Individual provider Active NPI

Breck James Wheelock, PA-C

  • Surgical Physician Assistant
  • Richardson, TX
National Provider Identifier
1174879159
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA11268 Issued in TX
Practice address
1202 E Arapaho Rd Ste 122
Richardson, TX 75081-2400
Phone
(469) 250-4422
Fax
(469) 250-7068
NPI assigned
Jul 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA11268 TX Primary

Addresses

Primary practice location

1202 E Arapaho Rd Ste 122
Richardson, TX 75081-2400

Mailing address

3104 Rockbrook Dr
Plano, TX 75074-4625
Phone (562) 846-8191

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170705002002 TX Practitioner - Physician Assistant 7618129677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthotx PLLCGroup PAC ID 9739161704, 83 clinicians

Practice addresses (Care Compare)

800 Orthopedic Way
Dba Arlington Ortho
Arlington, TX 76015-1629
Phone (817) 375-5200

Hospital & facility affiliations

  • Baylor Scott and White Orthopedic and Spine Hospi Hospital, Arlington, TX, CCN 670067
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

Merit-based Incentive Payment System (MIPS)

Final score
89.4 of 100Reported as group
Quality
77.91
Promoting interoperability
100
Improvement activities
40
Cost
86.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11268TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotx, PLLC Single Specialty CurrentSince Sep 28, 2020 Accepting new patients
Wheelock Surgical Assist PLLC Surgical CurrentSince Aug 1, 2018 Accepting new patients
Orthotx, PLLC CurrentSince Sep 28, 2020 Accepting new patients

Locations

800 Orthopedic Way
Arlington, TX 76015
Phone (817) 375-5375

701 Highlander Blvd
#370
Arlington, TX 76015

2716 Travis Dr
Desoto, TX 75115
Phone (817) 375-5246

2423 W Airport Fwy
Irving, TX 75062
Phone (817) 375-5312

1441 S Midlothian Pkwy
Ste 130
Midlothian, TX 76065

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 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": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1174879159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 ROCKBROOK DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750744625",
            "telephone_number": "562-846-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E ARAPAHO RD STE 122",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812400",
            "telephone_number": "469-250-4422",
            "fax_number": "469-250-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELOCK",
        "first_name": "BRECK",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA11268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.