James O'Neal, MD
NPI 1376527218 · Otolaryngology Physician · Conroe, TX
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James O'Neal, MD is a Otolaryngology Physician provider in Conroe, TX (NPI 1376527218).
Provider details
- NPI number
- 1376527218
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M1272 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
740 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 306 | $87 |
| Removal of Impacted Ear Wax69210 | 155 | $44 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 75 | $105 |
| Removal of Impacted Cerumen (one Or Both Ears) By Physician on Same Date of Service As Audiologic Function TestingG0268 | 70 | $49 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 44 | $176 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 38 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 297 | 130 |
| Ipratropium Bromide | 170 | 61 |
| Azelastine Hcl | 103 | 56 |
| Pantoprazole Sodium | 90 | 53 |
| Ofloxacin | 64 | 40 |
| Fluocinolone Acetonide Oil | 47 | 26 |
| Prednisone | 43 | 41 |
| Famotidine |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$44 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-05
- Last updated
- 2022-02-08
Frequently asked questions
- What is James O'Neal's NPI number?
- James O'Neal's National Provider Identifier (NPI) is 1376527218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James O'Neal's specialty?
- James O'Neal is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is James O'Neal located?
- James O'Neal's practice location on file with NPPES is 508 Medical Center Blvd, Conroe, TX 77304-2953.
- What is James O'Neal's phone number?
- The practice phone number listed in the NPPES registry for James O'Neal is (936) 523-1422.
- Does James O'Neal accept Medicare?
- James O'Neal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James O'Neal's NPI active?
- Yes — James O'Neal's NPI (1376527218) is active in the NPPES registry as of the last update on 2022-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.