SCOTT W WYRICK (M.D.) – Family Medicine Physician, NPI 1114920972

SCOTT W WYRICK (M.D.) is a healthcare provider. based in Texarkana, Texas. specializing in DERMATOLOGY, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. J2424 (TX). The NPI Number for SCOTT W WYRICK (M.D.) is 1114920972

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT W WYRICK (M.D.)
NPI
1114920972
Phone
(903) 792-3787
Address
3333 POTOMAC AVE
Enumeration Date
24 May 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
9037923787
Graduation Year
1991 (35 years ago)
PAC ID
8527257666
Professional Enrollment ID
I20110113001074
Address ID
TX755033513TE3333XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

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Provider Addresses for SCOTT W WYRICK (M.D.)

  • Potomac Avenue, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755033513

    Phone: (903) 792-3787

    Fax: (903) 792-0446

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $320.

Total Amount is formed as General ($320) + Research ($0) + Ownership ($0) = $320.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($217).

Total Amount

$320

General + Research + Ownership

Payments

16

Total payment records

General Amount

$320

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

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: 2011-01-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110113001074IFamily PracticeTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths2,026307$0
99212Established patient office or other outpatient visit, 10-19 minutes603387$0
17000Destruction of precancer skin growth, 1 growth504352$0
17110Destruction of skin growth, 1-14 growths251214$0
99213Established patient office or other outpatient visit, 20-29 minutes168142$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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Reviews

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Frequently asked questions

How do payers reference SCOTT W WYRICK (M.D.)?
For SCOTT W WYRICK (M.D.), use NPI 1114920972 as the unique 10-digit identifier.
Is SCOTT W WYRICK (M.D.) shown as active in public data?
Registry records indicate SCOTT W WYRICK (M.D.) maintains an active NPI.
What kind of doctor is SCOTT W WYRICK (M.D.)?
SCOTT W WYRICK (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is SCOTT W WYRICK (M.D.) registered?
Use Texarkana, Texas as the headline location for SCOTT W WYRICK (M.D.) here.
When was this NPI issued?
Enumeration for SCOTT W WYRICK (M.D.) is noted as May 24, 2005 where the registry provides it.

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