Individual provider Active NPI

Presley M. Mock, MD

  • Otolaryngology Physician
  • Dallas, TX
National Provider Identifier
1013963172
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
H2615 Issued in TX
Practice address
8440 Walnut Hill LN
Ste 500
Dallas, TX 75231-3833
Phone
(214) 345-1491
Fax
(214) 345-5708
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X H2615 TX Primary

Addresses

Primary practice location

8440 Walnut Hill LN
Ste 500
Dallas, TX 75231-3833

Mailing address

8440 Walnut Hill LN
Suite 500
Dallas, TX 75231-3833
Phone (214) 345-1494

Other identifiers 2

IdentifierTypeStateIssuer
125805502MedicaidTX
040007318OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000147 TX Practitioner - Otolaryngology 8729047386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical School at San Antonio, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8440 Walnut Hill LN
Suite 500
Dallas, TX 75231-3833
Phone (214) 345-1494

Hospital & facility affiliations

  • Texas Institute for Surgery at Presbyterian Hospit Hospital, Dallas, TX, CCN 450889
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as individual
Quality
81.14
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Medical and Surgical Associates PA Otolaryngology CurrentSince Feb 1, 1988 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

8440 Walnut Hill Ln
Ste 500
Dallas, TX 75231
Phone (214) 345-1400

Interoperability endpoints

  • Direct secure messaging: presley.mock.1@863.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1013963172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN",
            "address_2": "SUITE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313833",
            "telephone_number": "214-345-1494",
            "fax_number": "214-345-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN",
            "address_2": "STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313833",
            "telephone_number": "214-345-1491",
            "fax_number": "214-345-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "PRESLEY",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "H2615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125805502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040007318",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.