Individual provider Active NPI

Barry B Prestridge, MD

  • Otolaryngology Physician
  • Wichita Falls, TX
National Provider Identifier
1407849219
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D8387 Issued in TX
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

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
122966801MedicaidTX

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
I20110404000784 TX Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 8729157581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
University of Texas Medical Branch at Galveston, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Head and Neck Surgical AssociatesGroup PAC ID 8022089622, 11 clinicians

Practice addresses (Care Compare)

1 Burnside
Wichita Falls, TX 76310-1123
Phone (940) 322-6953

Hospital & facility affiliations

  • United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010
  • Electra Memorial Hospital Hospital, Electra, TX, CCN 451343

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as individual
Quality
79.33
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal of skin lesions20
Skin biopsy41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Head & Neck Surgical Associates Otolaryngology CurrentSince Mar 17, 1987 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

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: bprestridge14514@unitedregional.medalliesdirect.net
  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.