Individual provider Active NPI

Mitchell Franklin Fagelman, M.D.

  • Orthopaedic Surgery Physician
  • Carrollton, TX
National Provider Identifier
1801985643
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M4058 Issued in TX
Practice address
4780 N Josey LN
Carrollton, TX 75010-4615
Phone
(972) 492-1334
Fax
(972) 492-5174
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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 M4058 TX Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X M4058 TX

Addresses

Primary practice location

4780 N Josey LN
Carrollton, TX 75010-4615

Mailing address

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

Other identifiers 5

IdentifierTypeStateIssuer
8CR160OtherTXBCBS TX 02/01/2011
P00913362OtherTXMEDICARE RAILROAD - EFFECT. 02/01/11
6484850003OtherTXMEDICARE NSC - EFFECT. 02/01/11
2012460MedicaidTX
TXB117511OtherTXMEDICARE PART B - EFFECT. 02/01/2011

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
I20070626000833 TX Practitioner - Orthopedic Surgery 0345349668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at Houston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians
Orthotexas Physicians and Surgeons, PLLCGroup PAC ID 3375724792, 35 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

2710 N Josey LN
301 Green Oaks Carrollton
Carrollton, TX 75007-5400
Phone (469) 701-9108

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

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

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

  • Baylor Scott & White Medical Center - Frisco Hospital, Frisco, TX, CCN 450853
  • Methodist McKinney Hospital Hospital, McKinney, TX, CCN 670069
  • Muenster Memorial Hospital Hospital, Muenster, TX, CCN 451335
  • Texoma Medical Center Hospital, Denison, TX, CCN 450324
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)136

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotexas Physicians and Surgeons, PLLC Orthopaedic Surgery Current Accepting new patients
Orthotexas Physicians and Surgeons, PLLC Orthopaedic Surgery CurrentSince Feb 1, 2011 Accepting new patients
Orthotexas Physicians and Surgeons, PLLC Orthopaedic Surgery CurrentSince Feb 1, 2011 Accepting new patients
Metrocrest Orthopaedics & Sports Medicine Past Accepting new patients
North Star FM, LP Past Accepting new patients
Orthopaedic Associates of North Texas PA Orthopaedic Surgery Past Accepting new patients
Frisco Medical Center LLP PastSince Dec 31, 2021 Accepting new patients

Locations

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

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

Interoperability endpoints

  • Direct secure messaging: mitchell.fagelman.1@15749.direct.athenahealth.com

Organizations & group practices 7

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 6

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1801985643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104615",
            "telephone_number": "972-492-1334",
            "fax_number": "972-492-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104615",
            "telephone_number": "972-492-1334",
            "fax_number": "972-492-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGELMAN",
        "first_name": "MITCHELL",
        "middle_name": "FRANKLIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M4058",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "M4058",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX 02/01/2011",
            "identifier": "8CR160",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD - EFFECT. 02/01/11",
            "identifier": "P00913362",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC - EFFECT. 02/01/11",
            "identifier": "6484850003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012460",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B - EFFECT. 02/01/2011",
            "identifier": "TXB117511",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.