CHRISTOPHER M. MCGONNELL (M.D.) – Pediatrics Physician, NPI 1437101136
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CHRISTOPHER M. MCGONNELL (M.D.)
P.O. BOX 961205
FORT WORTH, TX 761611205
Phone: (817) 740-8450
Type: Mailing
4461 Coit Rd Ste 405
Frisco, TX 750350531
Phone: (972) 526-0700
Fax: (972) 526-0990
Type: Location
7777 Forest Lane, Bldg. B 308
Dallas, TX 752302571
Phone: (972) 284-7770
Fax: (972) 284-7780
Type: Location
1600 Republic Pkwy Ste 120
Mesquite, TX 751506918
Phone: (972) 629-2250
Fax: (972) 629-2245
Type: Location
Forest Lane, Lake Highlands, Audelia, Dallas, Dallas County, Texas, 75243, United States
DALLAS, TX 752302571
Phone: (972) 284-7770
Fax: (972) 284-7780
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $399.
Total Amount is formed as General ($399) + Research ($0) + Ownership ($0) = $399.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Corium, LLC ($83).
Total Amount
$399
General + Research + Ownership
Payments
23
Total payment records
General Amount
$399
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-06-13
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 |
|---|---|---|---|---|
| I20170613001276 | 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 76161)
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Reviews
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