DR. FRED F POORDAD (M.D.) – Gastroenterology Physician, NPI 1174551766
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,498 GASTROENTEROLOGY in TX
Provider Addresses for DR. FRED F POORDAD (M.D.)
1130 Cottonwood Creek Trl Ste C1
Cedar Park, TX 786137862
Phone: (512) 454-8378
Fax: (888) 965-8836
Type: Location
1111 W 34th St Ste 210
Austin, TX 787051916
Phone: (512) 454-8378
Fax: (888) 965-8836
Type: Location
101, Camden Street, Quarry Hill, Rockport, Knox County, Maine, 04856, United States
SAN ANTONIO, TX 782152100
Phone: (210) 253-3422
Fax: (210) 581-7891
Type: Mailing
108, Beaucaire Avenue, Lake City, Camden, Knox County, Maine, 04843, United States
SAN ANTONIO, TX 78215
Phone: (210) 253-3426
Fax: (210) 227-6951
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $8,069.
Total Amount is formed as General ($8,069) + Research ($0) + Ownership ($0) = $8,069.
Last reported payment date: 2024-10-12 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($8,000).
Total Amount
$8,069
General + Research + Ownership
Payments
7
Total payment records
General Amount
$8,069
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-08-22
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 |
|---|---|---|---|---|
| I20120822000764 | I | Gastroenterology | 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 | 57 | 50 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 44 | 38 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 37 | 16 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 36 | 36 | $0 |
Insurance plans in this area (ZIP 78613)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | TX | 85610 | Blood test, clotting time | 134 | 83 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | AL | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| - | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| Nurse Practitioner | TX | |
| P S Y C H I A T R Y | TX |
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