JACK R CHILDRESS (MD) – Internal Medicine Physician, NPI 1841245883
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for JACK R CHILDRESS (MD)
2602 SAINT MICHAEL DR STE 205
TEXARKANA, TX 755032378
Phone: (903) 614-5111
Fax: (903) 614-5114
Type: Mailing
400 S 15th St
Worland, WY 824013531
Phone: (307) 347-3321
Fax: (866) 368-6349
Type: Location
5995 Spring St
Warm Springs, GA 318302149
Phone: (706) 655-3331
Fax: (866) 368-6349
Type: Location
1900 Main St
Franklinton, LA 704383688
Phone: (985) 839-4431
Type: Location
105 SEQUOYA DR
LAKE KIOWA, TX 762409446
Phone: (940) 736-8885
Fax: (940) 668-8292
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $26 |
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: 2025-06-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050713000965 | I | Internal Medicine | TX | TBD |
| I20231017002217 | I | Internal Medicine | GA | TBD |
| I20250605003090 | I | Internal Medicine | LA | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 64 | 34 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 30 | 26 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 26 | 24 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 22 | 13 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 75503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Pulmonary Disease, Critical Care (Intensivists), Critical Care (Intensivists), Pulmonary Disease, Internal Medicine | WA | |
| Internal Medicine | AZ | |
| Hospitalist, Internal Medicine, Osteopathic Manipulative Medicine | CO | |
| - | CO | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Critical Care (Intensivists) | WA | |
| Family Practice | CO | |
| Hospitalist, Internal Medicine, Internal Medicine | ND | |
| Pulmonary Disease, Pulmonary Disease, Internal Medicine | WA | |
| Nurse Practitioner | MI |
Reviews
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