ETHAN REZNICEK (MD) – Emergency Medicine Physician, NPI 1174059661
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,051 EMERGENCY MEDICINE in TX
Provider Addresses for ETHAN REZNICEK (MD)
100 MERCY WAY STE 1400
JOPLIN, MO 648044524
Phone: (417) 556-2300
Type: Mailing
6410 Fannin St
Suite 1400
Houston, TX 770303000
Phone: (832) 325-7125
Type: Location
6410, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
SUITE 1400
HOUSTON, TX 770303000
Phone: (832) 325-7125
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-02-22 • Largest payer in this snapshot: CSL Behring ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CSL Behring | $20 |
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: 2021-09-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210927002402 | I | Emergency Medicine | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 244 | 229 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 139 | 139 | $0 |
| 99291 | Critical care, first 30-74 minutes | 39 | 38 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 22 | 22 | $0 |
Insurance plans in this area (ZIP 64804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Emergency Medicine | OK | |
| Nurse Practitioner | KS | |
| Emergency Medicine | OK | |
| Emergency Medicine | LA | |
| Emergency Medicine | MO | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | RI |
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