CARROLL WAYNE THORNBURG (D.O.) – Addiction Medicine (Family Medicine) Physician, NPI 1568460962

CARROLL WAYNE THORNBURG (D.O.) is a healthcare provider. based in El paso, Texas. specializing in FAMILY PRACTICE, ADDICTION MEDICINE. They hold the professional credentials D.O.. They hold a License No. G9230 (TX). The NPI Number for CARROLL WAYNE THORNBURG (D.O.) is 1568460962

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
CARROLL WAYNE THORNBURG (D.O.)
NPI
1568460962
Phone
(915) 887-3414
Address
725 S MESA HILLS DR
Enumeration Date
8 July 2005
Last Update Date
23 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9158873410
Graduation Year
1984 (42 years ago)
PAC ID
0648206037
Group Practice PAC ID
3476532383
Professional Enrollment ID
I20050720000231
Address ID
TX799364122EL2400XDRXX304
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for CARROLL WAYNE THORNBURG (D.O.)

  • South Mesa Hills Drive, Coronado Hills, El Paso, El Paso County, Texas, 79912, United States

    SUITE 1, BLDG. 1

    EL PASO, TX 799125568

    Phone: (915) 887-3414

    Fax: (915) 585-1682

    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 29 Open Payments records for all available years, with a total value of $7,170.

Total Amount is formed as General ($7,170) + Research ($0) + Ownership ($0) = $7,170.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Alkermes, Inc. ($6,920).

Total Amount

$7,170

General + Research + Ownership

Payments

29

Total payment records

General Amount

$7,170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2005-07-20

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
I20050720000231IFamily 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10137$0
99215Established patient office or other outpatient visit, 40-54 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 79912)

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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: 3476532383View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Clinical Social WorkerTX
Mental Health CounselorTX
Mental Health CounselorTX
-TX
Nurse PractitionerTX
Mental Health CounselorTX
Mental Health CounselorTX
-TX

Reviews

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Frequently asked questions

How do payers reference CARROLL WAYNE THORNBURG (D.O.)?
For CARROLL WAYNE THORNBURG (D.O.), use NPI 1568460962 as the unique 10-digit identifier.
Is there an active status for CARROLL WAYNE THORNBURG (D.O.)?
For scheduling context, CARROLL WAYNE THORNBURG (D.O.) is shown as active in the registry.
How would a patient describe CARROLL WAYNE THORNBURG (D.O.)'s focus?
For CARROLL WAYNE THORNBURG (D.O.), the primary taxonomy reads as Addiction Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is CARROLL WAYNE THORNBURG (D.O.) associated with El Paso?
Public fields place CARROLL WAYNE THORNBURG (D.O.) around El Paso, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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