DR. GREGORY ALAN ENNIS (MD) – Family Medicine Physician, NPI 1043255615

DR. GREGORY ALAN ENNIS (MD) is a healthcare provider. based in Plano, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. K5292 (TX). The NPI Number for DR. GREGORY ALAN ENNIS (MD) is 1043255615

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY ALAN ENNIS (MD)
NPI
1043255615
Phone
(972) 599-9600
Address
5655 WEST SPRING CREEK PKWY
Enumeration Date
18 June 2006
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9725999600
Graduation Year
1997 (29 years ago)
PAC ID
6608878103
Group Practice PAC ID
4284074758
Professional Enrollment ID
I20070213000473
Address ID
TX750244174PL5655XPKWY500
Telehealth
Yes

Contacts

Secure Messaging
gregory.ennis.1@30724.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. GREGORY ALAN ENNIS (MD)

  • 5655 WEST SPRING CREEK PKWY

    SUITE 200

    PLANO, TX 75024

    Phone: (972) 599-9600

    Fax: (972) 599-9696

    Type: Location

  • Village Aesthetics, 5425, West Spring Creek Parkway, Plano, Collin County, Texas, 75024, United States

    SUITE 200

    PLANO, TX 75024

    Phone: (972) 599-9600

    Fax: (972) 599-9696

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 163 Open Payments records for all available years, with a total value of $2,865.

Total Amount is formed as General ($2,865) + Research ($0) + Ownership ($0) = $2,865.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($476).

Total Amount

$2,865

General + Research + Ownership

Payments

163

Total payment records

General Amount

$2,865

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-02-13

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
I20070213000473IFamily 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 minutes254178$0
99213Established patient office or other outpatient visit, 20-29 minutes223156$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit172172$0
G0444Annual depression screening, 5 to 15 minutes9898$0
83036Hemoglobin a1c level7760$0
View full utilization report →

Insurance plans in this area (ZIP 75024)

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Provider's Procedures

DR. GREGORY ALAN ENNIS (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX81002Urinalysis, manual test2318

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: 4284074758View full group profile
NameSpecialtyState
Internal MedicineTX
Family PracticeTX
Family PracticeTX
Family PracticeTX
Family PracticeTX
Family PracticeNE
Family PracticeTX
Family PracticeTX
Family PracticeTX
Family PracticeTX

Reviews

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Frequently asked questions

How is DR. GREGORY ALAN ENNIS (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. GREGORY ALAN ENNIS (MD) with NPI 1043255615.
Can I rely on DR. GREGORY ALAN ENNIS (MD) being an active provider?
As of the registry snapshot, DR. GREGORY ALAN ENNIS (MD) is marked active.
What taxonomy line describes DR. GREGORY ALAN ENNIS (MD)?
For research purposes, treat DR. GREGORY ALAN ENNIS (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. GREGORY ALAN ENNIS (MD) based?
DR. GREGORY ALAN ENNIS (MD) is tied to Plano, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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