JEFFREY ALAN FAULKNER (M.D., D.D.S.) – Otolaryngology Physician, NPI 1316938160
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JEFFREY ALAN FAULKNER (M.D., D.D.S.)
Connally Memorial Medical Center, 499, 10th Street, Floresville, Wilson County, Texas, 78114, United States
FLORESVILLE, TX 781143175
Phone: (830) 393-1300
Type: Location
113 EAGLE CREEK RANCH BLVD
FLORESVILLE, TX 78114
Phone: (210) 307-8051
Type: Mailing
1600 N MAIN AVE
LOVINGTON, NM 882602813
Phone: (575) 396-6611
Type: Location
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: 2022-12-06
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 |
|---|---|---|---|---|
| I20221206001906 | I | Otolaryngology | NM | 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 78114)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | TX | 92567 | Eardrum testing using ear probe | 39 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | CA | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX |
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