PAUL E III TATUM (MD) – Family Medicine Physician, NPI 1821079559

PAUL E III TATUM (MD) is a healthcare provider. based in Austin, Texas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 2022022258 (MO). The NPI Number for PAUL E III TATUM (MD) is 1821079559

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
PAUL E III TATUM (MD)
NPI
1821079559
Phone
(512) 397-3360
Address
4107 Spicewood Springs Rd Ste 100
Enumeration Date
9 November 2005
Last Update Date
2 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
8224942263
Group Practice PAC ID
0941333280
Professional Enrollment ID
I20181101001555

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience92
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

Provider Addresses for PAUL E III TATUM (MD)

  • 4107 Spicewood Springs Rd Ste 100

    Austin, TX 787598645

    Phone: (512) 397-3360

    Fax: (512) 343-7107

    Type: Location

  • Seton Medical Center Austin, 1201, West 38th Street, Austin, Travis County, Texas, 78705, United States

    AUSTIN, TX 787051006

    Phone:

    Type: Mailing

  • Dell Seton Medical Center at The University of Texas, 1500, Red River Street, Medical District, Austin, Travis County, Texas, 78701, United States

    AUSTIN, TX 787011918

    Phone: (512) 324-8933

    Type: Location

  • 915 N GRAND BLVD

    SAINT LOUIS, MO 631061621

    Phone: (314) 652-4100

    Type: Location

  • 4107 SPICEWOOD SPRINGS RD STE 100

    AUSTIN, TX 787598645

    Phone: (512) 397-3360

    Fax: (512) 343-7107

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20081001000755IHospice/Palliative CareMOTBD
I20181101001555IHospice/Palliative CareTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7132$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6547$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1911$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1616$0
99497Advance care planning, first 30 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 78759)

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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: 0941333280View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for PAUL E III TATUM (MD)?
PAUL E III TATUM (MD) — NPI 1821079559 — is the standard way to identify this listing.
Does the file indicate PAUL E III TATUM (MD) is practicing under active NPI?
Directory data currently reports PAUL E III TATUM (MD) as active.
What is PAUL E III TATUM (MD)'s primary classification?
Family Medicine Physician is the headline specialty for PAUL E III TATUM (MD) here. Clinical services aligned with this taxonomy classification.
Where is PAUL E III TATUM (MD) based?
PAUL E III TATUM (MD) is tied to Austin, Texas in the data we show; additional addresses may exist on the full record.
Why does PAUL E III TATUM (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.