Medplus Physician Group Inc. – Surgery Physician, NPI 1194345959
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Medplus Physician Group Inc.
2489 E 11th St
Odessa, TX 797614232
Phone: (469) 502-4772
Type: Location
8585 N STEMMONS FWY STE S-105
DALLAS, TX 752473836
Phone: (469) 502-4772
Fax: (214) 459-3709
Type: Mailing
3315 Burke Rd
Pasadena, TX 775041827
Phone: (469) 502-4772
Fax: (214) 459-3709
Type: Location
7230 Gateway Blvd E Ste F
El Paso, TX 799151353
Phone: (469) 502-4772
Fax: (214) 459-3709
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: 2023-09-13
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 |
|---|---|---|---|---|
| O20230913000773 | O | Clinic/Group Practice | 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 79761)
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