Chisholm Trail Orthopedic & Sports Medicine, LLLP – Orthopaedic Surgery Physician, NPI 1821148032
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Chisholm Trail Orthopedic & Sports Medicine, LLLP
2010 W Katherine P Raines Rd Ste 400
Cleburne, TX 760337458
Phone: (817) 556-3212
Fax: (817) 645-9845
Type: Location
Cleburne Surgical Center, 2010, West Katherine P Raines Road, Lebanon, Cleburne, Johnson County, Texas, 76033, United States
SUITE 300
CLEBURNE, TX 760337435
Phone: (817) 556-3212
Fax: (817) 556-2388
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-05-31 (10 days ago).
Enrollment records
2
Earliest due date
2026-05-31
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 |
|---|---|---|---|---|
| O20050427000585 | O | Clinic/Group Practice | TX | 2026-05-31 |
| O20100930059278 | O | Physician - Orthopedic/Orthopedic Surgery | TX | 2026-07-31 |
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 76033)
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