DAVID JACKSON TENNENT (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1225303043
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,189 ORTHOPEDIC SURGERY in TX
Provider Addresses for DAVID JACKSON TENNENT (MD)
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
Phone: (210) 916-3410
Type: Location
650 COCHRANE CIRCLE
FT CARSON, CA 80913
Phone:
Type: Mailing
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 782344504
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $417.
Total Amount is formed as General ($417) + Research ($0) + Ownership ($0) = $417.
Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Stryker Corporation ($234).
Total Amount
$417
General + Research + Ownership
Payments
6
Total payment records
General Amount
$417
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $234 |
| Gemini Mountain Medical, LLC | $104 |
| Mission Medical Distribution, LLC | $78 |
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: 2021-08-03
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 |
|---|---|---|---|---|
| I20210803001284 | I | Orthopedic Surgery | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| General Surgery | CO | |
| Clinical Social Worker | CO | |
| Physician Assistant | CO | |
| Sports Medicine, Family Practice | OK | |
| Nurse Practitioner | CO | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| U R O L O G Y | CO | |
| Emergency Medicine | CO | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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