Ameripath Lubbock 501a Corporation

A Medicare group practice based in Fort Worth, TX: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 5890690085), with 20 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5890690085The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
NM, TX
Enrollments
3
Group size
18 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
17In 7 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20031201000711 TX Part B Supplier - Clinic/Group Practice 1134190705
O20080331000405 TX Part B Supplier - Independent Clinical Laboratory 1184788630
O20080501000102 NM Part B Supplier - Clinic/Group Practice 1134190705

NPIs in this group 6

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
75 of 100Reported as group

Clinicians 20

Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (18).

Sources for this page