Individual provider Active NPI

Pete Edward O'Donald, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Port Neches, TX
National Provider Identifier
1992111538
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2254 Issued in TX
Practice address
2234 Nederland Avenue
101
Port Neches, TX 77651-3926
Phone
(409) 727-1122
Fax
(409) 727-1114
NPI assigned
Jul 3, 2014
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2254 TX Primary

Addresses

Primary practice location

2234 Nederland Avenue
101
Port Neches, TX 77651-3926

Mailing address

2234 Nederland Avenue
101
Port Neches, TX 77651-3926
Phone (409) 727-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170428001779 TX Practitioner - Podiatry 6103103106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2234 Nederland Ave
Port Neches, TX 77651-3926
Phone (409) 727-1122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as individual
Quality
75.7
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue66
Removal of skin lesions1-10
Removal of nail tissue221
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pete O'Donald DPM, PLLC Foot & Ankle Surgery CurrentSince Jul 11, 2017 Accepting new patients

Locations

520 S Twin City Hwy
Ste 101
Nederland, TX 77627
Phone (409) 726-2000

2234 Nederland Ave
Port Neches, TX 77651
Phone (409) 722-5533

2234 Nederland Ave
#101
Port Neches, TX 77651
Phone (409) 727-1122

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16499/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pete.o.donald.1@16499.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1992111538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 NEDERLAND AVENUE",
            "address_2": "101",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776513926",
            "telephone_number": "409-727-1122",
            "fax_number": "409-727-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 NEDERLAND AVENUE",
            "address_2": "101",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776513926",
            "telephone_number": "409-727-1122",
            "fax_number": "409-727-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONALD",
        "first_name": "PETE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-03",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Neches, TX

Sources for this page

Verify at the official NPI Registry.