CHRISTOPHER MEDINA (MD) – Neurology Physician, NPI 1639707169

CHRISTOPHER MEDINA (MD) is a healthcare provider. based in El paso, Texas. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 25MA12450900 (NJ). The NPI Number for CHRISTOPHER MEDINA (MD) is 1639707169

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER MEDINA (MD)
NPI
1639707169
Phone
(915) 283-3953
Address
10175 GATEWAY BLVD W STE 100
Enumeration Date
30 March 2020
Last Update Date
2 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8622291515
Graduation Year
2020 (6 years ago)
PAC ID
4688101769
Group Practice PAC ID
3375965569
Professional Enrollment ID
I20241231003149
Address ID
NJ071042904NE508XXAVEX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,738 NEUROLOGY in TX

Provider Addresses for CHRISTOPHER MEDINA (MD)

  • 10175 GATEWAY BLVD W STE 100

    EL PASO, TX 799257618

    Phone: (915) 283-3953

    Type: Mailing

  • 523 PARK AVE

    ORANGE, NJ 070501703

    Phone: (973) 672-8573

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $276.

Total Amount is formed as General ($276) + Research ($0) + Ownership ($0) = $276.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Madrigal Pharmaceuticals ($139).

Total Amount

$276

General + Research + Ownership

Payments

3

Total payment records

General Amount

$276

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2024-12-31

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
I20241231003149INeurologyNJTBD

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 79925)

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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: 3375965569View full group profile
NameSpecialtyState
Clinical Social WorkerNJ
N E U R O L O G YNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Clinical Social WorkerNJ
P S Y C H I A T R YFL
Clinical Social WorkerNJ
Internal MedicineNJ

Reviews

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Frequently asked questions

What is the standard ID for CHRISTOPHER MEDINA (MD) in the U.S.?
In the U.S., CHRISTOPHER MEDINA (MD) is identified by NPI 1639707169.
Should I treat CHRISTOPHER MEDINA (MD) as an active provider?
Patients and plans typically see CHRISTOPHER MEDINA (MD) as active in the national extract.
What services align with CHRISTOPHER MEDINA (MD)'s listing?
CHRISTOPHER MEDINA (MD)'s public classification highlights Neurology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHRISTOPHER MEDINA (MD)?
CHRISTOPHER MEDINA (MD) is associated with El Paso, Texas in the same public data insurers reference.
Who maintains CHRISTOPHER MEDINA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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