SHAWN L WHITE (MD) – Family Medicine Physician, NPI 1396764767
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,050 EMERGENCY MEDICINE in TX
Provider Addresses for SHAWN L WHITE (MD)
215 CHISHOLM TRL
JACKSBORO, TX 764581403
Phone: (940) 567-6633
Fax: (940) 567-2895
Type: Location
1001, West Eagle Drive, Decatur, Wise County, Texas, 76234, United States
DECATUR, TX 762343745
Phone: (940) 683-5287
Fax: (940) 683-4382
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: 2026-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050801000458 | I | Family Practice | TX | TBD |
| I20260219000666 | I | Family Practice | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 392 | 174 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 225 | 115 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 165 | 36 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 158 | 47 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 154 | 34 | $0 |
Insurance plans in this area (ZIP 76458)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Family Practice | TX | |
| Family Practice, Emergency Medicine | TX | |
| Orthopedic Surgery | TX | |
| P O D I A T R Y | TX | |
| - | TX | |
| Family Practice | TX | |
| Internal Medicine | TX |
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