Active NPI 1023040771 Individual Practitioner Female Practitioner

Dr. Michelle O'shea , MD

Surgery • Sugar Land, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michelle O'Shea, MD is a certified Surgery practicing in Sugar Land, TX. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. O'Shea delivers high-quality medical care to the local community at 16655 SOUTHWEST FREEWAY.

Dr. O'Shea maintains professional affiliations with Tmh Physician Associates Pllc, Houston Methodist Specialty Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy or removal of lymph nodes of under the arm, open procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16655 Southwest Freeway
Ste 561

Sugar Land, TX 77479

Telephone 2814943000

Fax 2814943010

Associated Practice Facility / Clinic

🏢 Templeton Breast Care, P.a. Facility NPI 1598093148

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sugar Land, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +8.8 yrs vs City Avg

City Avg: 21.2 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

19 Specialists

Practicing in Sugar Land, TX (2342 Statewide)

Telehealth Adoption Rate

15.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. O'shea (30 Years) 30 Yrs

Sugar Land Specialty Average (21.2 Years) 21.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes	71	66	$212.00	$86.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	38	$314.00	$120.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$600.00	$210.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$483.00	$159.38
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$2205.80	$216.57
38900 Lymph node imaging during surgery	20	20	$689.83	$133.74
19301 Partial removal of breast	19	19	$3192.00	$581.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$317.00	$106.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	56	$212.00	$86.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$600.00	$205.95
19301 Partial removal of breast	29	29	$3302.07	$595.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$314.00	$122.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$317.00	$107.26
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	21	21	$2203.24	$213.21
38900 Lymph node imaging during surgery	21	21	$689.02	$128.30
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	17	12	$96.60	$30.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$421.00	$172.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$483.00	$159.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$212.00	$87.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$600.00	$213.33
19301 Partial removal of breast	20	20	$3192.00	$550.57
38900 Lymph node imaging during surgery	19	19	$673.00	$129.59
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$2152.00	$209.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$314.00	$117.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$128.00	$54.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$317.00	$108.04
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	11	$3228.00	$509.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$212.00	$88.66
19301 Partial removal of breast	24	19	$3258.50	$575.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$317.00	$110.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$600.00	$218.47
38900 Lymph node imaging during surgery	12	12	$673.00	$124.69
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$2152.00	$200.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$483.00	$165.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$236.74	$81.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$347.08	$113.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$344.73	$116.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$522.41	$175.17
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	15	15	$2712.86	$668.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$622.50	$197.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	85	$245.64	$82.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$531.25	$182.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$360.24	$118.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$354.03	$121.28
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	28	28	$2369.43	$745.56
19302 Partial removal of breast and underarm lymph nodes	25	25	$3022.53	$1001.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$485.00	$161.80
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$250.00	$82.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$547.96	$179.29
99213 Established patient office or other outpatient visit, typically 15 minutes	73	66	$251.47	$80.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	60	$371.45	$118.96
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	40	37	$2369.43	$779.89
19302 Partial removal of breast and underarm lymph nodes	17	17	$3022.53	$984.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$485.00	$159.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$363.00	$119.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$690.00	$212.88

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	105	97	$361.81	$114.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$544.52	$174.80
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	36	35	$2369.07	$753.86
99213 Established patient office or other outpatient visit, typically 15 minutes	35	28	$245.00	$78.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$690.00	$219.27

Medical Specialties & State Licenses

CMS Verified: 2022-07-27

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MA06656200

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.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License NJ 25MA06656200

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8767807 (NJ)

Hospital & Practice Group Affiliations

Houston Methodist Specialty Physicians

16811 Southwest Fwy, Sugar Land, TX 774794728

Phone: 2816904678

Tmh Physician Associates Pllc

16659 Southwest Fwy, Sugar Land, TX 774792669

Phone: 2814943000

Tmh Physician Associates Pllc

16605 Southwest Fwy 400 Mob3, Sugar Land, TX 774793500

Phone: 2812750800

Tmh Physician Associates Pllc

16605 Sw Fwy 410, Sugar Land, TX 774793500

Phone: 2812740148

Tmh Physician Associates Pllc

16605 Southwest Fwy, Sugar Land, TX 774793500

Phone: 2812750800

Tmh Physician Associates Pllc

16655 Southwest Fwy, Sugar Land, TX 774792329

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Stephanie Williams , DNP, APRN, ACNP-BC

Nurse Practitioner - Acute Care

NPI 1457438400

Doctor of Nursing Practice, Advanced Practice Registered Nurse, ACNPBC

Dr. Sandra Templeton , MD

Surgery

NPI 1659534568

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location July 27, 2022

Registered at 16655 SOUTHWEST FREEWAY, STE 561, SUGAR LAND, TX 77479 (Tel: 2814943000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2022

Surgery (License #25MA06656200 in NJ)

✅

NPI Profile Active April 27, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address April 27, 2017

Registered at PO BOX 419430, BOSTON, MA 022419430 (Tel: 2016663900)

📍

Updated Practice Location April 27, 2017

Registered at 1 BAY AVE, SUITE 104, MONTCLAIR, NJ 070424837 (Tel: 9732593505)

👤

Provider Name / Credentials Updated April 27, 2017

Recorded as MICHELLE O'SHEA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2017

Surgery (License #25MA06656200 in NJ)

✅

NPI Profile Active July 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 12, 2016

Registered at 1 BAY AVE, SUITE 104, MONTCLAIR, NJ 070424837 (Tel: 9732593505)

📍

Updated Business Mailing Address July 12, 2016

Registered at 452 OLD HOOK RD, 2ND FLOOR, EMERSON, NJ 076301381 (Tel: 2016663900)

👤

Provider Name / Credentials Updated July 12, 2016

Recorded as MICHELLE O'SHEA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2016

Surgery (License #25MA06656200 in NJ)

🟢

Initial NPI Registration & Enumeration July 06, 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: 1023040771

Entity Type:

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

Enumeration Date: July 06, 2006

Last Update: July 27, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 419430

Boston, MA 022419430

Phone: 2016663900

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.