EDGAR BACARES (MD) – Pediatrics Physician, NPI 1225021256
Pediatrics Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for EDGAR BACARES (MD)
Kerbey Lane Cafe, 2120, North Mays Street, Round Rock, Williamson County, Texas, 78664, United States
ROUND ROCK, TX 786642192
Phone: (877) 800-5722
Fax: (512) 257-1763
Type: Location
200, East University Avenue, Historic Georgetown, Georgetown, Williamson County, Texas, 78626, United States
GEORGETOWN, TX 786266821
Phone: (877) 800-5722
Fax: (512) 257-1763
Type: Mailing
2423 WILLIAMS DR STE 107
GEORGETOWN, TX 786283269
Phone: (877) 800-5722
Fax: (512) 257-1763
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-08-25 • Largest payer in this snapshot: SOBI, INC ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SOBI, INC | $16 |
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: 2009-07-24
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 |
|---|---|---|---|---|
| I20090724000659 | I | Pediatric 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 78664)
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