DR. KOURT BEAU CHATELAIN (DMD) – Oral and Maxillofacial Surgery (Dentist), NPI 1366685810
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
98 MAXILLOFACIAL SURGERY in TX
Provider Addresses for DR. KOURT BEAU CHATELAIN (DMD)
6 Doctor Cir
Longview, TX 756055050
Phone: (903) 592-1664
Fax: (903) 212-0677
Type: Location
805, Turtle Creek Drive, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 757011937
Phone: (903) 592-1664
Fax: (903) 525-1099
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $68.
Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: KLS-Martin L.P. ($44).
Total Amount
$68
General + Research + Ownership
Payments
2
Total payment records
General Amount
$68
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KLS-Martin L.P. | $44 |
| Straumann USA LLC | $24 |
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: 2013-08-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130820000907 | I | Oral Surgery | TX | 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 75605)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery, General Practice | TX | |
| General Surgery, Maxillofacial Surgery | TX |
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