ANN CATHERINE TEAL (PA-C) – Physician Assistant, NPI 1679561914
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for ANN CATHERINE TEAL (PA-C)
1300, West Terrell Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
#500
FORT WORTH, TX 761042800
Phone: (817) 252-5000
Fax: (817) 252-5060
Type: Mailing
816 W CANNON ST
FORT WORTH, TX 761043194
Phone: (817) 321-0390
Fax: (817) 321-0404
Type: Mailing
815 PENNSYLVANIA AVE
FORT WORTH, TX 761042294
Phone: (817) 321-0404
Type: Location
1300 W Terrell Ave
#500
Fort Worth, TX 761042800
Phone: (817) 252-5000
Fax: (817) 252-5060
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $933.
Total Amount is formed as General ($933) + Research ($0) + Ownership ($0) = $933.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Sirtex Medical Inc ($318).
Total Amount
$933
General + Research + Ownership
Payments
18
Total payment records
General Amount
$933
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sirtex Medical Inc | $318 |
| Nevro Corp. | $183 |
| Relievant Medsystems, Inc. | $150 |
| E.R. Squibb & Sons, L.L.C. | $83 |
| MicroVention, Inc. | $59 |
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: 2004-06-01
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 |
|---|---|---|---|---|
| I20040601000578 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 102 | 86 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 70 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 46 | 46 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 45 | 38 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX |
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