DR. BENTON R. MIDDLEMAN M.D.
NPI 1235165713
Pathology - Anatomic Pathology & Clinical Pathology in Dallas, TX


Quality Rating: 78.06 out of 100 score

NPI Status: Active since June 25, 2006

Contact Information

3600 GASTON AVE
WADLEY TOWER, 261
DALLAS, TX
ZIP 75246
Phone: (214) 818-9100
Fax: (214) 818-9180

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  • Individual
  • Male
  • Years of Experience 33
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About BENTON MIDDLEMAN

This page provides the complete NPI Profile along with additional information for Benton Middleman, a provider established in Dallas, Texas with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology and more than 33 years of experience. He graduated from University Of Texas Medical School At Houston in 1993. The healthcare provider is registered in the NPI registry with number 1235165713 assigned on June 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number J6596 (TX). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1235165713
Provider Name
DR. BENTON R. MIDDLEMAN M.D.
Gender
Male
Entity Type
Individual
Location Address
3600 GASTON AVE WADLEY TOWER, 261 DALLAS, TX 75246
Location Phone
(214) 818-9100
Location Fax
(214) 818-9180
Mailing Address
3600 GASTON AVE BARNETT TOWER, 261 DALLAS, TX 75246
Mailing Phone
(214) 823-6492
Mailing Fax
(214) 818-9180
Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year
1993
Is Sole Proprietor?
No
Enumeration Date
06-25-2006
Last Update Date
03-31-2022
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Location Map

Secondary Locations

  • 1010 Airpark Center Dr
    Nashville, TN 37217
    (615) 562-9200

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
J6596
License State
TX
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ZP0102XAllopathic & Osteopathic Physicians

Pathology
Anatomic Pathology & Clinical Pathology

0000062995 (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • CHRISTUS Bronze - HMO
  • CHRISTUS Bronze Essential - HMO
  • CHRISTUS Bronze Essential Plus - HMO
  • CHRISTUS Bronze Plus - HMO
  • CHRISTUS Catastrophic - HMO
  • CHRISTUS Gold - HMO
  • CHRISTUS Gold Essential - HMO
  • CHRISTUS Gold Essential Plus - HMO
  • CHRISTUS Gold Plus - HMO
  • CHRISTUS Silver - HMO
  • CHRISTUS Silver Essential - HMO
  • CHRISTUS Silver Essential Plus - HMO
  • CHRISTUS Silver Plus - HMO
  • CHRISTUS Standard Expanded Bronze - HMO
  • CHRISTUS Standard Gold - HMO
  • CHRISTUS Standard Silver - HMO
  • Community Premier Bronze 003 (No deductible for PCP, Free Preventive Care, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Bronze 018 (No deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Gold 005 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Gold 021 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 020 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic - EPO
  • Gold Classic Guided Care - HMO
  • Gold Classic Standard - EPO
  • Gold Classic Standard Guided Care - HMO
  • Gold Elite - EPO
  • Gold Simple Guided Care - HMO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard Guided Care - HMO
  • Silver Simple Chronic Care CKM Guided Care - HMO
  • Silver Simple Diabetes Guided Care - HMO
  • Silver Simple Guided Care - HMO
  • Silver Simple PCP Saver - EPO
  • Silver Simple PCP Saver Guided Care - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
042637101MEDICAID (05)TX 
83P752OTHER (01)TXBLUE CROSS BLUE SHEILD
P00101012OTHER (01)TXRAILROAD MEDICARE

Medicare Participation & PECOS Enrollment Status

Benton Middleman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Benton Middleman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5698936946

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120412000361, I20220413001124

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Hemoglobin analysis and measurement, electrophoresis

Hemoglobin analysis and measurement, electrophoresis, is a lab test that separates and identifies proteins in your blood. It's used to diagnose conditions affecting red blood cells. It's a simple, painless procedure where a small blood sample is taken and analyzed.

This service was performed 78 times for 78 patients

Immunologic analysis technique on body fluid, other fluids with concentration

Immunologic analysis is a diagnostic method that assesses your body fluids to detect health issues. It involves concentrating these fluids to enhance detection of specific proteins or cells. It helps identify immune system responses, aiding in accurate diagnosis and treatment.

This service was performed 709 times for 675 patients

Immunologic analysis technique on serum (immunofixation)

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

This service was performed 17,060 times for 9,112 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 523 times for 506 patients

Molecular pathology procedure; physician interpretation and report

A molecular pathology procedure involves analyzing your body's cells at a molecular level to identify any abnormalities. This can help detect diseases early. A physician will interpret the results and provide a detailed report, explaining the findings clearly.

This service was performed 15 times for 11 patients

Protein measurement, body fluid

A protein measurement of body fluid is a test that gauges the amount of proteins in your fluids. This analysis helps in detecting various health conditions. It's done via a simple sample collection process, usually from blood or urine, in a safe and painless manner.

This service was performed 1,194 times for 1,137 patients

Protein measurement, serum

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

This service was performed 22,972 times for 13,451 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.75 for a new patient copayment and $25.2 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 75246 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $131.01
  • Minimum New Patient Price $57.18
  • Maximum New Patient Price $172.86
  • Average New Patient Copayment $32.75
  • Minimum New Patient Copayment $14.29
  • Maximum New Patient Copayment $43.21

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.8
  • Minimum Established Patient Price $18.48
  • Maximum Established Patient Price $141.2
  • Average Established Patient Copayment $25.2
  • Minimum Established Patient Copayment $4.62
  • Maximum Established Patient Copayment $35.3

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 78.06, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 78.06 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 72

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Implementation of formal quality improvement methods, practice changes, or other practice improvement processesYesN/A
Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data.
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral LoopYesN/A
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235165713
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265261072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 2 + 6 + 1 + 0 + 7 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1235165713 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043215429 NORMAN SLUSHER M.D.
Individual
Ophthalmology3600 GASTON AVE STE 964
DALLAS, TX 75246
(214) 826-7470
1508861527DR. GEORGE JACKSON SNIPES JR. M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3600 GASTON AVE WADLEY TOWER, #261
DALLAS, TX 75246
(214) 823-6492
1871598466HEALTHTEXAS PROVIDER NETWORK - CARDIO-THORACIC SERVICES LLP
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)3600 GASTON AVE STE 404
DALLAS, TX 75246
(214) 827-3890
1437154077HEALTHTEXAS PROVIDER NETWORK-NEUROSURGICAL ASSOCIATES, LLP
Organization
Neurological Surgery3600 GASTON AVE STE 1158-WADLEY
DALLAS, TX 75246
(214) 820-8585
1144226218HEALTHTEXAS PROVIDER NETWORK-ORTHOPEDIC SERVICES, LLP
Organization
Orthopaedic Surgery3600 GASTON AVE STE 1101
DALLAS, TX 75246
(214) 820-8350
1376541193HEALTHTEXAS PROVIDER NETWORK
Organization
Orthopaedic Surgery3600 GASTON AVE SUITE 1101
DALLAS, TX 75246
(214) 820-7010
1295736437DR. JOHN MICHAEL JORDAN M.D.
Individual
Internal Medicine (Pulmonary Disease)3600 GASTON AVE SUITE 806
DALLAS, TX 75246
(214) 824-8521
1225028988 ANNAH M KING OTR/L, CHT
Individual
Specialist3600 GASTON AVE SUITE 450
DALLAS, TX 75246
(214) 823-5351
1174508311DR. MARYAM ZAMANIAN MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)3600 GASTON AVE SUITE 454
DALLAS, TX 75246
(214) 820-8940
1841279791 JOHN EDWARD CAPEHART MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)3600 GASTON AVE STE 404 BARNETT TOWER
DALLAS, TX 75246
(214) 824-6718
1790756369DR. CAROL FAITH ADAIR M.D.
Individual
Pathology (Anatomic Pathology)3600 GASTON AVE SUITE 261 WADLEY TOWER
DALLAS, TX 75246
(214) 818-9100
1316912876 TROY W SCOTT M.D.
Individual
Specialist3600 GASTON AVE BARNETT TOWER SUITE 906
DALLAS, TX 75246
(214) 824-8310
1396710224DR. BRUCE ALLEN SMITH M.D.
Individual
Surgery3600 GASTON AVE STE. 710
DALLAS, TX 75246
(214) 827-5820
1982666434PHILIP L KELTON JR MD PA
Organization
Surgery (Plastic and Reconstructive Surgery)3600 GASTON AVE WADLEY TOWER SUITE 1054
DALLAS, TX 75246
(214) 826-8950
1144282211ERIK FETNER, M.D., P.A.
Organization
Colon & Rectal Surgery3600 GASTON AVE SUITE 1209
DALLAS, TX 75246
(214) 824-2573
1720045479DR. FREDERICK C. LESTER M.D.
Individual
Plastic Surgery3600 GASTON AVE #751
DALLAS, TX 75246
(214) 821-6580
1013975176 DAVID TAYLOR
Individual
Specialist3600 GASTON AVE SUITE 458
DALLAS, TX 75246
(214) 823-3571
1801854187DR. SAMUEL PHILIP MARYNICK M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)3600 GASTON AVE SUITE 506 BARNETT TOWER
DALLAS, TX 75246
(214) 828-2444
1487612156DR. JAVED GILL MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3600 GASTON AVE WADLEY TOWER, #261
DALLAS, TX 75246
(214) 823-6492
1598717084 THOMAS W NEWSOME M.D.
Individual
Surgery3600 GASTON AVE SUITE 904
DALLAS, TX 75246
(214) 821-5410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235165713, enumerated in the NPI registry as an "individual" on June 25, 2006

The provider is located at 3600 Gaston Ave Wadley Tower, 261 Dallas, Tx 75246 and the phone number is (214) 818-9100

The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology

The provider has more than 33 years of experience. He graduated from University Of Texas Medical School At Houston in 1993.

The provider might be accepting Accepts: Aetna CVS Health, Baylor Scott and White Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $131.01 with an average copayment of $32.75 for new patient appointments. Established patients should expect a typical charge of $100.8 and an average copayment of 25.2. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Hemoglobin analysis and measurement, electrophoresis, Immunologic analysis technique on body fluid, other fluids with concentration, Immunologic analysis technique on serum (immunofixation), Insertion of needle into vein for collection of blood sample, Molecular pathology procedure; physician interpretation and report, Protein measurement, body fluid and Protein measurement, serum.

This NPI record was last updated on June 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.