KEITH FISHBECK (DO) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1982145579
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
496 SPORTS MEDICINE in TX
Provider Addresses for KEITH FISHBECK (DO)
3414 GOLDEN RD
TYLER, TX 757018336
Phone: (903) 939-7500
Type: Mailing
2132 Lufkin S 1st Street
Lufkin, TX 75901
Phone: (903) 939-7500
Type: Location
Oklahoma State University Medical Center, 744, West 9th Street, Crosbie Heights, Tulsa, Tulsa County, Oklahoma, 74127, United States
TULSA, OK 741279020
Phone: (918) 599-5923
Type: Location
3816 N UNIVERSITY DR
NACOGDOCHES, TX 759652011
Phone: (903) 939-7500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 73 Open Payments records for all available years, with a total value of $5,872.
Total Amount is formed as General ($5,872) + Research ($0) + Ownership ($0) = $5,872.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Arthrex, Inc. ($3,366).
Total Amount
$5,872
General + Research + Ownership
Payments
73
Total payment records
General Amount
$5,872
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $3,366 |
| Stryker Corporation | $1,429 |
| Pylant Medical | $527 |
| Legacy Ortho LLC | $526 |
| Vericel Corporation | $23 |
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: 2023-09-26
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 |
|---|---|---|---|---|
| I20230926002558 | I | Sports 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | LA | |
| P O D I A T R Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Hand Surgery, Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX |
Reviews
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