EBBA M TSINOPOULOS (MD) – Family Medicine Physician, NPI 1104079029

EBBA M TSINOPOULOS (MD) is a healthcare provider. based in Katy, Texas. specializing in INTERNAL MEDICINE, UNDERSEA AND HYPERBARIC MEDICINE. They hold the professional credentials MD. They hold a License No. N3161 (TX). The NPI Number for EBBA M TSINOPOULOS (MD) is 1104079029

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
EBBA M TSINOPOULOS (MD)
NPI
1104079029
Phone
(212) 409-6121
Address
21720 KINGSLAND BLVD
Enumeration Date
23 October 2008
Last Update Date
3 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2815795542
Graduation Year
2003 (23 years ago)
PAC ID
4587851472
Group Practice PAC ID
3971661018
Professional Enrollment ID
I20101203000917
Address ID
TX774502550KA21720BLVD313
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for EBBA M TSINOPOULOS (MD)

  • Kingsland Boulevard, Willow Creek Farms - South, Katy, Waller County, Texas, United States

    KATY, TX 774502550

    Phone: (212) 409-6121

    Fax: (405) 745-9602

    Type: Location

  • North 1st Avenue, Durant, Bryan County, Oklahoma, 74701, United States

    DURANT, OK 747013901

    Phone: (405) 745-9600

    Fax: (405) 745-9602

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $677.

Total Amount is formed as General ($677) + Research ($0) + Ownership ($0) = $677.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Smith+Nephew, Inc. ($148).

Total Amount

$677

General + Research + Ownership

Payments

26

Total payment records

General Amount

$677

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

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: 2010-12-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101203000917IInternal MedicineTXTBD

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
11042Removal of skin and tissue, 20.0 sq cm or less722138$0
99183Management of oxygen chamber therapy42025$0
11045Removal of skin and tissue, each additional 20.0 sq cm or less28435$0
99213Established patient office or other outpatient visit, 20-29 minutes21496$0
17250Application of chemical to stop tissue regrowth in wound13061$0
View full utilization report →

Insurance plans in this area (ZIP 77450)

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Provider's Procedures

EBBA M TSINOPOULOS (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX11042Removal of skin and tissue first 20 sq cm or less385103

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: 3971661018View full group profile
NameSpecialtyState
-AR
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Physician AssistantOK
Physician AssistantTX
-TX
Internal Medicine, Undersea And Hyperbaric MedicineTX

Reviews

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Frequently asked questions

How do payers reference EBBA M TSINOPOULOS (MD)?
For EBBA M TSINOPOULOS (MD), use NPI 1104079029 as the unique 10-digit identifier.
Active or inactive — what applies to EBBA M TSINOPOULOS (MD)?
You should see EBBA M TSINOPOULOS (MD) as active in CMS-hosted NPPES data.
What kind of doctor is EBBA M TSINOPOULOS (MD)?
EBBA M TSINOPOULOS (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is EBBA M TSINOPOULOS (MD) located near Katy?
EBBA M TSINOPOULOS (MD) currently maps to Katy, Texas in this extract.
Does EBBA M TSINOPOULOS (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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