Diagnostic Therapuetics – Physiological Laboratory, NPI 1952583460
Physiological Laboratory
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Diagnostic Therapuetics
1550 NE LOOP 410
STE 204
SAN ANTONIO, TX 782091610
Phone: (210) 826-4000
Fax: (210) 826-4101
Type: Location
Subway, 4412, 50th Street, Lubbock, Texas, 79414, United States
LUBBOCK, TX 794143610
Phone: (806) 785-9600
Fax: (806) 785-9601
Type: Mailing
11931 FRANKFORD AVE
LUBBOCK, TX 794246342
Phone: (806) 785-9600
Fax: (806) 785-9601
Type: Mailing
PO BOX 64454
LUBBOCK, TX 794644454
Phone: (210) 826-4000
Fax: (210) 826-4101
Type: Mailing
10707 MILWAUKEE AVE
LUBBOCK, TX 794246153
Phone: (210) 826-4000
Fax: (210) 826-4101
Type: Mailing
14802 JONES MALTSBERGER RD STE 2202
SAN ANTONIO, TX 782473763
Phone: (210) 826-4000
Fax: (210) 826-4101
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: 2012-06-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| O20120607000556 | O | Independent Diagnostic Testing Facility (Idtf) | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95810 | Sleep study in sleep lab (6 years or older) | 54 | 54 | $0 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 38 | 37 | $0 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 14 | 14 | $0 |
Insurance plans in this area (ZIP 78209)
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