Active NPI 1114190055 Individual Practitioner Female Practitioner

Rachel Lee Lagaly , PA-C

Physician Assistant • Tomball, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Rachel Lagaly, PA-C is a certified Physician Assistant practicing in Tomball, TX. With approximately 19 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 2007, Rachel Lagaly delivers high-quality medical care to the local community at 155 SCHOOL ST STE 210.

Rachel Lagaly is affiliated with Texas Ear, Nose And Throat Specialists, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of impacted ear wax, removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

155 School St Ste 210

Tomball, TX 773755382

Telephone 2813518407

Fax 8669391582

Associated Practice Facility / Clinic

🏢 Texas Ear, Nose & Throat Specialists, Pllc Facility NPI 1255314985

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tomball, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +9.3 yrs vs City Avg

City Avg: 9.7 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

29 Specialists

Practicing in Tomball, TX (11140 Statewide)

Telehealth Adoption Rate

20.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lagaly (19 Years) 19 Yrs

Tomball Specialty Average (9.7 Years) 9.7 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	425	306	$120.00	$77.63
69210 Removal of impacted ear wax	244	170	$106.72	$40.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	133	$185.00	$108.98
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	59	55	$96.61	$44.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$190.00	$95.63
31231 Diagnostic examination of nasal passages using an endoscope	43	34	$345.00	$158.54
31575 Diagnostic exam of voice box using a flexible endoscope	20	17	$285.00	$109.86
92504 Exam of ear using a microscope	16	12	$75.00	$24.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	471	310	$120.00	$77.76
69210 Removal of impacted ear wax	243	164	$111.11	$41.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	163	$185.00	$110.04
31231 Diagnostic examination of nasal passages using an endoscope	47	33	$345.00	$165.31
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	31	30	$98.71	$43.09
92504 Exam of ear using a microscope	21	14	$75.00	$25.14
31575 Diagnostic exam of voice box using a flexible endoscope	17	16	$285.00	$113.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	459	307	$120.00	$79.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	260	196	$185.00	$109.88
69210 Removal of impacted ear wax	249	167	$106.51	$40.34
31231 Diagnostic examination of nasal passages using an endoscope	53	48	$320.94	$162.08
31575 Diagnostic exam of voice box using a flexible endoscope	43	38	$285.00	$112.60
92504 Exam of ear using a microscope	31	21	$75.00	$25.54
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	30	28	$88.00	$44.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$190.00	$98.55
69200 Removal of foreign body from ear canal	13	12	$170.00	$68.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	395	272	$120.00	$80.90
69210 Removal of impacted ear wax	188	136	$104.95	$41.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	90	$185.00	$115.20
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	42	41	$91.43	$45.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$190.00	$99.68
31231 Diagnostic examination of nasal passages using an endoscope	18	15	$274.17	$177.67
92504 Exam of ear using a microscope	15	12	$75.00	$26.43
31575 Diagnostic exam of voice box using a flexible endoscope	12	12	$285.00	$115.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$285.00	$141.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	355	254	$120.00	$66.20
69210 Removal of impacted ear wax	137	113	$96.79	$42.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$190.00	$95.06
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	26	26	$87.69	$44.73
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	18	17	$25.00	$12.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$185.00	$96.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	556	361	$120.00	$63.67
69210 Removal of impacted ear wax	165	130	$105.09	$40.00
31575 Diagnostic exam of voice box using a flexible endoscope	49	38	$285.00	$99.90
31231 Diagnostic examination of nasal passages using an endoscope	48	37	$345.00	$162.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$190.00	$93.24
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	35	35	$101.14	$42.43
92504 Exam of ear using a microscope	25	19	$75.00	$25.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$185.00	$94.24
92567 Eardrum testing using ear probe	14	14	$47.00	$13.31
92557 Comprehensive hearing and speech recognition test	11	11	$105.00	$33.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	220	140	$120.00	$59.72
31231 Diagnostic examination of nasal passages using an endoscope	63	43	$345.00	$169.92
69210 Removal of impacted ear wax	56	37	$109.29	$37.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$185.00	$88.44
31575 Diagnostic exam of voice box using a flexible endoscope	19	15	$285.00	$91.58
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	12	12	$105.00	$40.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$120.00	$59.33

Medical Specialties & State Licenses

CMS Verified: 2025-10-28

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA05590

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Texas Ear, Nose And Throat Specialists, Pllc

9301 Pinecroft Dr, Shenandoah, TX 773803182

Phone: 2813621368

Texas Ear, Nose And Throat Specialists, Pllc

7900 Fannin St, Houston, TX 770542934

Phone: 7137919363

Texas Ear, Nose And Throat Specialists, Pllc

155 School St, Tomball, TX 773755382

Phone: 2813518407

Texas Ear, Nose And Throat Specialists, Pllc

20207 Chasewood Park Dr, Houston, TX 770701441

Phone: 8322372227

Practice Associates & Co-Workers

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

3 Associated Practitioners

Cami Wade , MS, F, AAA

Audiologist

NPI 1376714626

Master of Science, F, AAA

Victoria Karim

Audiologist

NPI 1386165314

Dr. Stephanie Cordes , MD

Otolaryngology

NPI 1679556302

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location October 28, 2025

Registered at 155 SCHOOL ST STE 210, TOMBALL, TX 773755382 (Tel: 2813518407)

✅

NPI Profile Active January 04, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2011

Registered at 9301 PINECROFT DR, STE 150, SHENANDOAH, TX 773803179 (Tel: 2813621368)

📍

Updated Business Mailing Address January 04, 2011

Registered at 10740 N GESSNER DR, STE 310, HOUSTON, TX 770641240 (Tel: 2818970416)

👤

Provider Name / Credentials Updated January 04, 2011

Recorded as RACHEL LAGALY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2011

Physician Assistant (License #PA05590 in TX)

🟢

Initial NPI Registration & Enumeration April 11, 2008

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: 1114190055

Entity Type:

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

Enumeration Date: April 11, 2008

Last Update: October 28, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10740 N Gessner Dr, Ste 310

Houston, TX 770641240

Phone: 2818970416

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.