WALTER RANDALL SASSARD (M.D.) – Orthopaedic Surgery Physician, NPI 1053359752

WALTER RANDALL SASSARD (M.D.) is a healthcare provider. based in Houston, Texas. specializing in Orthopaedic Surgery Physician. They hold the professional credentials M.D.. They hold a License No. E3103 (TX). The NPI Number for WALTER RANDALL SASSARD (M.D.) is 1053359752

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
WALTER RANDALL SASSARD (M.D.)
NPI
1053359752
Phone
(713) 442-3400
Address
2040 W Gray St Ste 200
Enumeration Date
3 June 2006
Last Update Date
28 August 2023

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
7134410428
Graduation Year
1967 (59 years ago)
PAC ID
2769514744
Group Practice PAC ID
4486711744
Professional Enrollment ID
I20100712000245
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for WALTER RANDALL SASSARD (M.D.)

  • 2040 W Gray St Ste 200

    Houston, TX 770193658

    Phone: (713) 442-3400

    Type: Location

  • 560 Meyerland Plaza Mall

    Houston, TX 770961615

    Phone: (713) 442-3222

    Type: Location

  • 11511 SHADOW CREEK PKWY

    PEARLAND, TX 775847298

    Phone: (713) 442-0000

    Type: Mailing

  • 2727 W HOLCOMBE BLVD

    HOUSTON, TX 770251669

    Phone: (713) 442-0000

    Type: Location

  • Houston Methodist - Smith Tower, 6550, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States

    SUITE 2600

    HOUSTON, TX 770302717

    Phone: (713) 790-1818

    Fax: (713) 790-7500

    Type: Mailing

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: 2010-07-12

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
I20100712000245IOrthopedic 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77019)

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Provider's Procedures

WALTER RANDALL SASSARD (M.D.) performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYTX73562X-ray of knee, 3 views2725

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: 4486711744View full group profile
NameSpecialtyState
-TX
-TX
Nurse PractitionerTX
Physician AssistantTX
Thoracic Surgery, Vascular SurgeryTX
Medical Oncology, HematologyTX
Internal MedicineTX
General SurgeryNY
G A S T R O E N T E R O L O G YLA
Internal MedicineTX

Reviews

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Frequently asked questions

What is the standard ID for WALTER RANDALL SASSARD (M.D.) in the U.S.?
In the U.S., WALTER RANDALL SASSARD (M.D.) is identified by NPI 1053359752.
Quick check: is WALTER RANDALL SASSARD (M.D.) active?
Public NPPES data shows WALTER RANDALL SASSARD (M.D.) with an active NPI status right now.
How should patients interpret WALTER RANDALL SASSARD (M.D.)'s specialty?
The extract shows Orthopaedic Surgery Physician for WALTER RANDALL SASSARD (M.D.). Clinical services aligned with this taxonomy classification.
Is WALTER RANDALL SASSARD (M.D.) tied to Houston, Texas?
If you are local to Houston, Texas, WALTER RANDALL SASSARD (M.D.) may be relevant to your search.
Why is information missing for WALTER RANDALL SASSARD (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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