DEITRICK L GORMAN (DO) – Family Medicine Physician, NPI 1649281569
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 DEITRICK L GORMAN (DO)
Reeves County Hospital, 2323, Texas Street, Mann, Pecos, Reeves County, Texas, 79772, United States
PECOS, TX 797727338
Phone: (432) 447-0565
Fax: (432) 447-5053
Type: Location
2349 MEDICAL DR
PECOS, TX 797722251
Phone: (432) 447-0565
Fax: (432) 447-5053
Type: Mailing
Meadowbrook Drive, Pecos, Reeves County, Texas, 79772, United States
PECOS, TX 797726607
Phone: (432) 447-0565
Fax: (432) 447-5053
Type: Mailing
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: 2025-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100322000793 | I | Family Practice | TX | TBD |
| I20250123003779 | I | Family Practice | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79772)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Physician Assistant | TX | |
| Registered Dietitian Or Nutrition Professional | TX | |
| Family Practice, Obstetrics/Gynecology | OK | |
| - | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Internal Medicine | TX |
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