TEXAS SINUS CENTER, P.A. – Otolaryngology Physician, NPI 1558442780
Otolaryngology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TEXAS SINUS CENTER, P.A.
745 W San Antonio Ave Ste 100
Boerne, TX 780063213
Phone: (210) 607-4687
Fax: (830) 816-3833
Type: Location
15900 LA CANTERA PKWY STE 20210
SAN ANTONIO, TX 782562464
Phone: (210) 607-4687
Fax: (830) 816-3833
Type: Location
The Shops at La Cantera, 15900, La Cantera Parkway, San Antonio, Bexar County, Texas, 78256, United States
STE 20210
SAN ANTONIO, TX 782562422
Phone: (210) 607-4687
Fax: (830) 816-3833
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: 2005-05-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (253 days ago).
Enrollment records
1
Earliest due date
2025-09-30
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 |
|---|---|---|---|---|
| O20050503001249 | O | Clinic/Group Practice | TX | 2025-09-30 |
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 78006)
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