SPINE TECH – Neurological Surgery Physician, NPI 1265865158
Neurological Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SPINE TECH
6025 METROPOLITAN DR
SUITE 205
BEAUMONT, TX 777062407
Phone: (409) 234-7088
Fax: (409) 892-8237
Type: Mailing
2400 FM 365
Suite 104
Nederland, TX 77627
Phone: (409) 554-0545
Fax: (844) 965-9044
Type: Location
111 Vision Park Blvd Ste 245
Shenandoah, TX 773843016
Phone: (936) 647-0202
Fax: (409) 898-0177
Type: Location
87 Ih 10 N Ste 221
Beaumont, TX 777072562
Phone: (409) 554-0545
Type: Location
204 N 1st St
Conroe, TX 773012920
Phone: (936) 756-2415
Type: Location
755 S 11TH ST STE 102
BEAUMONT, TX 777013723
Phone: (409) 234-7088
Fax: (409) 892-8237
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: 2014-04-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-10-31 (145 days away).
Enrollment records
1
Earliest due date
2026-10-31
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 |
|---|---|---|---|---|
| O20140401000941 | O | Clinic/Group Practice | TX | 2026-10-31 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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 77706)
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