DR. BEAU JAMES ELLENBECKER (DO) – Family Medicine Physician, NPI 1679774582
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for DR. BEAU JAMES ELLENBECKER (DO)
610, Byron Nelson Boulevard, Roanoke, Denton County, Texas, 76262, United States
SUITE 101
ROANOKE, TX 762626541
Phone: (817) 912-8200
Fax: (817) 912-8210
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,601.
Total Amount is formed as General ($1,601) + Research ($0) + Ownership ($0) = $1,601.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Dexcom, Inc. ($335).
Total Amount
$1,601
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,601
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $335 |
| GlaxoSmithKline, LLC. | $249 |
| AstraZeneca Pharmaceuticals LP | $171 |
| Edwards Lifesciences Corporation | $142 |
| Exact Sciences Corporation | $132 |
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: 2012-11-02
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 |
|---|---|---|---|---|
| I20121102000105 | 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 | 188 | 128 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 179 | 118 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 98 | 98 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 55 | $0 |
| G0008 | Administration of influenza virus vaccine | 30 | 30 | $0 |
Insurance plans in this area (ZIP 76262)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| Clinical Social Worker | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| Clinical Psychologist | TX |
Reviews
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