JOHN EVANS (DO) – Sports Medicine (Family Medicine) Physician, NPI 1558989053

JOHN EVANS (DO) is a healthcare provider. based in Tyler, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. U3834 (TX). The NPI Number for JOHN EVANS (DO) is 1558989053

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JOHN EVANS (DO)
NPI
1558989053
Phone
(903) 877-7777
Address
11937 US HIGHWAY 271
Enumeration Date
10 July 2020
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9033154422
Graduation Year
2021 (5 years ago)
PAC ID
4880095207
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20230928001645
Address ID
TX756057921LO3133XWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for JOHN EVANS (DO)

  • 11937 US HIGHWAY 271

    TYLER, TX 757083154

    Phone: (903) 877-7777

    Type: Mailing

  • 3133 GOOD SHEPHERD WAY

    LONGVIEW, TX 756057921

    Phone: (903) 315-4435

    Type: Location

  • 1718 RIDGEVIEW CIR

    LAYTON, UT 840408213

    Phone: (801) 309-4180

    Type: Mailing

  • 1718 Ridgeview Cir

    Layton, UT 840408213

    Phone: (801) 309-4180

    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: 2023-09-28

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
I20230928001645IFamily PracticeTXTBD

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 75708)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

What is the registry number for JOHN EVANS (DO)?
The registry entry for JOHN EVANS (DO) shows NPI 1558989053.
Is JOHN EVANS (DO)'s NPI status active today?
Active status means JOHN EVANS (DO)'s NPI record is not deactivated in the public file.
How should patients interpret JOHN EVANS (DO)'s specialty?
The extract shows Sports Medicine (Family Medicine) Physician for JOHN EVANS (DO). Clinical services aligned with this taxonomy classification.
Is JOHN EVANS (DO) tied to Tyler, Texas?
If you are local to Tyler, Texas, JOHN EVANS (DO) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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