RYAN H TATUM (MD) – Family Medicine Physician, NPI 1679867394

RYAN H TATUM (MD) is a healthcare provider. based in Plano, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. P8197 (TX). The NPI Number for RYAN H TATUM (MD) is 1679867394

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
RYAN H TATUM (MD)
NPI
1679867394
Phone
(469) 800-6120
Address
4800 HEDGCOXE RD
Enumeration Date
31 May 2011
Last Update Date
21 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
9034163790
Graduation Year
2011 (15 years ago)
PAC ID
6800015199
Group Practice PAC ID
3678555307
Professional Enrollment ID
I20140918001857
Address ID
TX754950488VA954XXPKWY500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for RYAN H TATUM (MD)

  • 4800 HEDGCOXE RD

    SUITE 200

    PLANO, TX 750242403

    Phone: (469) 800-6120

    Fax: (469) 800-6129

    Type: Location

  • 954 W VAN ALSTYNE PKWY

    VAN ALSTYNE, TX 754953531

    Phone: (903) 416-3790

    Fax: (903) 712-3790

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $289.

Total Amount is formed as General ($289) + Research ($0) + Ownership ($0) = $289.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($122).

Total Amount

$289

General + Research + Ownership

Payments

10

Total payment records

General Amount

$289

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2014-09-18

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
I20140918001857IFamily PracticeTXTBD

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 75024)

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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: 3678555307View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
Family PracticeTX
Internal MedicineMO
Family PracticeTX
Family PracticeTX
-TX
Nurse PractitionerTX
Family PracticeTX

Reviews

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Frequently asked questions

Does RYAN H TATUM (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — RYAN H TATUM (MD) uses 1679867394.
Can I rely on RYAN H TATUM (MD) being an active provider?
As of the registry snapshot, RYAN H TATUM (MD) is marked active.
What is RYAN H TATUM (MD)'s specialty?
The listing groups RYAN H TATUM (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does RYAN H TATUM (MD) serve?
RYAN H TATUM (MD)'s listing highlights Plano, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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