PETER THOMAS JANICKI (M.D.) – Specialist, NPI 1740261957
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
892 OTOLARYNGOLOGY in TX
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Provider Addresses for PETER THOMAS JANICKI (M.D.)
7508, Mount Vernon Drive, Colleyville, Tarrant County, Texas, 76034, United States
COLLEYVILLE, TX 760346924
Phone: (817) 498-8944
Fax: (817) 355-4511
Type: Mailing
1615, Hospital Parkway, Bedford, Tarrant County, Texas, 76022, United States
STE. 210
BEDFORD, TX 760225934
Phone: (817) 540-3121
Fax: (817) 355-4511
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $79.
Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.
Last reported payment date: 2023-08-22 • Largest payer in this snapshot: Acclarent, Inc ($79).
Total Amount
$79
General + Research + Ownership
Payments
3
Total payment records
General Amount
$79
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Acclarent, Inc | $79 |
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: 2010-08-09
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 |
|---|---|---|---|---|
| I20100809000981 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 2,230 | 68 | $0 |
| 95117 | Professional service for multiple injections of allergen | 626 | 29 | $0 |
| 95115 | Professional service for single injection of allergen | 346 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 231 | 178 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 85 | 85 | $0 |
Insurance plans in this area (ZIP 76034)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | TX | 92567 | Eardrum testing using ear probe | 14 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| - | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Otolaryngology, Plastic And Reconstructive Surgery | TX | |
| Qualified Audiologist | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| - | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| - | TX |
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