STEPHEN TABOR (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1497969240

STEPHEN TABOR (D.O.) is a healthcare provider. based in Pearland, Texas. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. M7677 (TX). The NPI Number for STEPHEN TABOR (D.O.) is 1497969240

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN TABOR (D.O.)
NPI
1497969240
Phone
(713) 442-0000
Address
11511 SHADOW CREEK PKWY
Enumeration Date
10 May 2007
Last Update Date
30 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7134420000
Graduation Year
1996 (30 years ago)
PAC ID
1052444767
Group Practice PAC ID
9739093527
Professional Enrollment ID
I20100802000817
Address ID
TX770251669HO2727XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

496 SPORTS MEDICINE in TX

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Provider Addresses for STEPHEN TABOR (D.O.)

  • Shadow Creek Parkway, Pearland, Brazoria County, Texas, 77047-4593, United States

    PEARLAND, TX 775847298

    Phone: (713) 442-0000

    Type: Mailing

  • Kelsey Seybold Clinic - Clear Lake, 1010, South Ponds Drive, Webster, Harris County, Texas, 77598, United States

    WEBSTER, TX 775981409

    Phone: (713) 442-4300

    Type: Location

  • 5001 E Sam Houston Pkwy S

    Pasadena, TX 775053965

    Phone: (713) 442-7100

    Type: Location

  • 2515 Business Center Dr

    Pearland, TX 775842294

    Phone: (713) 442-7200

    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: 2010-08-02

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
I20100802000817ISports MedicineTXTBD

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 77584)

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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: 9739093527View full group profile
NameSpecialtyState
-TX
Family PracticeTX
-TX
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)TX
Certified Registered Nurse Anesthetist (Crna)TX
Hospitalist, Internal MedicineTX
N E U R O L O G YTX
Internal MedicineTX
D E R M A T O L O G YTX
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineTX

Reviews

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Frequently asked questions

What federal number belongs to STEPHEN TABOR (D.O.)?
The federal identifier for STEPHEN TABOR (D.O.) is NPI 1497969240.
Is STEPHEN TABOR (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does STEPHEN TABOR (D.O.) list a primary specialty?
If you are matching referrals, note Sports Medicine (Family Medicine) Physician for STEPHEN TABOR (D.O.). Clinical services aligned with this taxonomy classification.
What location shows for STEPHEN TABOR (D.O.)?
We surface Pearland, Texas for STEPHEN TABOR (D.O.) based on available NPPES addresses.
Is STEPHEN TABOR (D.O.) a real provider?
This page reflects official NPPES data for NPI 1497969240. Always confirm identity and privileges with the practice and licensing boards.

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