Individual provider Active NPI

Pablo Ernesto Splenser, MD

  • Family Medicine Physician
  • Lufkin, TX
National Provider Identifier
1154523231
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M9025 Issued in TX
Practice address
1204 S 1St St
Lufkin, TX 75901-4716
Phone
(936) 229-3745
Fax
(936) 255-2052
NPI assigned
Jun 1, 2007
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M9025 TX Primary

Addresses

Primary practice location

1204 S 1St St
Lufkin, TX 75901-4716

Mailing address

901 Woodland Dr
Lufkin, TX 75904-4333
Phone (936) 639-1224

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
I20100719000101 TX Practitioner - Family Practice 6204968837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1204 S 1St St
Lufkin, TX 75901-4716
Phone (936) 229-3745

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.35 of 100Reported as apm
Quality
58.35
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Splenser Family Medicine Single Specialty CurrentSince Apr 27, 2020 Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
SLP Diboll LLC Past Accepting new patients

Locations

1204 S 1st St
Lufkin, TX 75901
Phone (936) 229-3745

2306 W Frank Ave
Ste A
Lufkin, TX 75904
Phone (936) 229-3745

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Diboll Nursing and RehabDiboll, TX, CCN 675907 Skilled nursing facility Adp of the SNF Sep 1, 2020
Corrigan LTC Nursing & RehabilitationCorrigan, TX, CCN 676072 Skilled nursing facility Adp of the SNF Oct 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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

Hospital & facility affiliations 12

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1154523231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WOODLAND DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759044333",
            "telephone_number": "936-639-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 S 1ST ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759014716",
            "telephone_number": "936-229-3745",
            "fax_number": "936-255-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPLENSER",
        "first_name": "PABLO",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.