NPIMap

Individual provider Active NPI

Richard C Schutt, PAC

  • Physician Assistant
  • Carrollton, TX
National Provider Identifier
1306984679
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05910 Issued in TX
Practice address
4780 N Josey Lane
Carrollton, TX 75010
Phone
(972) 492-1334
Fax
(972) 395-2219
NPI assigned
Feb 1, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085002869 IL
Physician Assistant 363A00000X PA05910 TX Primary

Addresses

Primary practice location

4780 N Josey Lane
Carrollton, TX 75010

Mailing address

4780 N Josey Lane
Carrollton, TX 75010
Phone (972) 492-1334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090406000639 TX Practitioner - Physician Assistant 1153424288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4031 W Plano Pkwy
Suite 100
Plano, TX 75093-5617
Phone (972) 985-1072

4031 W Plano Pkwy
Suite 200
Plano, TX 75093-5637
Phone (972) 596-1715

4780 N Josey LN
Carrollton, TX 75010-4615
Phone (972) 492-1334

5757 Warren Pkwy
Suite 180
Frisco, TX 75034-4548
Phone (972) 985-1072

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA05910TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotexas Physicians and Surgeons, PLLC CurrentSince May 3, 2011 Accepting new patients
Doctx3 PLLC CurrentSince Jan 1, 2018 Accepting new patients
Doctx3 PLLC CurrentSince Jan 1, 2018 Accepting new patients
Orthotexas Physicians and Surgeons, PLLC CurrentSince May 3, 2011 Accepting new patients
Orthopaedic Associates of North Texas PA Past Accepting new patients

Locations

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

Interoperability endpoints

  • Direct secure messaging: richard.schutt.1@15749.direct.athenahealth.com

Organizations & group practices 6

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 4

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306984679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 N JOSEY LANE",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "972-492-1334",
            "fax_number": "972-395-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 N JOSEY LANE",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "972-492-1334",
            "fax_number": "972-395-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTT",
        "first_name": "RICHARD",
        "middle_name": "C",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002869",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.