DR. DEREK K. (KENT) LICHOTA (MD) – Orthopaedic Surgery Physician, NPI 1144280702

DR. DEREK K. (KENT) LICHOTA (MD) is a healthcare provider. based in Dallas, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. H4491 (TX). The NPI Number for DR. DEREK K. (KENT) LICHOTA (MD) is 1144280702

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK K. (KENT) LICHOTA (MD)
NPI
1144280702
Phone
(254) 724-2111
Address
PO BOX 847408
Enumeration Date
27 March 2006
Last Update Date
8 November 2013

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
8329560089
Graduation Year
1987 (39 years ago)
PAC ID
3476696782
Group Practice PAC ID
2567706500
Professional Enrollment ID
I20100209000656
Address ID
TX773864084SP24624NXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,189 ORTHOPEDIC SURGERY in TX

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Provider Addresses for DR. DEREK K. (KENT) LICHOTA (MD)

  • PO BOX 847408

    DALLAS, TX 752847408

    Phone: (254) 724-2111

    Type: Mailing

  • Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States

    TEMPLE, TX 765080001

    Phone: (254) 724-2111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-09

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
I20100209000656IOrthopedic 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 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: 2567706500View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyTX
-MO
Physical Medicine And RehabilitationPR

Reviews

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Frequently asked questions

How do payers reference DR. DEREK K. (KENT) LICHOTA (MD)?
For DR. DEREK K. (KENT) LICHOTA (MD), use NPI 1144280702 as the unique 10-digit identifier.
Is DR. DEREK K. (KENT) LICHOTA (MD) still an active registrant?
DR. DEREK K. (KENT) LICHOTA (MD) carries an active NPI according to the public dataset.
How would a patient describe DR. DEREK K. (KENT) LICHOTA (MD)'s focus?
For DR. DEREK K. (KENT) LICHOTA (MD), the primary taxonomy reads as Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is DR. DEREK K. (KENT) LICHOTA (MD) registered?
Use Dallas, Texas as the headline location for DR. DEREK K. (KENT) LICHOTA (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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