ADAM HERTEL (MD) – Family Medicine Physician, NPI 1629480017
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for ADAM HERTEL (MD)
201 STADIUM DR
SEYMOUR, TX 763802343
Phone: (940) 889-5583
Fax: (940) 889-8835
Type: Mailing
11937 US HIGHWAY 271
TYLER, TX 757083154
Phone: (903) 877-7200
Fax: (903) 834-0264
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Exact Sciences Corporation ($17).
Total Amount
$32
General + Research + Ownership
Payments
2
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $17 |
| Xeris Pharmaceuticals, Inc. | $15 |
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: 2017-01-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170113000640 | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 66 | 29 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 60 | 16 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 40 | 35 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 29 | 24 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 25 | 21 | $0 |
Insurance plans in this area (ZIP 76380)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | LA | |
| - | TX | |
| Pediatric Medicine, Pulmonary Disease | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Clinical Psychologist | WA | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX |
Reviews
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