LUIS A DESTARAC (M.D.) – Pulmonary Disease Physician, NPI 1477513927
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,186 PULMONARY DISEASE in TX
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Provider Addresses for LUIS A DESTARAC (M.D.)
912, South Fleishel Avenue, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 757012018
Phone: (903) 592-6901
Fax: (903) 595-2571
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 217 Open Payments records for all available years, with a total value of $9,242.
Total Amount is formed as General ($9,242) + Research ($0) + Ownership ($0) = $9,242.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Mylan Specialty L.P. ($5,985).
Total Amount
$9,242
General + Research + Ownership
Payments
217
Total payment records
General Amount
$9,242
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mylan Specialty L.P. | $5,985 |
| AstraZeneca Pharmaceuticals LP | $758 |
| GlaxoSmithKline, LLC. | $633 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $233 |
| Inogen, Inc. | $129 |
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: 2004-10-23
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 |
|---|---|---|---|---|
| I20041023000284 | I | Pulmonary Disease | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 848 | 582 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 841 | 249 | $0 |
| 95004 | Test for allergy using allergenic extract | 638 | 37 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 307 | 31 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 297 | 283 | $0 |
Insurance plans in this area (ZIP 75701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | TX | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 39 | 38 |
| PULMONARY DISEASE | TX | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 82 | 82 |
| PULMONARY DISEASE | TX | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 189 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Critical Care (Intensivists), Pulmonary Disease | TX | |
| Orthopedic Surgery | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| Physician Assistant | TX |
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