GENERAL SURGERY OF TEXAS PA – Surgery Physician, NPI 1578842779
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GENERAL SURGERY OF TEXAS PA
110 Shult Dr
Columbus, TX 789343016
Phone: (888) 209-0305
Fax: (952) 442-3620
Type: Location
1011 S Dill St
East Bernard, TX 774358781
Phone: (888) 209-0305
Fax: (952) 442-3620
Type: Location
600 S Austin Rd
Eagle Lake, TX 774343202
Phone: (888) 209-0305
Fax: (952) 442-3620
Type: Location
1860 HIGHWAY 71 S
COLUMBUS, TX 789342816
Phone:
Type: Mailing
400 10TH ST E
WACONIA, MN 553874552
Phone: (888) 209-0305
Fax: (952) 442-3620
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: 2011-10-31
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| O20111031000276 | O | Clinic/Group Practice | 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 78934)
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