GUADALUPE JR. DE LA FUENTE (M.D.) – Orthopaedic Trauma Physician, NPI 1255776605

GUADALUPE JR. DE LA FUENTE (M.D.) is a healthcare provider. based in Fort worth, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 574739 (TX). The NPI Number for GUADALUPE JR. DE LA FUENTE (M.D.) is 1255776605

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
GUADALUPE JR. DE LA FUENTE (M.D.)
NPI
1255776605
Phone
(817) 878-5300
Address
800 5TH AVE STE 300
Enumeration Date
29 April 2013
Last Update Date
22 February 2022

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
8178785300
Graduation Year
2013 (13 years ago)
PAC ID
4284915349
Group Practice PAC ID
4385535954
Professional Enrollment ID
I20190919000157
Address ID
TX761047304FO800XXAVEX302

Contacts

Secure Messaging
gdelafuente1520584@Direct.Texashealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

2,187 ORTHOPEDIC SURGERY in TX

Provider Addresses for GUADALUPE JR. DE LA FUENTE (M.D.)

  • 800 5TH AVE STE 300

    FORT WORTH, TX 761047303

    Phone: (817) 878-5300

    Fax: (817) 878-5321

    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 30 Open Payments records for all available years, with a total value of $3,105.

Total Amount is formed as General ($3,105) + Research ($0) + Ownership ($0) = $3,105.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Smith+Nephew, Inc. ($2,167).

Total Amount

$3,105

General + Research + Ownership

Payments

30

Total payment records

General Amount

$3,105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-09-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190919000157IOrthopedic SurgeryTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9868$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4846$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4443$0
73610X-ray of ankle, minimum of 3 views3618$0
73562X-ray of knee, 3 views3017$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385535954View full group profile
NameSpecialtyState
Internal MedicineTX
Vascular SurgeryPA
Internal MedicineTX
-TX
-TX
-TX
-TX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

How do I look up GUADALUPE JR. DE LA FUENTE (M.D.) by NPI?
Use NPI 1255776605 when you need to reference GUADALUPE JR. DE LA FUENTE (M.D.) in forms, claims, or directories.
Does this profile mean GUADALUPE JR. DE LA FUENTE (M.D.) is currently active?
Yes — GUADALUPE JR. DE LA FUENTE (M.D.) appears active in the national provider directory.
What does GUADALUPE JR. DE LA FUENTE (M.D.) treat or focus on?
Patients typically see GUADALUPE JR. DE LA FUENTE (M.D.) under the specialty Orthopaedic Trauma Physician. Clinical services aligned with this taxonomy classification.
What location shows for GUADALUPE JR. DE LA FUENTE (M.D.)?
We surface Fort Worth, Texas for GUADALUPE JR. DE LA FUENTE (M.D.) based on available NPPES addresses.
What if Fort Worth, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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