MARY ELIZABETH PRENTICE (MD) – Obstetrics & Gynecology Physician, NPI 1700993581
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,164 OBSTETRICS/GYNECOLOGY in TX
Provider Addresses for MARY ELIZABETH PRENTICE (MD)
1331 BANDERA HWY STE 2
KERRVILLE, TX 780289535
Phone: (830) 258-6237
Fax: (830) 895-7757
Type: Location
Boerne Post Office, East San Antonio Avenue, Boerne, Kendall County, Texas, 78006, United States
BOERNE, TX 780061400
Phone: (830) 214-7012
Fax: (830) 331-2475
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.
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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: 2018-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20090415000655 | I | Obstetrics/Gynecology | TX | TBD |
| I20180130003059 | I | Obstetrics/Gynecology | OH | TBD |
| I20180216001520 | I | Obstetrics/Gynecology | IN | TBD |
| I20180718000820 | I | Obstetrics/Gynecology | KY | 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 |
|---|---|---|---|---|
| 74230 | Imaging for evaluation of swallowing function | 654 | 637 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 646 | 629 | $0 |
| 74240 | Single contrast x-ray of upper digestive tract | 644 | 627 | $0 |
| 70100 | X-ray of part of lower jaw, 1-4 views | 593 | 585 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 361 | 361 | $0 |
Insurance plans in this area (ZIP 78028)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | TX | 71010 | X-ray of chest, 1 view, front | 251 | 236 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Emergency Medicine, Diagnostic Radiology | TX | |
| Family Practice | TX | |
| Family Practice, Emergency Medicine | TX | |
| Internal Medicine | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Pediatric Medicine | TX | |
| Internal Medicine | MI | |
| General Practice, Nuclear Medicine | TX | |
| Physical Medicine And Rehabilitation | TX |
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