PRESTON LAVINGHOUSEZ (M.D.) – Pediatrics Physician, NPI 1104073550
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PRESTON LAVINGHOUSEZ (M.D.)
325 DISTEL CIR
LOS ALTOS, CA 940221408
Phone: (650) 853-2992
Type: Mailing
Dell Children's Medical Center of Central Texas, 4900, Mueller Boulevard, Delwood, Austin, Travis County, Texas, 78723, United States
AUSTIN, TX 787233079
Phone: (512) 324-0000
Fax: (512) 324-0721
Type: Mailing
4900 Mueller Blvd
Austin, TX 787233079
Phone: (512) 324-0000
Fax: (512) 324-0721
Type: Location
795 EL CAMINO REAL
PALO ALTO, CA 943012302
Phone: (650) 853-2992
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-06-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120614000362 | I | Pediatric Medicine | TX | TBD |
| I20230609001411 | I | Pediatric Medicine | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94022)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Ophthalmology, Pediatric Medicine | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Pediatric Medicine | TX | |
| - | TX |
Reviews
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