DR. EDWIN CONCERMAN EMBORGO (MD) – Family Medicine Physician, NPI 1427096080
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,706 FAMILY PRACTICE in TX
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Provider Addresses for DR. EDWIN CONCERMAN EMBORGO (MD)
Box Lane, Nacogdoches County, Texas, 75937, United States
NACOGDOCHES, TX 759630696
Phone: (936) 564-2691
Fax: (713) 634-2636
Type: Mailing
1023, North Mound Street, Nacogdoches, Nacogdoches County, Texas, 75961, United States
SUITE A
NACOGDOCHES, TX 759614491
Phone: (936) 564-2691
Fax: (713) 634-2636
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: 2008-10-06
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 |
|---|---|---|---|---|
| I20081006000122 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 207 | 186 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 189 | 169 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 98 | 86 | $0 |
| 99291 | Critical care, first 30-74 minutes | 15 | 15 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 14 | 14 | $0 |
Insurance plans in this area (ZIP 75963)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Emergency Medicine, Internal Medicine | LA | |
| Family Practice | TX | |
| Emergency Medicine | TX | |
| Family Practice | MO | |
| Family Practice, Emergency Medicine | TX | |
| Emergency Medicine | AR | |
| Nurse Practitioner | TX | |
| Emergency Medicine | TX | |
| Nurse Practitioner | TX |
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