Unknown Individual – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1306848866

Sports Medicine (Orthopaedic Surgery) Physician

Unknown Individual is a healthcare provider. based in Waxahachie, Texas. specializing in Sports Medicine (Orthopaedic Surgery) Physician. They hold a License No. H6565 (TX). The NPI Number for Unknown Individual is 1306848866

Main info

Organization

Inactive

38 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1306848866

Phone

(972) 937-8900

Address

1324 BROWN ST

Deactivation Date

8 March 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9729378900

Graduation Year

1988 (38 years ago)

PAC ID

5496728909

Group Practice PAC ID

8325011836

Professional Enrollment ID

I20120510000186

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

Regional Orthopaedic & Sports Medicine Center, 1324, Brown Street, Waxahachie, Ellis County, Texas, 75165, United States
STE 100
WAXAHACHIE, TX 751651421
Phone: (972) 937-8900
Fax: (972) 937-7936
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)

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 75165)

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Provider's Procedures

Unknown Individual performs procedures in Sports Medicine (Orthopaedic Surgery) Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
ORTHOPEDIC SURGERY	TX	20610	Aspiration and/or injection of large joint or joint capsule	456	163
ORTHOPEDIC SURGERY	TX	27447	Repair of knee joint	32	30
ORTHOPEDIC SURGERY	TX	64721	Release and/or relocation of median nerve of hand	13	11
ORTHOPEDIC SURGERY	TX	73110	X-ray of wrist, minimum of 3 views	40	26
ORTHOPEDIC SURGERY	TX	73562	X-ray of knee, 3 views	167	128

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: 8325011836View full group profile

Name	Specialty	State
DR. SUSAN CHIUSANO (D.C., N.P.)	-	TX
AMY FISHER (LPT)	-	TX

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?

Save NPI 1306848866 if you need a stable reference for Unknown Individual.

Why would Unknown Individual's listing show inactive?

Inactive in NPPES means the identifier is not currently active in that dataset.

Does Unknown Individual list a primary specialty?

If you are matching referrals, note Sports Medicine (Orthopaedic Surgery) Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.

What location shows for Unknown Individual?

We surface Waxahachie, Texas for Unknown Individual based on available NPPES addresses.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.