DR. GOUTAM PADA SHOME (M.D.) – Allergy & Immunology (Internal Medicine) Physician, NPI 1962491191
Allergy & Immunology (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
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Provider Addresses for DR. GOUTAM PADA SHOME (M.D.)
3420, 22nd Place, Lubbock, Texas, 79410, United States
LUBBOCK, TX 794101314
Phone: (806) 725-5844
Fax: (806) 723-6532
Type: Mailing
Covenant Health Southwest Medical Park, 9812, Slide Road, Lubbock, Texas, 79424, United States
LUBBOCK, TX 794245781
Phone: (806) 725-8420
Fax: (806) 783-9059
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 161 Open Payments records for all available years, with a total value of $17,838.
Total Amount is formed as General ($17,838) + Research ($0) + Ownership ($0) = $17,838.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($11,488).
Total Amount
$17,838
General + Research + Ownership
Payments
161
Total payment records
General Amount
$17,838
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $11,488 |
| AstraZeneca Pharmaceuticals LP | $3,012 |
| GENZYME CORPORATION | $1,973 |
| Mylan Specialty L.P. | $460 |
| Blueprint Medicines Corporation | $233 |
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: 2007-06-12
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 |
|---|---|---|---|---|
| I20070612000166 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 4,178 | 72 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 2,556 | 77 | $0 |
| 95117 | Professional service for multiple injections of allergen | 1,274 | 82 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 781 | 67 | $0 |
| 94375 | Test to measure rate of airflow | 213 | 161 | $0 |
Insurance plans in this area (ZIP 79410)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | TX | |
| - | TX | |
| Diagnostic Radiology | TX | |
| - | TX | |
| N E U R O S U R G E R Y | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Pulmonary Disease | TX | |
| - | TX |
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