Active NPI
Barry B Prestridge, MD
- Otolaryngology Physician
- Wichita Falls, TX
National Provider Identifier
1407849219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D8387
- Practice address
- 1 Burnside
Wichita Falls, TX 76310-1123 - Phone
- (940) 322-6953
- Fax
- (940) 767-9301
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D8387 | TX | Primary |
Addresses
Primary practice location
1 Burnside
Wichita Falls, TX 76310-1123
Mailing address
1 Burnside
Wichita Falls, TX 76310-1123
Phone (940) 322-6953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122966801 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Texas Medical Branch at Galveston, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Burnside
Wichita Falls, TX 76310-1123
Phone (940) 322-6953
Hospital & facility affiliations
- United Regional Health Care System
- Electra Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.43 of 100
- Quality
- 79.33
- Promoting interoperability
- 96
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 18 |
| Removal of skin lesions | 20 |
| Skin biopsy | 41 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head & Neck Surgical Associates | Otolaryngology | Current | Accepting new patients |
| United Regional Health Care System Inc | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
1 Burnside
Wichita Falls, TX 76310
Phone (940) 264-5500
Interoperability endpoints
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- bprestridge14514@unitedregional.medalliesdirect.net
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
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.
-
- Otolaryngology Physician
- Wichita Falls, TX
- NPI 1053304030
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Electra, TX
- NPI 1871583153
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1407849219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BURNSIDE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763101123",
"telephone_number": "940-322-6953",
"fax_number": "940-767-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BURNSIDE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763101123",
"telephone_number": "940-322-6953",
"fax_number": "940-767-9301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTRIDGE",
"first_name": "BARRY",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "D8387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122966801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.