DR. CAROL ANN ANDRUS (M.D.) – Family Medicine Physician, NPI 1629090899
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for DR. CAROL ANN ANDRUS (M.D.)
Memorial Medical Center, 815, North Virginia Street, Port Lavaca, Calhoun County, Texas, 77979, United States
PORT LAVACA, TX 779793025
Phone: (361) 552-0325
Fax: (361) 552-5926
Type: Mailing
North Virginia Street, Port Lavaca, Calhoun County, Texas, 77979, United States
PORT LAVACA, TX 779793000
Phone: (361) 552-0325
Fax: (361) 552-5926
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: 2004-08-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040820000167 | I | Family Practice | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 39 | 27 | $0 |
Insurance plans in this area (ZIP 77979)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Family Practice | TX | |
| - | TX | |
| - | TX | |
| P O D I A T R Y | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | CT | |
| P S Y C H I A T R Y | LA | |
| - | TX |
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