JOHN ROUFAIL (M.D) – Neurological Surgery Physician, NPI 1033454194
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
89 NEUROSURGERY in OK
Provider Addresses for JOHN ROUFAIL (M.D)
1727 Chuckwa Dr Ste 400
Durant, OK 747012151
Phone: (580) 924-7096
Type: Location
4717 BEAR RUN DR
PLANO, TX 750937321
Phone:
Type: Mailing
22449 LAKE RD
ROCKY RIVER, OH 441161053
Phone:
Type: Mailing
1210 W 18TH ST STE 100
SIOUX FALLS, SD 571044650
Phone: (605) 312-8500
Fax: (605) 312-8501
Type: Location
5012 S US HIGHWAY 75 STE 300
DENISON, TX 750204589
Phone: (903) 416-6065
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $1,681.
Total Amount is formed as General ($1,681) + Research ($0) + Ownership ($0) = $1,681.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($1,541).
Total Amount
$1,681
General + Research + Ownership
Payments
19
Total payment records
General Amount
$1,681
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,541 |
| Orthofix Medical, Inc. | $121 |
| SK Life Science, Inc. | $19 |
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: 2025-03-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20201202001633 | I | Neurosurgery | SD | TBD |
| I20211216000335 | I | Neurosurgery | OK | TBD |
| I20250306001995 | I | Neurosurgery | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 74 | 54 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 38 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 30 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 74701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Vascular Surgery | TX | |
| Internal Medicine, Gastroenterology | TX | |
| Orthopedic Surgery, Sports Medicine | TX | |
| Thoracic Surgery, General Surgery | TX | |
| Orthopedic Surgery, Sports Medicine | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | NM | |
| General Surgery | TX |
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