R3 Hyperbarics – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1871041913
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for R3 Hyperbarics
4545, Heritage Trace Parkway, Fort Worth, Tarrant County, Texas, 76244, United States
FORT WORTH, TX 762448921
Phone: (210) 582-5304
Fax: (210) 582-5307
Type: Mailing
9151 BOULEVARD 26 STE 150B
NORTH RICHLAND HILLS, TX 761805600
Phone: (682) 683-2301
Type: Mailing
4545 HERITAGE TRACE PKWY STE 1500
FORT WORTH, TX 762448938
Phone: (210) 582-5304
Fax: (210) 582-5307
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: 2018-03-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (771 days ago).
Enrollment records
1
Earliest due date
2024-04-30
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 |
|---|---|---|---|---|
| O20180308001587 | O | Clinic/Group Practice | TX | 2024-04-30 |
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 76244)
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