TEXOMA RHEUMATOLOGY PLLC – Rheumatology Physician, NPI 1477154581
Rheumatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TEXOMA RHEUMATOLOGY PLLC
PO BOX 9030
WICHITA FALLS, TX 763089030
Phone: (940) 264-2625
Fax: (940) 264-6401
Type: Mailing
4007 CALL FIELD RD STE E
WICHITA FALLS, TX 763082679
Phone: (940) 264-2625
Fax: (940) 264-6401
Type: Location
1601 BROOK AVE
WICHITA FALLS, TX 763015619
Phone: (940) 264-2625
Fax: (940) 723-9217
Type: Mailing
4103 Wilbarger St
Vernon, TX 763843137
Phone: (940) 264-2625
Fax: (940) 264-6401
Type: Location
1339 East St
Graham, TX 764504228
Phone: (940) 264-2625
Fax: (940) 264-6401
Type: Location
4722 TAFT BLVD STE 8
WICHITA FALLS, TX 763084800
Phone: (940) 264-2625
Fax: (940) 264-6401
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: 2020-11-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-02-28 (102 days ago).
Enrollment records
1
Earliest due date
2026-02-28
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 |
|---|---|---|---|---|
| O20201118001391 | O | Clinic/Group Practice | TX | 2026-02-28 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 76308)
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