LARRY D TATUM (MD) – Gynecology Physician, NPI 1437195609

LARRY D TATUM (MD) is a healthcare provider. based in Fort worth, Texas. specializing in Gynecology Physician. They hold the professional credentials MD. They hold a License No. F4585 (TX). The NPI Number for LARRY D TATUM (MD) is 1437195609

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
LARRY D TATUM (MD)
NPI
1437195609
Phone
(817) 740-8400
Address
PO BOX 961205
Enumeration Date
22 June 2006
Last Update Date
28 February 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
-
Graduation Year
1979 (47 years ago)
PAC ID
9335052752
Group Practice PAC ID
7214840867
Professional Enrollment ID
I20060208000271
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for LARRY D TATUM (MD)

  • Jack in the Box, Presidio Vista, Presidio Junction, Fort Worth, Tarrant County, Texas, 76244, United States

    FORT WORTH, TX 761611205

    Phone: (817) 740-8400

    Fax: (817) 921-2701

    Type: Mailing

  • 1250 8TH AVE STE 430

    FORT WORTH, TX 761044144

    Phone: (817) 923-5558

    Fax: (817) 923-0087

    Type: Location

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 $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2023-07-27 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($22).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-02-08

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
I20060208000271IObstetrics/GynecologyTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory3737$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3636$0
99212Established patient office or other outpatient visit, 10-19 minutes2317$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 76161)

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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: 7214840867View full group profile
NameSpecialtyState
Physician AssistantTX
Internal MedicineTX
-TX
Nurse PractitionerTX
General Surgery, Colorectal Surgery (Proctology)TX
O P H T H A L M O L O G YTX
Nurse PractitionerTX
-TX
-TX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

What number should I use to identify LARRY D TATUM (MD) for billing?
Administrative and clinical systems typically use NPI 1437195609 for LARRY D TATUM (MD).
Quick check: is LARRY D TATUM (MD) active?
Public NPPES data shows LARRY D TATUM (MD) with an active NPI status right now.
What services align with LARRY D TATUM (MD)'s listing?
LARRY D TATUM (MD)'s public classification highlights Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is LARRY D TATUM (MD) tied to Fort Worth, Texas?
If you are local to Fort Worth, Texas, LARRY D TATUM (MD) may be relevant to your search.
Why is information missing for LARRY D TATUM (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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