Individual provider Active NPI

Alyson Buick Pico, DO

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1851739932
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
6095 Issued in GA
Practice address
6100 Harris Pkwy Ste 235
Fort Worth, TX 76132-4126
Phone
(817) 776-4722
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 6095 GA Primary

Addresses

Primary practice location

6100 Harris Pkwy Ste 235
Fort Worth, TX 76132-4126

Mailing address

6100 Harris Pkwy Ste 235
Fort Worth, TX 76132-4126
Phone (817) 776-4722

Other practice location 1

777 Hemlock St
MSC 167
Macon, GA 31201-2102
Phone (478) 633-1710

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
I20171012002522 TX Practitioner - Obstetrics/Gynecology 0547564023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Texas HSC, College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Womens Healthcare of Texas PLLCGroup PAC ID 4385944230, 180 clinicians

Practice addresses (Care Compare)

1001 N Waldrop Dr
Arlington, TX 76012-4703

6100 Harris Pkwy
Fort Worth, TX 76132-4101
Phone (817) 433-5000

6124 W Parker Rd
Plano, TX 75093-8124
Phone (972) 981-7777

805 Hill Blvd
Unit 104
Granbury, TX 76048-1482
Phone (817) 776-4722

Hospital & facility affiliations

  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779

Merit-based Incentive Payment System (MIPS)

Final score
87.86 of 100Reported as group
Quality
85.25
Promoting interoperability
100
Improvement activities
40
Cost
74.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6095GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Randall Burt MD PA Current Accepting new patients
Unified Women'S Healthcare of Texas PLLC Obstetrics & Gynecology CurrentSince Aug 21, 2017 Accepting new patients
Steven R. Macdonald, M.D., P.a. Current Accepting new patients
Texas Health Harris Methodist Hospital Southwest Fort Worth Past Accepting new patients

Locations

1001 N Waldrop Dr
Ste 505
Arlington, TX 76012
Phone (817) 277-9415

6100 Harris Pkwy
Ste 200
Fort Worth, TX 76132
Phone (817) 335-5200

6100 Harris Pkwy
Ste 235
Fort Worth, TX 76132
Phone (817) 263-7200

6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777

Interoperability endpoints

  • Direct secure messaging: alyson.pico.1@11541.direct.athenahealth.com
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

Organizations & group practices 4

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 2

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": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851739932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY STE 235",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324126",
            "telephone_number": "817-776-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY STE 235",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324126",
            "telephone_number": "817-776-4722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hemlock St",
            "address_2": "MSC 167",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012102",
            "country_code": "US",
            "telephone_number": "478-633-1710",
            "fax_number": "478-633-7476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICO",
        "first_name": "ALYSON",
        "middle_name": "BUICK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "6095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.