DR. JAMES PATRICK O'NEAL (MD) – Otolaryngology Physician, NPI 1376527218

DR. JAMES PATRICK O'NEAL (MD) is a healthcare provider. based in Conroe, Texas. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. M1272 (TX). The NPI Number for DR. JAMES PATRICK O'NEAL (MD) is 1376527218

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES PATRICK O'NEAL (MD)
NPI
1376527218
Phone
(936) 523-1422
Address
508 MEDICAL CENTER BLVD
Enumeration Date
5 December 2005
Last Update Date
8 February 2022

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
9367604600
Graduation Year
2000 (26 years ago)
PAC ID
1052340379
Group Practice PAC ID
1850547365
Professional Enrollment ID
I20050808000459
Address ID
TX773042952CO508XXBLVD401

Contacts

Secure Messaging
JAMES.ONEAL@hca9.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

892 OTOLARYNGOLOGY in TX

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Provider Addresses for DR. JAMES PATRICK O'NEAL (MD)

  • 508, Medical Center Boulevard, Conroe, Montgomery County, Texas, 77304, United States

    CONROE, TX 773042953

    Phone: (936) 523-1422

    Fax: (936) 523-1440

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2024-08-08 • Largest payer in this snapshot: GENZYME CORPORATION ($44).

Total Amount

$183

General + Research + Ownership

Payments

7

Total payment records

General Amount

$183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050808000459IOtolaryngologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes335221$0
69210Removal of impacted ear wax214152$0
99203New patient office or other outpatient visit, 30-44 minutes8787$0
31231Diagnostic exam of nasal passages using an endoscope4536$0
31575Diagnostic exam of voice box using a flexible endoscope4439$0
View full utilization report →

Insurance plans in this area (ZIP 77304)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850547365View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)TX
General SurgeryTX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
-TX
General Surgery, Critical Care (Intensivists)ID
General Surgery, Vascular SurgeryTX
General SurgeryTX
-TX

Reviews

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Frequently asked questions

How do payers reference DR. JAMES PATRICK O'NEAL (MD)?
For DR. JAMES PATRICK O'NEAL (MD), use NPI 1376527218 as the unique 10-digit identifier.
Is DR. JAMES PATRICK O'NEAL (MD) shown as active in public data?
Registry records indicate DR. JAMES PATRICK O'NEAL (MD) maintains an active NPI.
What kind of doctor is DR. JAMES PATRICK O'NEAL (MD)?
DR. JAMES PATRICK O'NEAL (MD) is associated with Otolaryngology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. JAMES PATRICK O'NEAL (MD) located near Conroe?
DR. JAMES PATRICK O'NEAL (MD) currently maps to Conroe, Texas in this extract.
Does DR. JAMES PATRICK O'NEAL (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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