Individual provider Active NPI

Boyd S Fenton, M.D.

  • Gastroenterology Physician
  • Lubbock, TX
National Provider Identifier
1174564694
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
K8898 Issued in TX
Practice address
4309 102ND St
Lubbock, TX 79423-5708
Phone
(806) 761-0747
Fax
(806) 761-0751
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X K8898 TX Primary

Addresses

Primary practice location

4309 102ND St
Lubbock, TX 79423-5708

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545
Phone (806) 761-0334

Other practice location 1

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-9700

Other identifiers 1

IdentifierTypeStateIssuer
166658801MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address boyd.fenton@direct.myteamcare.com Direct UMC Physicians

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
I20040712001215 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 2466430871 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc PhysiciansGroup PAC ID 9830003631, 107 clinicians

Practice addresses (Care Compare)

4309 102ND St
Lubbock, TX 79423-5708
Phone (806) 761-0747

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Upper gastrointestinal (GI) endoscopy for acid reflux115

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Medical Center Brownwood CurrentSince Jun 1, 2024 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
Hendrick Provider Network CurrentSince Aug 1, 2023 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Nov 1, 2019 Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Nov 1, 2019 Accepting new patients
Hendrick Medical Center Brownwood CurrentSince Jun 1, 2024 Accepting new patients
Hendrick Provider Network CurrentSince Aug 1, 2023 Accepting new patients
Umc Physicians Gastroenterology CurrentSince Jan 1, 2023 Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

2371 Crockett Dr
Ste 104
Brownwood, TX 76801
Phone (325) 430-6319

4370 Medical Arts Dr
Ste 295
Flower Mound, TX 75028
Phone (972) 691-3777

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400

3610 24th St
Lubbock, TX 79410
Phone (806) 793-3141

5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

3502 9th St
Ste 270
Lubbock, TX 79415
Phone (806) 744-1171

4309 102nd St
Lubbock, TX 79423
Phone (806) 761-0747

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

Interoperability endpoints

  • Direct secure messaging: boyd.fenton@direct.myteamcare.com

Organizations & group practices 8

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 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1174564694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073545",
            "telephone_number": "806-761-0334",
            "fax_number": "806-785-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 102ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794235708",
            "telephone_number": "806-761-0747",
            "fax_number": "806-761-0751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794153364",
            "country_code": "US",
            "telephone_number": "806-775-9700",
            "fax_number": "806-472-6802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENTON",
        "first_name": "BOYD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "K8898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166658801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "boyd.fenton@direct.myteamcare.com",
            "affiliation": "Y",
            "affiliationName": "UMC Physicians",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4309 102nd St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794235708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.