DR. VICTOR L VINES (MD) – Addiction Medicine (Family Medicine) Physician, NPI 1568468395

DR. VICTOR L VINES (MD) is a healthcare provider. based in Denton, Texas. specializing in ADDICTION MEDICINE. They hold the professional credentials MD. They hold a License No. G8483 (TX). The NPI Number for DR. VICTOR L VINES (MD) is 1568468395

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. VICTOR L VINES (MD)
NPI
1568468395
Phone
(940) 387-3871
Address
700 LONDONDERRY LN
Enumeration Date
27 June 2005
Last Update Date
17 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2183352559
Graduation Year
1984 (42 years ago)
PAC ID
5890693477
Group Practice PAC ID
5597725168
Professional Enrollment ID
I20251231000696
Address ID
MN566333619CA219XXNWXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

86 ADDICTION MEDICINE in TX

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Provider Addresses for DR. VICTOR L VINES (MD)

  • 700, Londonderry Lane, Denton, Denton County, Texas, 76205, United States

    DENTON, TX 762057878

    Phone: (940) 387-3871

    Fax: (940) 243-8001

    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)

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: 2025-12-31

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
I20251231000696IAddiction MedicineMNTBD

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 76205)

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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: 5597725168View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. VICTOR L VINES (MD)?
The registry entry for DR. VICTOR L VINES (MD) shows NPI 1568468395.
Is DR. VICTOR L VINES (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. VICTOR L VINES (MD) as active.
What services align with DR. VICTOR L VINES (MD)'s listing?
DR. VICTOR L VINES (MD)'s public classification highlights Addiction Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. VICTOR L VINES (MD)?
DR. VICTOR L VINES (MD) is associated with Denton, Texas in the same public data insurers reference.
Who maintains DR. VICTOR L VINES (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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