ERIC SAMUEL COLLETTI (MD) – Family Medicine Physician, NPI 1053874149
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for ERIC SAMUEL COLLETTI (MD)
701, West 5th Street, Scharbauer Place, Westside, Odessa, Ector County, Texas, 79763, United States
ODESSA, TX 797634206
Phone: (432) 703-5238
Type: Mailing
21700 KINGSLAND BLVD STE 201
KATY, TX 774502547
Phone: (281) 398-7954
Fax: (281) 578-4912
Type: Mailing
1125 N COLLEGE AVE
FAYETTEVILLE, AR 727031908
Phone: (479) 521-0263
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 63 Open Payments records for all available years, with a total value of $1,748.
Total Amount is formed as General ($1,748) + Research ($0) + Ownership ($0) = $1,748.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($386).
Total Amount
$1,748
General + Research + Ownership
Payments
63
Total payment records
General Amount
$1,748
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
| Company | Amount |
|---|---|
| Lilly USA, LLC | $386 |
| Amgen Inc. | $363 |
| Novo Nordisk Inc | $139 |
| AstraZeneca Pharmaceuticals LP | $135 |
| Abbott Laboratories | $134 |
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: 2023-09-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230913004169 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 53 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 27 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 16 | $0 |
Insurance plans in this area (ZIP 79763)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Pulmonary Disease, Internal Medicine | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Family Practice, Sports Medicine | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Family Practice | TX |
Reviews
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