ELIAS I JR. FANOUS (MD) – Gastroenterology Physician, NPI 1760478689

ELIAS I JR. FANOUS (MD) is a healthcare provider. based in Tyler, Texas. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. H8030 (TX). The NPI Number for ELIAS I JR. FANOUS (MD) is 1760478689

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
ELIAS I JR. FANOUS (MD)
NPI
1760478689
Phone
(903) 531-8950
Address
1000 S Beckham Ave
Enumeration Date
26 September 2005
Last Update Date
31 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
9035905611
Graduation Year
1985 (41 years ago)
PAC ID
9133107212
Group Practice PAC ID
4486915600
Professional Enrollment ID
I20101108001447
Address ID
TX757011908TY1000XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,498 GASTROENTEROLOGY in TX

Provider Addresses for ELIAS I JR. FANOUS (MD)

  • 1000 S Beckham Ave

    Tyler, TX 757011908

    Phone: (903) 531-8950

    Fax: (903) 531-8964

    Type: Location

  • Tyler Neurosurgical Associates, 700, Olympic Plaza Circle, Tyler, Smith County, Texas, 75701, United States

    STE 508

    TYLER, TX 757011951

    Phone: (903) 526-3030

    Fax: (903) 526-3036

    Type: Location

  • 700 OLYMPIC PLAZA CIR STE 508

    TYLER, TX 757011952

    Phone: (903) 526-3030

    Fax: (903) 526-3036

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $905.

Total Amount is formed as General ($905) + Research ($0) + Ownership ($0) = $905.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($212).

Total Amount

$905

General + Research + Ownership

Payments

30

Total payment records

General Amount

$905

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2010-11-08

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
I20101108001447IGastroenterologyTXTBD

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
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope142129$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare102102$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5036$0
45380Biopsy of large bowel using a flexible endoscope4747$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4527$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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Provider's Procedures

ELIAS I JR. FANOUS (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYTX45378Diagnostic examination of large bowel using an endoscope7170
GASTROENTEROLOGYTX45385Removal of polyps or growths of large bowel using an endoscope9393

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: 4486915600View full group profile

Reviews

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Frequently asked questions

What is the standard ID for ELIAS I JR. FANOUS (MD) in the U.S.?
In the U.S., ELIAS I JR. FANOUS (MD) is identified by NPI 1760478689.
Does the public listing show ELIAS I JR. FANOUS (MD) as active?
ELIAS I JR. FANOUS (MD)'s NPI record reflects an active status in NPPES.
What type of care does ELIAS I JR. FANOUS (MD) provide?
ELIAS I JR. FANOUS (MD)'s profile centers on Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ELIAS I JR. FANOUS (MD)?
ELIAS I JR. FANOUS (MD) is associated with Tyler, Texas in the same public data insurers reference.
Why is information missing for ELIAS I JR. FANOUS (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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