JOHN D UPDEGROVE (MD) – Pulmonary Disease Physician, NPI 1518933308
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 JOHN D UPDEGROVE (MD)
Northeast County Road 0070, Corsicana, Navarro County, Texas, 75110, United States
CORSICANA, TX 751098414
Phone:
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 2 Open Payments records for all available years, with a total value of $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2024-01-18 • Largest payer in this snapshot: GENZYME CORPORATION ($65).
Total Amount
$88
General + Research + Ownership
Payments
2
Total payment records
General Amount
$88
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $65 |
| Boston Scientific Corporation | $23 |
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: 2004-08-09
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 |
|---|---|---|---|---|
| I20040809000607 | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 99 | 67 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 50 | 38 | $0 |
| 99291 | Critical care, first 30-74 minutes | 28 | 20 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 75109)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | TX | 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 24 | 20 |
| PULMONARY DISEASE | TX | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 83 | 71 |
| PULMONARY DISEASE | TX | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Internal Medicine, Internal Medicine, Hospitalist | LA | |
| Physician Assistant | MA | |
| Hospitalist, Family Practice | TX | |
| Pulmonary Disease, Critical Care (Intensivists) | TX | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | TX | |
| - | TX | |
| - | TX | |
| Family Practice | CO |
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