Active NPI 1841443645 Individual Practitioner Male Practitioner

Dr. Hishaam Nabil Ismael , MD

Surgery • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Hishaam Ismael, MD is a certified Surgery practicing in Tyler, TX. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Ismael delivers high-quality medical care to the local community at 11937 US HIGHWAY 271.

Dr. Ismael is affiliated with University Of Texas Health Science Center At Tyler-Facilty-Physician and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

11937 Us Highway 271

Tyler, TX 757083154

Telephone 9038777777

Associated Practice Facility / Clinic

🏢 University Of Texas Health Science Center At Tyler Facility NPI 1417941295

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -0.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

32 Specialists

Practicing in Tyler, TX (2342 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ismael (25 Years) 25 Yrs

Tyler Specialty Average (25.5 Years) 25.5 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	91	86	$595.00	$164.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	40	$212.00	$75.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$382.00	$127.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	35	$230.00	$92.46
76998 Ultrasonic guidance during surgery	14	14	$118.00	$44.16
47562 Removal of gallbladder using an endoscope	13	13	$2954.00	$606.03
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$4065.00	$179.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	33	$212.00	$76.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$382.00	$127.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	43	$595.00	$165.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	22	$115.00	$47.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$230.00	$93.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	19	$306.00	$114.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	16	$402.00	$124.89
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$150.00	$63.30

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	61	61	$382.00	$130.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	41	$595.00	$189.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	27	$306.00	$97.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$230.00	$95.28
49585 Repair of hernia at navel (5 years or older)	14	14	$1660.00	$337.10

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	99	99	$389.66	$133.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	31	$306.00	$100.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	54	$595.00	$195.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$236.77	$96.36
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$150.00	$66.19
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$4065.00	$297.82

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	122	31	$306.00	$103.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$387.94	$128.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	48	$595.00	$201.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	32	$230.11	$78.68
47562 Removal of gallbladder using an endoscope	13	13	$2954.00	$585.54

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	48	48	$381.81	$127.24
99213 Established patient office or other outpatient visit, typically 15 minutes	41	28	$152.44	$50.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$230.10	$75.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$241.40	$77.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$595.00	$199.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	45	$150.00	$50.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$382.00	$126.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$230.00	$76.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$225.00	$74.47

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	88	88	$385.05	$125.71
99213 Established patient office or other outpatient visit, typically 15 minutes	54	43	$150.00	$49.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	33	$230.00	$76.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	13	$212.00	$70.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$225.00	$74.11
47562 Removal of gallbladder using an endoscope	14	14	$3059.50	$644.78
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$4065.00	$319.58

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX P9596

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License FL TRN12786

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

University Of Texas Health Science Center At Tyler-Facilty-Physician

11937 Us Hwy 271, Tyler, TX 757083154

Phone: 9038777200

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Tyler Davis , DO

Surgery - Trauma Surgery

NPI 1003439803

Doctor of Osteopathic Medicine (D.O.)

Dr. Gladys Ogbonna , MD

Student in an Organized Health Care Education/Training Program

NPI 1023542818

Doctor of Medicine (M.D.)

Dr. Samad Zia , DO

Student in an Organized Health Care Education/Training Program

NPI 1023683356

Doctor of Osteopathic Medicine (D.O.)

Dr. Brandon Riley , MD

Psychiatry & Neurology - Psychiatry

NPI 1033478961

Doctor of Medicine (M.D.)

Dr. Michele Bosworth , MD

Family Medicine

NPI 1043275563

Doctor of Medicine (M.D.)

Dr. Uchechukwu Elendu , MD

Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine

NPI 1073858809

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 17, 2016

Registered at 11937 US HIGHWAY 271, TYLER, TX 757083154 (Tel: 9038777777)

📍

Updated Business Mailing Address September 17, 2016

Registered at PO BOX 731912, DALLAS, TX 753731912 (Tel: 9038777777)

👤

Provider Name / Credentials Updated September 17, 2016

Recorded as HISHAAM ISMAEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2016

Surgery (License #P9596 in TX)

🟢

Initial NPI Registration & Enumeration October 24, 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: 1841443645

Entity Type:

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

Enumeration Date: October 24, 2008

Last Update: September 17, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 731912

Dallas, TX 753731912

Phone: 9038777777

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.