Unknown Individual – Anesthesiology Physician, NPI 1063441475
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
3200, Troup Highway, Tyler, Smith County, Texas, 75701, United States
SUITE #200
TYLER, TX 757018397
Phone: (903) 533-8084
Fax: (903) 535-9543
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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.
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 |
|---|---|---|---|---|
| I20181116000530 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 93798 | Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services | 120 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 52 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 46 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 28 | $0 |
Insurance plans in this area (ZIP 75701)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Pulmonary Disease, Critical Care (Intensivists) | TX | |
| Vascular Surgery, Thoracic Surgery, General Surgery | WV | |
| Physician Assistant | TX | |
| A N E S T H E S I O L O G Y | TX | |
| Orthopedic Surgery | TX | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.