TEXAS EAR AND VESTIBULAR INSTITUTE – Otolaryngology Physician, NPI 1629634043
Otolaryngology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TEXAS EAR AND VESTIBULAR INSTITUTE
20303 STONE OAK PKWY APT 10304
SAN ANTONIO, TX 782580011
Phone: (808) 295-8999
Type: Mailing
Redbud Boulevard, McKinney, Collin County, Texas, 75071, United States
MCKINNEY, TX 750693234
Phone: (808) 295-8999
Type: Location
101 BOURLAND RD STE D
KELLER, TX 762483507
Phone: (833) 818-8383
Fax: (817) 889-8134
Type: Mailing
8080 INDEPENDENCE PKWY STE 255
PLANO, TX 750254032
Phone: (469) 678-2211
Fax: (469) 678-2253
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: 2019-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (585 days ago).
Enrollment records
1
Earliest due date
2024-10-31
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 |
|---|---|---|---|---|
| O20191002000117 | O | Clinic/Group Practice | TX | 2024-10-31 |
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 78258)
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