EID B MUSTAFA (MD) – Plastic and Reconstructive Surgery Physician, NPI 1023018470

EID B MUSTAFA (MD) is a healthcare provider. based in Wichita falls, Texas. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. G272 (TX). The NPI Number for EID B MUSTAFA (MD) is 1023018470

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
EID B MUSTAFA (MD)
NPI
1023018470
Phone
(940) 322-1122
Address
1201 BROOK AVE
Enumeration Date
28 July 2005
Deactivation Date
22 March 2006
Reactivation Date
3 April 2006
Last Update Date
12 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9403221122
Graduation Year
1973 (53 years ago)
PAC ID
1456316207
Professional Enrollment ID
I20041122000505
Address ID
TX763015601WI1201XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

588 PLASTIC AND RECONSTRUCTIVE SURGERY in TX

Loading map...

Provider Addresses for EID B MUSTAFA (MD)

  • 1201, Brook Avenue, Wichita Falls, Wichita County, Texas, 76301, United States

    WICHITA FALLS, TX 763015601

    Phone: (940) 322-1122

    Fax: (940) 767-8918

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2004-11-22

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
I20041122000505IPlastic And Reconstructive SurgeryTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes433277$0
99203New patient office or other outpatient visit, 30-44 minutes273273$0
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm8069$0
11643Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm7666$0
12052Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm7262$0
View full utilization report →

Insurance plans in this area (ZIP 76301)

Loading plans...

Provider's Procedures

EID B MUSTAFA (MD) performs procedures in PLASTIC AND RECONSTRUCTIVE SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PLASTIC AND RECONSTRUCTIVE SURGERYTX11101Biopsy of each additional growth of skin and/or tissue2212
PLASTIC AND RECONSTRUCTIVE SURGERYTX13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet193149

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is EID B MUSTAFA (MD) identified in CMS data?
CMS-hosted NPPES data lists EID B MUSTAFA (MD) with NPI 1023018470.
Is EID B MUSTAFA (MD) still practicing?
EID B MUSTAFA (MD) is currently listed as active in the public NPI registry.
What is EID B MUSTAFA (MD)'s specialty?
The listing groups EID B MUSTAFA (MD) with Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
Does EID B MUSTAFA (MD) list a practice location?
Patients near Wichita Falls, Texas may find EID B MUSTAFA (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

HERBERT JIM III NASSOUR (M. D.)

Plastic and Reconstructive Surgery Physician
2101 PEASE ST
NPI: 1972506228

DR. GARY R JACOBS (M.D.)

Plastic and Reconstructive Surgery Physician
703, East Marshall Avenue, Longview, Gregg County, Texas, 75601, United States
NPI: 1407853732

DR. MICHAEL LOUIS EISEMANN (MD)

Hearing Instrument Specialist
Houston Methodist - Smith Tower, 6550, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
NPI: 1821095639

CHRISTINE A CARMAN STILES (M.D.)

Plastic and Reconstructive Surgery Physician
5575, Warren Parkway, Frisco, Collin County, Texas, 75034, United States
NPI: 1497753438

GREGG MICHAEL ANIGIAN (MD)

Plastic and Reconstructive Surgery Physician
Walnut Hill Lane, Dallas, Dallas County, Texas, 75231, United States
NPI: 1538169966

CHARLES ALAN WALLACE (MD)

Plastic and Reconstructive Surgery Physician
17110, Dallas Parkway, Dallas, Dallas County, Texas, 75001:75287, United States
NPI: 1164422481

VICTOR J ATUN (MD)

Plastic Surgery Physician
15591, Creek Bend Drive, Sugar Land, Fort Bend County, Texas, 77478, United States
NPI: 1841290095