DR. W MICHAEL AVERITT (D.O.) – Family Medicine Physician, NPI 1033179304

DR. W MICHAEL AVERITT (D.O.) is a healthcare provider. based in Dallas, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. H9764 (TX). The NPI Number for DR. W MICHAEL AVERITT (D.O.) is 1033179304

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. W MICHAEL AVERITT (D.O.)
NPI
1033179304
Phone
(254) 724-2111
Address
PO BOX 844658
Enumeration Date
23 March 2006
Last Update Date
10 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2546801100
Graduation Year
1990 (36 years ago)
PAC ID
0547309247
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20091209000033
Address ID
TX765435252KI3801XDRXX500
Telehealth
Yes

Contacts

Secure Messaging
waveritt14024@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DR. W MICHAEL AVERITT (D.O.)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • 3801, Scott and White Drive, Killeen, Bell County, Texas, 76543, United States

    KILLEEN, TX 765435252

    Phone: (254) 680-1100

    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: 2009-12-09

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
I20091209000033IFamily PracticeTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes15079$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4242$0
99213Established patient office or other outpatient visit, 20-29 minutes3021$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

Can I cross-check DR. W MICHAEL AVERITT (D.O.) using NPI 1033179304?
NPI 1033179304 belongs to DR. W MICHAEL AVERITT (D.O.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. W MICHAEL AVERITT (D.O.)?
You should see DR. W MICHAEL AVERITT (D.O.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. W MICHAEL AVERITT (D.O.)?
DR. W MICHAEL AVERITT (D.O.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. W MICHAEL AVERITT (D.O.)?
Directory geography for DR. W MICHAEL AVERITT (D.O.) centers on Dallas, Texas.
When was this NPI issued?
Enumeration for DR. W MICHAEL AVERITT (D.O.) is noted as March 23, 2006 where the registry provides it.

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