THEODORE WILLIAM NAGEL (MD) – Plastic and Reconstructive Surgery Physician, NPI 1124287644

THEODORE WILLIAM NAGEL (MD) is a healthcare provider. based in Georgetown, Texas. specializing in Plastic and Reconstructive Surgery Physician. They hold the professional credentials MD. They hold a License No. 35122154 (OH). The NPI Number for THEODORE WILLIAM NAGEL (MD) is 1124287644

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
THEODORE WILLIAM NAGEL (MD)
NPI
1124287644
Phone
(512) 763-4545
Address
3201 S AUSTIN AVE
Enumeration Date
9 June 2008
Last Update Date
17 September 2021

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
5127634545
Graduation Year
2008 (18 years ago)
PAC ID
1254566946
Group Practice PAC ID
9032361126
Professional Enrollment ID
I20160823001419
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

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Provider Addresses for THEODORE WILLIAM NAGEL (MD)

  • Georgetown Medical Clinic, 3201, South Austin Avenue, Georgetown, Williamson County, Texas, 78626, United States

    SUITE 305

    GEORGETOWN, TX 786267545

    Phone: (512) 763-4545

    Fax: (512) 763-4546

    Type: Location

  • 8601 CANTERA WAY

    BENBROOK, TX 761261133

    Phone: (682) 200-8580

    Fax: (682) 200-8581

    Type: Mailing

  • 1250 8TH AVE STE 265

    FORT WORTH, TX 761044124

    Phone: (682) 200-8580

    Fax: (682) 200-8581

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $221.

Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Stryker Corporation ($142).

Total Amount

$221

General + Research + Ownership

Payments

4

Total payment records

General Amount

$221

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

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: 2016-08-23

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
I20160823001419IPlastic And Reconstructive SurgeryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78626)

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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: 9032361126View full group profile
NameSpecialtyState
Physician AssistantTX
Plastic And Reconstructive SurgeryPA
O T O L A R Y N G O L O G YTX
-AZ
Plastic And Reconstructive Surgery, Hand SurgeryTX
-TX
Plastic And Reconstructive SurgeryTX
Plastic And Reconstructive SurgeryTX
-OK
Plastic And Reconstructive SurgeryTX

Reviews

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Frequently asked questions

Can I use this page to confirm THEODORE WILLIAM NAGEL (MD)'s NPI?
Yes. THEODORE WILLIAM NAGEL (MD) is listed with NPI 1124287644 in the public NPI dataset.
Does CMS list THEODORE WILLIAM NAGEL (MD) as active?
Yes — THEODORE WILLIAM NAGEL (MD) is active in the NPI listing used on this page.
What is THEODORE WILLIAM NAGEL (MD)'s primary classification?
Plastic and Reconstructive Surgery Physician is the headline specialty for THEODORE WILLIAM NAGEL (MD) here. Clinical services aligned with this taxonomy classification.
Where is THEODORE WILLIAM NAGEL (MD) based?
THEODORE WILLIAM NAGEL (MD) is tied to Georgetown, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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