DR. ELIZABETH GOLLADAY SPOONER (MD) – Maternal & Fetal Medicine Physician, NPI 1356329205
Maternal & Fetal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,164 OBSTETRICS/GYNECOLOGY in TX
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Provider Addresses for DR. ELIZABETH GOLLADAY SPOONER (MD)
1201, South Main Street, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761044804
Phone: (817) 702-6500
Fax: (817) 702-6561
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 753732973
Phone: (817) 702-8450
Type: Mailing
1440 PLEASANT ST STE 1
DES MOINES, IA 503141728
Phone: (515) 241-8383
Type: Mailing
7121 S PADRE ISLAND DR STE 118
CORPUS CHRISTI, TX 784124946
Phone: (361) 694-6054
Fax: (361) 808-2718
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: 2025-11-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20180322000588 | I | Obstetrics/Gynecology | TX | TBD |
| I20240105003284 | I | Obstetrics/Gynecology | IA | TBD |
| I20251122000435 | I | Obstetrics/Gynecology | HI | 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 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease, Internal Medicine | IA | |
| Emergency Medicine | IA | |
| - | IA | |
| - | IA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | IA |
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