JOHN SNIDER (MD) – Family Medicine Physician, NPI 1124474465

JOHN SNIDER (MD) is a healthcare provider. based in Dallas, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. BP10057225 (TX). The NPI Number for JOHN SNIDER (MD) is 1124474465

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JOHN SNIDER (MD)
NPI
1124474465
Phone
(254) 202-4655
Address
PO BOX 848476
Enumeration Date
5 May 2016
Last Update Date
1 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
2542027700
Graduation Year
2016 (10 years ago)
PAC ID
3476806910
Group Practice PAC ID
4183612278
Professional Enrollment ID
I20181030001800
Address ID
TX767126535WA7702XDRXX400
Telehealth
Yes

Contacts

Secure Messaging
jsnider204691@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

8,705 FAMILY PRACTICE in TX

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Provider Addresses for JOHN SNIDER (MD)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752848476

    Phone: (254) 202-4655

    Fax: (254) 202-4697

    Type: Mailing

  • 7702, Central Park Drive, Waco, McLennan County, Texas, 76712, United States

    WACO, TX 767126535

    Phone: (254) 202-7700

    Fax: (254) 202-7710

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $992.

Total Amount is formed as General ($992) + Research ($0) + Ownership ($0) = $992.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($159).

Total Amount

$992

General + Research + Ownership

Payments

52

Total payment records

General Amount

$992

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2018-10-30

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
I20181030001800IFamily 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
99214Established patient office or other outpatient visit, 30-39 minutes451210$0
36415Insertion of needle into vein for collection of blood sample312187$0
99213Established patient office or other outpatient visit, 20-29 minutes180131$0
80053Blood test, comprehensive group of blood chemicals174141$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count172141$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 4183612278View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Family PracticeTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does JOHN SNIDER (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN SNIDER (MD) uses 1124474465.
Is JOHN SNIDER (MD) still practicing?
JOHN SNIDER (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes JOHN SNIDER (MD)?
For research purposes, treat JOHN SNIDER (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JOHN SNIDER (MD) on a map?
Expect Dallas, Texas as a primary anchor for JOHN SNIDER (MD) unless the record lists multiple sites.
Why does JOHN SNIDER (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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