Individual provider Active NPI

Garry Robert Pollock, M.D.

  • Orthopaedic Hand Surgery Physician
  • Lubbock, TX
National Provider Identifier
1164577672
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
J0204 Issued in TX
Practice address
4642 N Loop 289, Suite 105
Lubbock, TX 79416-2423
Phone
(806) 771-3030
Fax
(806) 771-3034
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X J0204 TX Primary

Addresses

Primary practice location

4642 N Loop 289, Suite 105
Lubbock, TX 79416-2423

Mailing address

4642 N Loop 289, Suite 105
Lubbock, TX 79416-2423
Phone (806) 771-3030

Other identifiers 1

IdentifierTypeStateIssuer
8H1561OtherTXBLUE CROSS BLUE SHIELD

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
I20031215000809 TX Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 2860399227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4642 N Loop 289
Suite 105
Lubbock, TX 79416-2422
Phone (806) 771-3030

Hospital & facility affiliations

  • Lubbock Heart Hospital LP Hospital, Lubbock, TX, CCN 450876

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Garry R Pollock, M.D., P.a. Hand Surgery CurrentSince Sep 15, 2003 Accepting new patients

Locations

4642 N Loop 289
Ste 105
Lubbock, TX 79416
Phone (806) 771-3030

Organizations & group practices 1

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 1

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1164577672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4642 N LOOP 289, SUITE 105",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794162423",
            "telephone_number": "806-771-3030",
            "fax_number": "806-771-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4642 N LOOP 289, SUITE 105",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794162423",
            "telephone_number": "806-771-3030",
            "fax_number": "806-771-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "GARRY",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "J0204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8H1561",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.