DR. GREGORY HANNABAS (M.D.) – Student in an Organized Health Care Education/Training Program, NPI 1053792200

DR. GREGORY HANNABAS (M.D.) is a healthcare provider. based in Lubbock, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD.MD.61537270 (WA). The NPI Number for DR. GREGORY HANNABAS (M.D.) is 1053792200

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY HANNABAS (M.D.)
NPI
1053792200
Phone
(806) 743-6130
Address
3601 4TH ST # MS 8143
Enumeration Date
13 June 2015
Last Update Date
10 May 2024

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
3603462222
Graduation Year
2015 (11 years ago)
PAC ID
6204231814
Group Practice PAC ID
9032017256
Professional Enrollment ID
I20240530003401
Address ID
WA985419353EL610XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:10State licenses:2Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. GREGORY HANNABAS (M.D.)

  • 3601 4TH ST # MS 8143

    LUBBOCK, TX 794300002

    Phone: (806) 743-6130

    Type: Mailing

  • 600 E MAIN ST

    ELMA, WA 985419560

    Phone: (360) 346-2222

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Exact Sciences Corporation ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

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: 2024-05-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210819002956IFamily PracticeTXTBD
I20240530003401IFamily PracticeWATBD

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
99284Emergency department visit with moderate level of medical decision making1413$0
View full utilization report →

Insurance plans in this area (ZIP 79430)

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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: 9032017256View full group profile
NameSpecialtyState
Mental Health CounselorWA
Physical Medicine And RehabilitationWA
Internal MedicineWA
Nurse PractitionerWA
Family Practice, Obstetrics/GynecologyWA
Nurse PractitionerWA
Physician AssistantWA
Hospitalist, Internal MedicineWA
Nurse PractitionerWA
Gastroenterology, Internal MedicineMN

Reviews

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Frequently asked questions

Can I verify DR. GREGORY HANNABAS (M.D.) with an NPI only?
You can start verification with NPI 1053792200 for DR. GREGORY HANNABAS (M.D.), then check state licensing separately.
Is DR. GREGORY HANNABAS (M.D.) listed as active for patients and plans?
The listing shows DR. GREGORY HANNABAS (M.D.) as active in the NPI system.
What healthcare role does DR. GREGORY HANNABAS (M.D.) hold?
Scheduling teams often label DR. GREGORY HANNABAS (M.D.) under Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Does DR. GREGORY HANNABAS (M.D.) list a practice location?
Patients near Lubbock, Texas may find DR. GREGORY HANNABAS (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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