Individual provider Active NPI

Dylan Thomas Homen, MD

  • Orthopaedic Surgery Physician
  • Lubbock, TX
National Provider Identifier
1346760089
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
U5985 Issued in TX
Practice address
301 Utica Ave
Lubbock, TX 79416-3111
Phone
(806) 797-4985
Fax
(806) 792-8588
NPI assigned
Jun 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X BP10059623 TX
Orthopaedic Surgery Physician 207X00000X U5985 TX Primary

Addresses

Primary practice location

301 Utica Ave
Lubbock, TX 79416-3111

Mailing address

301 Utica Ave
Lubbock, TX 79416-3111
Phone (806) 797-4985

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
I20230911003856 TX Practitioner - Orthopedic Surgery 4082985312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Orthopedic Surgery L.L.P. 13 clinicians

Practice addresses (Care Compare)

301 Utica Ave
Lubbock, TX 79416-3111
Phone (806) 797-4985

Hospital & facility affiliations

  • Lubbock Heart Hospital LP Hospital, Lubbock, TX, CCN 450876
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
  • Brownfield Regional Medical Center Hospital, Brownfield, TX, CCN 450399
  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Roosevelt General Hospital Hospital, Portales, NM, CCN 320084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement88
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10059623TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Surgery L.L.P. Orthopaedic Surgery CurrentSince Sep 1, 2023 Accepting new patients
Jason a Ramsey Mdpa Sportszone Orthopedics Orthopaedic Surgery CurrentSince Jan 4, 2026 Accepting new patients
Texas Tech University Health Sciences Center Lubbock PastSince Jul 1, 2022 Accepting new patients

Locations

301 Utica Ave
Lubbock, TX 79416
Phone (806) 797-4985

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 9

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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1346760089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UTICA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163111",
            "telephone_number": "806-797-4985",
            "fax_number": "806-792-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UTICA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163111",
            "telephone_number": "806-797-4985",
            "fax_number": "806-792-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMEN",
        "first_name": "DYLAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "BP10059623",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "U5985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.