WILLIAM HENRY DETAR (DO) – Otolaryngology Physician, NPI 1497311435

WILLIAM HENRY DETAR (DO) is a healthcare provider. based in San antonio, Texas. specializing in OTOLARYNGOLOGY. They hold the professional credentials DO. They hold a License No. O-1494 (ID). The NPI Number for WILLIAM HENRY DETAR (DO) is 1497311435

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM HENRY DETAR (DO)
NPI
1497311435
Phone
(210) 292-5077
Address
3551 ROGER BROOKE DR
Enumeration Date
15 May 2019
Last Update Date
30 May 2024

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
7195447115
Graduation Year
2019 (7 years ago)
PAC ID
3577925163
Group Practice PAC ID
9436048766
Professional Enrollment ID
I20251031000046
Address ID
CO810032657PU1619XSTXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

892 OTOLARYNGOLOGY in TX

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Provider Addresses for WILLIAM HENRY DETAR (DO)

  • Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States

    SAN ANTONIO, TX 782344504

    Phone: (210) 292-5077

    Fax: (210) 292-7868

    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 6 Open Payments records for all available years, with a total value of $1,083.

Total Amount is formed as General ($1,083) + Research ($0) + Ownership ($0) = $1,083.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($1,083).

Total Amount

$1,083

General + Research + Ownership

Payments

6

Total payment records

General Amount

$1,083

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2025-10-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241114003550IOtolaryngologyIDTBD
I20251031000046IOtolaryngologyCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78234)

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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: 9436048766View full group profile

Reviews

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Frequently asked questions

Is there an official ID for WILLIAM HENRY DETAR (DO) in U.S. healthcare records?
The official identifier for WILLIAM HENRY DETAR (DO) is NPI 1497311435.
Active or inactive — what applies to WILLIAM HENRY DETAR (DO)?
You should see WILLIAM HENRY DETAR (DO) as active in CMS-hosted NPPES data.
What expertise is attributed to WILLIAM HENRY DETAR (DO)?
WILLIAM HENRY DETAR (DO)'s specialty line reads Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is WILLIAM HENRY DETAR (DO) associated with San Antonio?
Public fields place WILLIAM HENRY DETAR (DO) around San Antonio, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for WILLIAM HENRY DETAR (DO) is noted as May 15, 2019 where the registry provides it.

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