DR. ELLEN J O'CONNELL MD
NPI 1063440121
Emergency Medicine in Lewisville, TX

NPI Status: Active since June 29, 2006

Contact Information

500 W MAIN ST
LEWISVILLE, TX
ZIP 75057
Phone: (972) 420-1576

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  • Individual
  • Female
  • Emergency Medicine
  • Accepts Insurance
  • PECOS Enrolled

About ELLEN O'CONNELL

This page provides the complete NPI Profile along with additional information for Ellen O'connell, a provider established in Lewisville, Texas with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1063440121 assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X with license number L9831 (TX). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1063440121
Provider Name
DR. ELLEN J O'CONNELL MD
Gender
Female
Entity Type
Individual
Location Address
500 W MAIN ST LEWISVILLE, TX 75057
Location Phone
(972) 420-1576
Mailing Address
4034 RAWLINS ST APT 106 DALLAS, TX 75219
Mailing Phone
(214) 252-0490
Is Sole Proprietor?
No
Enumeration Date
06-29-2006
Last Update Date
10-04-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
L9831
License State
TX
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • MyBlue Health Bronze? 402 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
I31134MEDICARE UPIN (02)TX 
8G4016MEDICARE ID-TYPE UNSPECIFIED (04)TX 
P00399314OTHER (01)TXRAILROAD
8C0848OTHER (01)TXBCBS

Medicare Participation & PECOS Enrollment Status

Ellen O'connell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 12 times for 12 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 75057 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.92
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.05
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $24.26
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. ELLEN J O'CONNELL MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063440121
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012384014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 8 + 4 + 0 + 1 + 4 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1063440121 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568462414DR. ARAX B NAZARIAN DO
Individual
Obstetrics & Gynecology500 W MAIN ST #330
LEWISVILLE, TX 75057
(972) 221-5433
1104801406DR. CANDIS LESLEY BEARD MD
Individual
Emergency Medicine500 W MAIN ST
LEWISVILLE, TX 75057
(972) 758-3523
1275519902 JAMES D DOYLE MD
Individual
Emergency Medicine500 W MAIN ST
LEWISVILLE, TX 75057
(972) 758-3598
1952387607DR. NICOLE A DUVAL M.D.
Individual
Emergency Medicine500 W MAIN ST
LEWISVILLE, TX 75057
(972) 758-3598
1922084631DR. STEWART ROSS COFFMAN M.D.
Individual
Emergency Medicine500 W MAIN ST
LEWISVILLE, TX 75057
(972) 758-3598
1497731566DR. TRAVIS K LILLY M.D.
Individual
Emergency Medicine500 W MAIN ST
LEWISVILLE, TX 75057
(972) 758-3523
1760430508DR. ROBERT EUGENE MENDONSA M.D.
Individual
Orthopaedic Surgery500 W MAIN ST #200
LEWISVILLE, TX 75057
(972) 420-1776
1720019623DR. DONALD E GIBBONS III MD
Individual
Emergency Medicine500 W MAIN ST EMERGENCY DEPARTMENT
LEWISVILLE, TX 75057
(972) 420-1000
1518991108DR. JIWON LEE MD
Individual
Emergency Medicine500 W MAIN ST
LEWISVILLE, TX 75057
(972) 420-1881
1336161702 RICHARD CHIPMAN BURGESS M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)500 W MAIN ST SUITE 201
LEWISVILLE, TX 75057
(972) 434-1052
1194863050 NAINA WASAN P.A.C.
Individual
Physician Assistant500 W MAIN ST
LEWISVILLE, TX 75057
(972) 420-1576
1023227782DR. CHAD EDWARD TREECE M.D.
Individual
Surgery500 W MAIN ST SUITE 300
LEWISVILLE, TX 75057
(972) 219-6800
1811191349 KATHY ROBINSON
Individual
Nurse Practitioner (Neonatal)500 W MAIN ST
LEWISVILLE, TX 75057
(972) 420-1089
1407056344CHAD E TREECE MD PA
Organization
Surgery500 W MAIN ST SUITE 300
LEWISVILLE, TX 75057
(972) 219-6800
1326224700NEW LIFE OB GYN PA
Organization
Obstetrics & Gynecology500 W MAIN ST STE 330
LEWISVILLE, TX 75057
(972) 221-5433
1861729832MRS. KRISTIE MARIE ADAME RD,CDE
Individual
Dietitian, Registered500 W MAIN ST
LEWISVILLE, TX 75057
(972) 219-5126
1417257924MS. KA YIN TAKLIZA NG MS RD LD
Individual
Dietitian, Registered500 W MAIN ST
LEWISVILLE, TX 75057
(972) 420-1000
1497013106 CAROL PAULANNE BUOL RD, LD, CDE
Individual
Dietitian, Registered500 W MAIN ST
LEWISVILLE, TX 75057
(972) 420-1091
1245219757DR. ROUHOLLAH F PRUEITT MD
Individual
Emergency Medicine500 W MAIN ST
LEWISVILLE, TX 75057
(972) 420-1576
1033462221QUESTCARE SPECIALTY OBSTETRICS, PLLC
Organization
Obstetrics & Gynecology500 W MAIN ST
LEWISVILLE, TX 75057
(214) 217-1911

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063440121, enumerated in the NPI registry as an "individual" on June 29, 2006

The provider is located at 500 W Main St Lewisville, Tx 75057 and the phone number is (972) 420-1576

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $84.92 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.05 and an average copayment of 24.26. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Emergency department visit for problem of high severity.

This NPI record was last updated on June 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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