DR. PHILIP E FIDLER (M.D.) – Surgery Physician, NPI 1689643637
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,360 CRITICAL CARE (INTENSIVISTS) in TX
Provider Addresses for DR. PHILIP E FIDLER (M.D.)
PO BOX 12187
AUGUSTA, GA 309142187
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Mailing
3901 W 15th St
Plano, TX 750757738
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Location
1850 Chadwick Dr
Jackson, MS 392043404
Phone: (855) 863-9595
Type: Location
13472 Eastlake Blvd Ste A
Horizon City, TX 799286320
Phone: (915) 313-6300
Type: Location
4801 Alberta Ave
El Paso, TX 799052707
Phone: (915) 215-5300
Fax: (915) 215-8606
Type: Location
1600 COIT RD STE 305
PLANO, TX 750756172
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Location
Medical City Plano, 3901, West 15th Street, Plano, Collin County, Texas, 75075, United States
PLANO, TX 750757738
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,802.
Total Amount is formed as General ($1,802) + Research ($0) + Ownership ($0) = $1,802.
Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Avita Medical Americas, LLC ($1,187).
Total Amount
$1,802
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,802
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Avita Medical Americas, LLC | $1,187 |
| Integra LifeSciences Corporation | $442 |
| Kerecis Limited | $155 |
| Urgo Medical North America, LLC | $18 |
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: 2024-12-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20180808001014 | I | Critical Care (Intensivists) | TX | TBD |
| I20210614000539 | I | General Surgery | MS | TBD |
| I20230612000404 | I | General Surgery | AZ | TBD |
| I20241203000816 | I | General Surgery | NY | 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 30914)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| General Surgery | TN | |
| N E U R O L O G Y | TX | |
| Pediatric Medicine | TX | |
| - | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| - | LA | |
| - | KS | |
| Diagnostic Radiology | TX |
Reviews
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