DR. FREDRIC CLARK PUCKETT (D.O.) – Family Medicine Physician, NPI 1154596765
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for DR. FREDRIC CLARK PUCKETT (D.O.)
2201 W Lampasas St
Ennis, TX 751195644
Phone: (972) 875-0900
Type: Location
600 S Bonham St
Mexia, TX 766673603
Phone: (254) 562-5332
Type: Location
Ennis Regional Medical Center, 2203, West Lampasas Street, Ennis, Ellis County, Texas, 75119, United States
SUITE 205
ENNIS, TX 751195644
Phone: (972) 875-6200
Fax: (972) 875-6414
Type: Mailing
2203 W LAMPASAS ST STE 111
ENNIS, TX 751195667
Phone: (972) 875-6200
Fax: (972) 875-6414
Type: Mailing
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 $72.
Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.
Last reported payment date: 2024-03-28 • Largest payer in this snapshot: Novo Nordisk Inc ($24).
Total Amount
$72
General + Research + Ownership
Payments
4
Total payment records
General Amount
$72
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $24 |
| Noven Therapeutics, LLC | $16 |
| LINUS HEALTH, INC. | $16 |
| Amgen Inc. | $15 |
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: 2009-07-31
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 |
|---|---|---|---|---|
| I20090731000397 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 371 | 155 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 251 | 100 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 81 | 73 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 70 | 28 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 57 | 54 | $0 |
Insurance plans in this area (ZIP 75119)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine, Family Practice | LA | |
| Nurse Practitioner | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | OK | |
| Family Practice | WI |
Reviews
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