NATHAN WAYNE HALES (M.D.) – Otolaryngology Physician, NPI 1053450304
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
892 OTOLARYNGOLOGY in TX
Provider Addresses for NATHAN WAYNE HALES (M.D.)
4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO, TX 782293456
Phone: (210) 616-0283
Fax: (210) 616-0071
Type: Mailing
10740 N GESSNER RD STE 310
HOUSTON, TX 770641240
Phone: (281) 897-0416
Fax: (800) 346-9037
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $285.
Total Amount is formed as General ($285) + Research ($0) + Ownership ($0) = $285.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: GENZYME CORPORATION ($112).
Total Amount
$285
General + Research + Ownership
Payments
12
Total payment records
General Amount
$285
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-04-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090420000152 | I | Otolaryngology | 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 | 892 | 491 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 204 | 117 | $0 |
| 31579 | Exam to assess movement of vocal cord flaps using an endoscope | 133 | 86 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 133 | 115 | $0 |
| 92567 | Test to assess middle ear function | 98 | 89 | $0 |
Insurance plans in this area (ZIP 78229)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Qualified Audiologist | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Qualified Audiologist | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Qualified Audiologist | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Qualified Audiologist | TX |
Reviews
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