DR. PRAKASH SAMUEL EAPEN (M.D.) – Internal Medicine Physician, NPI 1255595435
Internal Medicine Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for DR. PRAKASH SAMUEL EAPEN (M.D.)
200, East University Avenue, Historic Georgetown, Georgetown, Williamson County, Texas, 78626, United States
GEORGETOWN, TX 786266821
Phone: (877) 800-5722
Fax: (512) 869-2940
Type: Mailing
6210 E HWY 290
AUSTIN, TX 787231142
Phone:
Type: Mailing
4515 SETON CENTER PKWY STE 220
AUSTIN, TX 787595784
Phone: (512) 338-8388
Fax: (512) 406-6274
Type: Location
200, West Ben White Boulevard, St. Elmo, Austin, Travis County, Texas, 78704, United States
AUSTIN, TX 787047002
Phone: (877) 800-5722
Fax: (512) 326-1682
Type: Location
2423 WILLIAMS DR STE 107
GEORGETOWN, TX 786283269
Phone: (877) 800-5722
Fax: (512) 869-2940
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-11-01
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 |
|---|---|---|---|---|
| I20111101000294 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 63 | 38 | $0 |
Insurance plans in this area (ZIP 78626)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | TX | 83036 | Hemoglobin A1C level | 81 | 66 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Internal Medicine, Pediatric Medicine | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| P S Y C H I A T R Y | TX | |
| Family Practice | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX |
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