Legent Surgical Hospital Plano – General Acute Care Hospital, NPI 1184057309
General Acute Care Hospital
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Legent Surgical Hospital Plano
4100 MAPLESHADE LANE
PLANO, TX 75093
Phone: (972) 265-1050
Fax: (972) 265-1252
Type: Location
1900 ENCHANTED WAY SUITE 100
GRAPEVINE, TX 76051
Phone: (682) 223-5552
Fax: (682) 223-5560
Type: Mailing
4100 MAPLESHADE LN
PLANO, TX 750930012
Phone: (817) 421-1066
Fax: (817) 507-1800
Type: Mailing
1707 MARKET PL STE 300
IRVING, TX 750638046
Phone: (817) 421-1066
Fax: (817) 507-1800
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: 2022-06-23
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 |
|---|---|---|---|---|
| O20220623002884 | O | Hospital | 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 75093)
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