Twin Creeks Orthopedic and Sports Injury Clinic – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1366299976

Twin Creeks Orthopedic and Sports Injury Clinic is a healthcare provider. based in Allen, Texas. specializing in Sports Medicine (Orthopaedic Surgery) Physician. The NPI Number for Twin Creeks Orthopedic and Sports Injury Clinic is 1366299976

Main info

Organization
Name
Twin Creeks Orthopedic and Sports Injury Clinic
NPI
1366299976
Phone
(469) 342-3383
Address
1111 RAINTREE CIR STE 290
Authorized Official
ALEXANDER P BULAN PA PHYSICIAN ASSISTANT
Enumeration Date
1 May 2024
Last Update Date
13 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness90
Years active:2State licenses:0Digital endpoints

Provider Addresses for Twin Creeks Orthopedic and Sports Injury Clinic

  • 1111 RAINTREE CIR STE 290

    ALLEN, TX 750134905

    Phone: (469) 342-3383

    Fax: (469) 519-0213

    Mailing address matches the actual address.

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: 2024-08-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20240819002040OClinic/Group PracticeTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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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 75013)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Twin Creeks Orthopedic and Sports Injury Clinic?
Twin Creeks Orthopedic and Sports Injury Clinic — NPI 1366299976 — is the standard way to identify this listing.
Can I rely on Twin Creeks Orthopedic and Sports Injury Clinic being an active provider?
As of the registry snapshot, Twin Creeks Orthopedic and Sports Injury Clinic is marked active.
What healthcare role does Twin Creeks Orthopedic and Sports Injury Clinic hold?
Scheduling teams often label Twin Creeks Orthopedic and Sports Injury Clinic under Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Twin Creeks Orthopedic and Sports Injury Clinic?
Twin Creeks Orthopedic and Sports Injury Clinic's geographic hint is Allen, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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