DAVID KEITH HAGSTROM (MD) – Interventional Pain Medicine Physician, NPI 1154493997
Interventional Pain Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
755 PAIN MANAGEMENT in TX
Provider Addresses for DAVID KEITH HAGSTROM (MD)
Grace Clinic, 4515, Marsha Sharp Freeway, Lubbock, Lubbock County, Texas, 79407, United States
LUBBOCK, TX 794072520
Phone: (806) 744-7223
Fax: (806) 740-3325
Type: Mailing
4515 MARSHA SHARP FWY
LUBBOCK, TX 794072520
Phone: (806) 744-7223
Fax: (806) 740-3325
Type: Location
3300 N A St Ste 110
Midland, TX 797055421
Phone: (254) 245-9175
Type: Location
PO BOX 610344
DALLAS, TX 752610344
Phone: (254) 245-9175
Fax: (254) 213-7771
Type: Mailing
710 E 6TH ST
ODESSA, TX 797614655
Phone: (254) 245-9175
Fax: (254) 213-7771
Type: Location
22nd Place, Heart of Lubbock, Lubbock, Texas, 79411, United States
LUBBOCK, TX 794101315
Phone: (806) 785-5700
Fax: (806) 785-6768
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $1,616.
Total Amount is formed as General ($1,616) + Research ($0) + Ownership ($0) = $1,616.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Vertos Medical, Inc. ($557).
Total Amount
$1,616
General + Research + Ownership
Payments
49
Total payment records
General Amount
$1,616
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vertos Medical, Inc. | $557 |
| Medtronic, Inc. | $351 |
| Nevro Corp. | $351 |
| MML US, Inc. | $156 |
| Stryker Corporation | $138 |
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: 2005-01-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050113001160 | I | Pain Management | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 217 | 93 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 99 | 58 | $0 |
| 62369 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump | 37 | 12 | $0 |
| 62368 | Electronic analysis and reprogramming of spinal canal drug infusion pump | 25 | 14 | $0 |
Insurance plans in this area (ZIP 79407)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management | TX | |
| Physician Assistant | TX | |
| Physical Medicine And Rehabilitation | MI | |
| - | KS | |
| Physician Assistant | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Diagnostic Radiology | FL |
Reviews
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