PAUL M FANNING (MD) – Obstetrics & Gynecology Physician, NPI 1972577419

PAUL M FANNING (MD) is a healthcare provider. based in Dallas, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. J6425 (TX). The NPI Number for PAUL M FANNING (MD) is 1972577419

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
PAUL M FANNING (MD)
NPI
1972577419
Phone
(903) 324-6450
Address
PO BOX 846098
Enumeration Date
13 February 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
5890842793
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20090410000188
Address ID
TX757014464TY1720XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for PAUL M FANNING (MD)

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

    DALLAS, TX 752846098

    Phone: (903) 324-6450

    Type: Mailing

  • 104, South Beckham Avenue, Tyler, Smith County, Texas, 75702, United States

    TYLER, TX 757014464

    Phone: (903) 597-2002

    Type: Location

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: 2009-04-10

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
I20090410000188IObstetrics/GynecologyTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7054$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination5555$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory2828$0
99214Established patient office or other outpatient visit, 30-39 minutes2826$0
76856Complete ultrasound scan of pelvis2120$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

Can I cross-check PAUL M FANNING (MD) using NPI 1972577419?
NPI 1972577419 belongs to PAUL M FANNING (MD); compare other details if you need extra assurance.
Is there an active status for PAUL M FANNING (MD)?
For scheduling context, PAUL M FANNING (MD) is shown as active in the registry.
What clinical focus is listed for PAUL M FANNING (MD)?
At a glance, PAUL M FANNING (MD) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is PAUL M FANNING (MD) located near Dallas?
PAUL M FANNING (MD) currently maps to Dallas, Texas in this extract.
Can I trust this NPI listing for PAUL M FANNING (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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