Woodlands Medical Group – Primary Care Clinic/Center, NPI 1730639113
Primary Care Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Woodlands Medical Group
1306 13th St
Bridgeport, TX 764262454
Phone: (940) 255-6552
Type: Location
1218 N Bonnie Brae St Ste 100
Denton, TX 762015487
Phone: (940) 382-7425
Fax: (940) 382-7432
Type: Location
4674 McDermott Rd Ste 308
Plano, TX 750247797
Phone: (972) 424-4243
Type: Location
8000 Eldorado Pkwy Ste B
McKinney, TX 750701739
Phone: (469) 678-7198
Type: Location
111 W 5th St
Justin, TX 762479622
Phone: (940) 255-6552
Type: Location
801 N Grand Ave
Gainesville, TX 762403573
Phone: (940) 665-4121
Type: Location
North Coleman Street, Crestview at Prosper, Prosper, Collin County, Texas, 75078, United States
PROSPER, TX 750782318
Phone: (469) 296-1049
Fax: (844) 209-9082
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: 2016-12-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| O20161202000409 | O | Clinic/Group Practice | TX | 2023-12-31 |
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 76426)
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