Avero Diagnostics – Anatomic Pathology & Clinical Pathology Physician, NPI 1063619922
Anatomic Pathology & Clinical Pathology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Avero Diagnostics
4642 N Loop 289 Ste 205
Lubbock, TX 794162424
Phone: (866) 987-7284
Fax: (469) 232-9927
Type: Location
410, North Utica Avenue, Lubbock, Texas, 79416, United States
LUBBOCK, TX 794163035
Phone: (806) 771-2018
Fax: (806) 771-2078
Type: Mailing
6221, Riverside Drive, Irving, Dallas County, Texas, 75039, United States
SUITE 119
IRVING, TX 750393541
Phone: (469) 232-9920
Fax: (469) 232-9927
Type: Location
3560 MERIDIAN ST STE 101
BELLINGHAM, WA 982251731
Phone: (360) 734-2800
Fax: (360) 734-0426
Type: Mailing
4245 N CENTRAL EXPY STE 420
DALLAS, TX 752054566
Phone: (866) 987-7284
Fax: (469) 232-9927
Type: Location
6221 RIVERSIDE DR STE 119
IRVING, TX 750393515
Phone: (469) 232-9920
Fax: (469) 232-9927
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: 2008-02-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (803 days ago).
Enrollment records
1
Earliest due date
2024-03-31
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 |
|---|---|---|---|---|
| O20080204000374 | O | Independent Clinical Laboratory | TX | 2024-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 79416)
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