TEXAS PARTNERS HEALTHCARE GROUP, PA – Interventional Pain Medicine Physician, NPI 1689119463
Interventional Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TEXAS PARTNERS HEALTHCARE GROUP, PA
305 Regency Pkwy Ste 805
Mansfield, TX 760633794
Phone: (817) 539-7246
Fax: (972) 435-4105
Type: Location
1780 W McDermott Dr
Suite 200
Allen, TX 75013
Phone: (972) 954-1466
Fax: (469) 656-3808
Type: Location
3140 Legacy Dr Ste 300
Frisco, TX 75034
Phone: (972) 435-4002
Fax: (724) 354-1059
Type: Location
1505 Harroun Ave Ste 1
McKinney, TX 750693433
Phone: (972) 435-4002
Fax: (972) 435-4105
Type: Location
8350 Dallas Pkwy Ste 100
Frisco, TX 750345076
Phone: (972) 435-4002
Fax: (972) 435-4105
Type: Location
940 W Stacy Rd Ste 110
Allen, TX 750135215
Phone: (972) 954-1466
Fax: (469) 656-3808
Type: Location
920 S Belt Line Rd Ste 250
Coppell, TX 750194884
Phone: (972) 435-4070
Fax: (972) 435-4105
Type: Location
8440 Walnut Hill Ln Ste 230
Dallas, TX 752313816
Phone: (972) 954-1466
Fax: (469) 656-3808
Type: Location
9669 N Central Expy Ste 200
Dallas, TX 752315054
Phone: (972) 435-4002
Fax: (972) 435-4105
Type: Location
3304 Colorado Blvd Ste 202
Denton, TX 762106877
Phone: (972) 779-0064
Fax: (972) 366-0029
Type: Location
2100 W White St Ste 230
Anna, TX 754095516
Phone: (972) 954-1466
Fax: (469) 656-3808
Type: Location
15110 Dallas Pkwy Ste 102
Dallas, TX 752484601
Phone: (972) 435-4002
Fax: (972) 435-4105
Type: Location
Legacy Drive, Frisco, Collin County, Texas, 75023, United States
FRISCO, TX 750349566
Phone: (972) 435-4002
Fax: (972) 435-4105
Type: Location
3140 LEGACY DR STE 310
FRISCO, TX 750349383
Phone: (972) 435-4002
Fax: (972) 435-4105
Type: Location
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: 2025-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (799 days ago).
Enrollment records
2
Earliest due date
2024-03-31
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 |
|---|---|---|---|---|
| O20170309001617 | O | Clinic/Group Practice | TX | 2024-03-31 |
| O20250815001420 | O | Physician - Interventional Pain Management | TX | TBD |
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 76063)
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