FAYETTE CREED WILLIAMS (D.D.S., M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1215130810
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
98 MAXILLOFACIAL SURGERY in TX
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Provider Addresses for FAYETTE CREED WILLIAMS (D.D.S., M.D.)
1625, Saint Louis Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
HOUSE STAFF & GME
FORT WORTH, TX 76104
Phone: (817) 927-1325
Fax: (817) 927-1035
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $30,429.
Total Amount is formed as General ($30,429) + Research ($0) + Ownership ($0) = $30,429.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Stryker Corporation ($28,391).
Total Amount
$30,429
General + Research + Ownership
Payments
47
Total payment records
General Amount
$30,429
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $28,391 |
| KLS-Martin L.P. | $1,691 |
| BioHorizons Implant Systems Inc. | $121 |
| Integra LifeSciences Corporation | $97 |
| AXOGEN | $73 |
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: 2010-07-23
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 |
|---|---|---|---|---|
| I20100723000312 | I | Maxillofacial Surgery | 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 | 18 | 16 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery, Oral Surgery | TX | |
| - | TX | |
| Oral Surgery | MI | |
| Oral Surgery | TX | |
| Oral Surgery | TX | |
| Maxillofacial Surgery | TX | |
| Maxillofacial Surgery | TX | |
| - | CA | |
| - | TX | |
| - | TX |
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