TX 754625212

Phone: 9037847959

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.