North Texas Orthopaedic and Spine – Orthopaedic Surgery Physician, NPI 1831670397
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for North Texas Orthopaedic and Spine
1030 N Grandview Ave
Odessa, TX 797613149
Phone: (214) 592-9955
Fax: (214) 592-9935
Type: Location
1401 Henderson St
Fort Worth, TX 761026026
Phone: (817) 332-3664
Type: Location
6130 W Parker Rd Ste 516
Plano, TX 750938033
Phone: (214) 592-9955
Type: Location
955 Garden Park Dr # 2000
Allen, TX 750133742
Phone: (214) 592-9955
Fax: (214) 592-9935
Type: Location
8668 Skillman St
Dallas, TX 752438216
Phone: (214) 592-9955
Fax: (214) 592-9935
Type: Location
3865 Childress Ave # 101
Mesquite, TX 751502802
Phone: (214) 592-9955
Fax: (214) 592-9935
Type: Location
1018 E Wheatland Rd
Duncanville, TX 751164914
Phone: (214) 592-9955
Fax: (214) 592-9935
Type: Location
4295 Kinsey Dr
Tyler, TX 757031004
Phone: (214) 592-9955
Fax: (214) 592-9935
Type: Location
3101 Churchill Dr
Flower Mound, TX 750222799
Phone: (214) 592-9955
Fax: (214) 592-9935
Type: Location
1000 Pennsylvania Ave
Fort Worth, TX 761042227
Phone: (214) 592-9955
Fax: (214) 592-9935
Type: Location
500 Lipscomb St
Fort Worth, TX 761042200
Phone: (214) 592-9955
Fax: (214) 592-9935
Type: Location
2701 S Hampton Rd
Dallas, TX 752242367
Phone: (214) 592-9955
Fax: (214) 592-9935
Type: Location
4090, Mapleshade Lane, Cowley, Plano, Collin County, Texas, 75075, United States
PLANO, TX 750930024
Phone: (214) 400-2905
Fax: (214) 592-9935
Type: Mailing
Mapleshade Lane, Plano, Collin County, Texas, 75-75, United States
PLANO, TX 750930025
Phone: (214) 400-2905
Fax: (214) 592-9935
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: 2018-11-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (219 days ago).
Enrollment records
1
Earliest due date
2025-10-31
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 |
|---|---|---|---|---|
| O20181107001822 | O | Clinic/Group Practice | TX | 2025-10-31 |
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 79761)
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