J ROBERT WYATT (MD) – Specialist, NPI 1619963808

J ROBERT WYATT (MD) is a healthcare provider. based in Dallas, Texas. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. J8423 (TX). The NPI Number for J ROBERT WYATT (MD) is 1619963808

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
J ROBERT WYATT (MD)
NPI
1619963808
Phone
(214) 382-5100
Address
11970 N CENTRAL EXPY
Enumeration Date
22 September 2005
Last Update Date
21 July 2014

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2143825100
Graduation Year
1989 (37 years ago)
PAC ID
6608817291
Group Practice PAC ID
7618036161
Professional Enrollment ID
I20050513000106
Address ID
TX752433787DA11970EXPY402
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

892 OTOLARYNGOLOGY in TX

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Provider Addresses for J ROBERT WYATT (MD)

  • 11970, North Central Expressway, Bouchard, Dallas, Dallas County, Texas, 75243, United States

    SUITE 400

    DALLAS, TX 752433768

    Phone: (214) 382-5100

    Fax: (214) 382-5199

    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 19 Open Payments records for all available years, with a total value of $899.

Total Amount is formed as General ($899) + Research ($0) + Ownership ($0) = $899.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AERIN MEDICAL INC. ($332).

Total Amount

$899

General + Research + Ownership

Payments

19

Total payment records

General Amount

$899

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2005-05-13

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
I20050513000106IOtolaryngologyTXTBD

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
31231Diagnostic exam of nasal passages using an endoscope12385$0
99203New patient office or other outpatient visit, 30-44 minutes6666$0
99213Established patient office or other outpatient visit, 20-29 minutes4936$0
99214Established patient office or other outpatient visit, 30-39 minutes4040$0
31237Biopsy or removal of nasal polyp or tissue using an endoscope2413$0
View full utilization report →

Insurance plans in this area (ZIP 75243)

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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: 7618036161View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YTX
Qualified AudiologistTX
Physician AssistantTX
Otolaryngology, Sleep MedicineTX
Otolaryngology, Plastic And Reconstructive SurgeryTX

Reviews

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Frequently asked questions

Can I use this page to confirm J ROBERT WYATT (MD)'s NPI?
Yes. J ROBERT WYATT (MD) is listed with NPI 1619963808 in the public NPI dataset.
Can I rely on J ROBERT WYATT (MD) being an active provider?
As of the registry snapshot, J ROBERT WYATT (MD) is marked active.
What is J ROBERT WYATT (MD)'s specialty?
The listing groups J ROBERT WYATT (MD) with Other Service Providers. Clinical services aligned with this taxonomy classification.
What address line appears for J ROBERT WYATT (MD)?
J ROBERT WYATT (MD)'s geographic hint is Dallas, Texas in our summary view.
Is the information about J ROBERT WYATT (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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