ADRIANNE REAGAN (AA-C) – Anesthesiologist Assistant, NPI 1053507129
Anesthesiologist Assistant
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Profile Insights
NPPES metrics only — not quality of care.
469 ANESTHESIOLOGY ASSISTANT in TX
Provider Addresses for ADRIANNE REAGAN (AA-C)
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
302 UNIVERSITY BLVD
ROUND ROCK, TX 786651032
Phone: (512) 509-0200
Type: Location
1636 MOSAIC WAY
SMYRNA, GA 300803711
Phone: (817) 800-5760
Type: Mailing
Roselane Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
MARIETTA, GA 300606975
Phone: (770) 794-0477
Type: Location
5330 OVERPASS RD STE 110
BUDA, TX 786102300
Phone: (737) 999-6200
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: 2010-03-18
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 |
|---|---|---|---|---|
| I20100318000765 | I | Anesthesiology Assistant | 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 20 | 20 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 12 | 12 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 75284)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY ASSISTANT | GA | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 21 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| Hospice/Palliative Care | TX | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Family Practice | TX | |
| U R O L O G Y | TX | |
| N E U R O S U R G E R Y | TX | |
| General Surgery | OK | |
| Family Practice | TX | |
| - | TX | |
| Anesthesiology Assistant | TX |
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