DR. SHIRLEY FRED HARTLEY (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1326001975

DR. SHIRLEY FRED HARTLEY (D.P.M.) is a healthcare provider. based in Deer park, Texas. specializing in Foot & Ankle Surgery Podiatrist. They hold the professional credentials D.P.M.. They hold a License No. 0691 (TX). The NPI Number for DR. SHIRLEY FRED HARTLEY (D.P.M.) is 1326001975

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHIRLEY FRED HARTLEY (D.P.M.)
NPI
1326001975
Phone
(281) 479-5311
Address
112 W PASADENA BLVD
Enumeration Date
6 April 2006
Last Update Date
25 October 2007

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
7134555999
Graduation Year
1979 (47 years ago)
PAC ID
0446218283
Group Practice PAC ID
3173643236
Professional Enrollment ID
I20110120000904
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. SHIRLEY FRED HARTLEY (D.P.M.)

  • 112, West Pasadena Boulevard, Deer Park, Harris County, Texas, 77536, United States

    DEER PARK, TX 775364870

    Phone: (281) 479-5311

    Fax: (281) 479-0748

    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 5 Open Payments records for all available years, with a total value of $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($70).

Total Amount

$134

General + Research + Ownership

Payments

5

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2011-01-20

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
I20110120000904IPodiatryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77536)

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Provider's Procedures

DR. SHIRLEY FRED HARTLEY (D.P.M.) performs procedures in Foot & Ankle Surgery Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYTX11042Removal of skin and tissue first 20 sq cm or less3817
PODIATRYTX11056Removal of 2 to 4 thickened skin growths2416

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: 3173643236View full group profile
NameSpecialtyState
P O D I A T R YTX
P O D I A T R YTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SHIRLEY FRED HARTLEY (D.P.M.)?
DR. SHIRLEY FRED HARTLEY (D.P.M.) — NPI 1326001975 — is the standard way to identify this listing.
Is DR. SHIRLEY FRED HARTLEY (D.P.M.) listed as active for patients and plans?
The listing shows DR. SHIRLEY FRED HARTLEY (D.P.M.) as active in the NPI system.
What taxonomy line describes DR. SHIRLEY FRED HARTLEY (D.P.M.)?
For research purposes, treat DR. SHIRLEY FRED HARTLEY (D.P.M.) as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. SHIRLEY FRED HARTLEY (D.P.M.) based?
DR. SHIRLEY FRED HARTLEY (D.P.M.) is tied to Deer Park, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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