DR. THYRA J. ENDICOTT (MD) – Radiation Oncology Physician, NPI 1023039948

DR. THYRA J. ENDICOTT (MD) is a healthcare provider. based in Torrance, California. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. A61316 (CA). The NPI Number for DR. THYRA J. ENDICOTT (MD) is 1023039948

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. THYRA J. ENDICOTT (MD)
NPI
1023039948
Phone
(310) 517-4785
Address
PO BOX 14556
Enumeration Date
23 July 2006
Last Update Date
30 October 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3105174785
Graduation Year
1993 (33 years ago)
PAC ID
7315997160
Group Practice PAC ID
9638087703
Professional Enrollment ID
I20050128000617
Address ID
CA905055002TO3330XBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

677 RADIATION ONCOLOGY in CA

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Provider Addresses for DR. THYRA J. ENDICOTT (MD)

  • PO BOX 14556

    TORRANCE, CA 905038556

    Phone: (310) 517-4785

    Type: Mailing

  • 510, North Prospect Avenue, Redondo Beach, Los Angeles County, California, 90277, United States

    SUITE 104

    REDONDO BEACH, CA 902773028

    Phone: (310) 517-4785

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $353.

Total Amount is formed as General ($353) + Research ($0) + Ownership ($0) = $353.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Seagen Inc. ($114).

Total Amount

$353

General + Research + Ownership

Payments

4

Total payment records

General Amount

$353

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-01-28

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
I20050128000617IRadiation OncologyCATBD

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
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy39127$0
77014Ct guidance for insertion of radiation therapy fields24018$0
77300Calculation of radiation therapy dose18045$0
77427Radiation treatment management, 5 treatment sessions14539$0
77334Design and construction of complex radiation treatment device13840$0
View full utilization report →

Insurance plans in this area (ZIP 90503)

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Provider's Procedures

DR. THYRA J. ENDICOTT (MD) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYCA77263Management of radiation therapy, complex3939
RADIATION ONCOLOGYCA77427Radiation treatment management, 5 treatments5213

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: 9638087703View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Radiation OncologyIL
Diagnostic RadiologyCA
Diagnostic RadiologyNY
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
-CA
Plastic And Reconstructive SurgeryCA

Reviews

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Frequently asked questions

Where can patients find DR. THYRA J. ENDICOTT (MD)'s NPI?
You can confirm DR. THYRA J. ENDICOTT (MD) with NPI 1023039948; it appears in the national provider directory.
Is DR. THYRA J. ENDICOTT (MD) active in the national directory?
DR. THYRA J. ENDICOTT (MD)'s public NPI profile is in an active state.
Does DR. THYRA J. ENDICOTT (MD) list a primary specialty?
If you are matching referrals, note Radiation Oncology Physician for DR. THYRA J. ENDICOTT (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. THYRA J. ENDICOTT (MD)?
The page summarizes Torrance, California for DR. THYRA J. ENDICOTT (MD); expand the address list for detail.
How can I contact DR. THYRA J. ENDICOTT (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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