DR. EPHRAIM ISAAC THALLER – Allergy & Immunology Physician, NPI 1245285022
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
390 ALLERGY/IMMUNOLOGY in TX
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Provider Addresses for DR. EPHRAIM ISAAC THALLER
333, Londonderry Drive, Waco, McLennan County, Texas, 76712, United States
SUITE 100
WACO, TX 767127900
Phone: (254) 751-1144
Fax: (254) 751-1185
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 50 Open Payments records for all available years, with a total value of $1,079.
Total Amount is formed as General ($1,079) + Research ($0) + Ownership ($0) = $1,079.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Blueprint Medicines Corporation ($211).
Total Amount
$1,079
General + Research + Ownership
Payments
50
Total payment records
General Amount
$1,079
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
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: 2006-05-09
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 |
|---|---|---|---|---|
| I20060509000625 | I | Allergy/Immunology | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 5,583 | 89 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 2,770 | 172 | $0 |
| 95117 | Professional service for multiple injections of allergen | 2,056 | 99 | $0 |
| 95115 | Professional service for single injection of allergen | 1,619 | 78 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 575 | 290 | $0 |
Insurance plans in this area (ZIP 76712)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | TX | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Allergy/Immunology, Pediatric Medicine | TX | |
| A L L E R G Y/ I M M U N O L O G Y | TX |
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