DR. GERALD RAY HADDOCK (DO) – Anesthesiology Physician, NPI 1760460109

DR. GERALD RAY HADDOCK (DO) is a healthcare provider. based in Lackland afb, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. M3567 (TX). The NPI Number for DR. GERALD RAY HADDOCK (DO) is 1760460109

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. GERALD RAY HADDOCK (DO)
NPI
1760460109
Phone
(210) 292-7956
Address
2200 Bergquist Drive, Suite 1
Enumeration Date
5 January 2006
Last Update Date
14 May 2020

Doctor Profile

Medical School Name
WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Secondary Phone
2149477699
Graduation Year
2001 (25 years ago)
PAC ID
3779671532
Group Practice PAC ID
7315850351
Professional Enrollment ID
I20071113000389
Address ID
TX752373460DA3500XRDXX431
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,591 ANESTHESIOLOGY in TX

Provider Addresses for DR. GERALD RAY HADDOCK (DO)

  • 2200 Bergquist Drive, Suite 1

    ATTN: Credentials (CMC)

    Lackland AFB, TX 78236

    Phone: (210) 292-7956

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752840853

    Phone: (972) 233-1999

    Fax: (972) 233-3666

    Type: Mailing

  • Lyndon B Johnson Freeway, Mesquite, Dallas County, Texas, 75150, United States

    DALLAS, TX 752406524

    Phone: (972) 233-1999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($56).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$56
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: 2007-11-13

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
I20071113000389IAnesthesiologyTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope2727$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2424$0
View full utilization report →

Insurance plans in this area (ZIP 78236)

Loading plans...

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: 7315850351View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
-TX
-TX
-TX
A N E S T H E S I O L O G YTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for DR. GERALD RAY HADDOCK (DO)?
Save NPI 1760460109 if you need a stable reference for DR. GERALD RAY HADDOCK (DO).
Is DR. GERALD RAY HADDOCK (DO) active in the national directory?
DR. GERALD RAY HADDOCK (DO)'s public NPI profile is in an active state.
What kind of provider is DR. GERALD RAY HADDOCK (DO)?
The page reflects Anesthesiology Physician for DR. GERALD RAY HADDOCK (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. GERALD RAY HADDOCK (DO)?
The page summarizes Lackland Afb, Texas for DR. GERALD RAY HADDOCK (DO); expand the address list for detail.
What if Lackland Afb, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

DR. MARK DAVID LEVIN (MD)

Anesthesiology Physician
338, South Dakota Avenue, Vandenberg AFB, Santa Barbara County, California, 93437, United States
NPI: 1306822937

CHARLES V PULS (MD)

Anesthesiology Physician
1717 S J ST
NPI: 1770561862

DR. THOMAS PENNINGTON (DO)

Anesthesiology Physician
7, Niram Lane, San Antonio, Bexar County, Texas, 78216, United States
NPI: 1568440600

DIMITAR DENTCHEV (M.D.)

Anesthesiology Physician
2200 BERGQUIST DR
NPI: 1679552145

DR. JAMES EARL JR. JOHNSON (M.D.)

Anesthesiology Physician
22019, Cristobal Drive, Garden Ridge, Comal County, Texas, 78266, United States
NPI: 1780664391

DR. THOMAS ALAN EDELL (M.D.)

Anesthesiology Physician
2200 BERGQUIST DR STE 1
NPI: 1114996360

DR. BRIAN MICHAEL FITZGERALD (MD)

Anesthesiology Physician
6606 Lbj Fwy Ste 200
NPI: 1053571018

DR. ADRIENNE KLINE CUMMINGS (M.D.)

Anesthesiology Physician
2200 BERGQUIST DR
NPI: 1134389927