JOHN ROUFAIL M.D
NPI 1033454194
Neurological Surgery in Denison, TX
About John Roufail M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN ROUFAIL M.D (NPI 1033454194) is an individual neurological surgery provider in Denison, Texas, licensed in Texas (V6387) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and maintains a secondary practice location in Durant.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Roufail M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show John Roufail reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denison, TX 75020
- Reassigned Medicare billing, Oklahoma and Texas enrollments
- 6 clinicians in this Medicare group
Ida Grove, IA 51445
- Reassigned Medicare billing, South Dakota enrollment
- 826 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Texoma Medical Center
Acute Care Hospitals · Denison, TXWilson N Jones Regional Medical Center
Acute Care Hospitals · Sherman, TXTmc- Bonham Hospital
Critical Access Hospitals · Bonham, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DENISON, TX 75020
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Roufail's NPI number?
The NPI number for John Roufail is 1033454194. It was assigned to this individual provider in the NPPES registry on November 30, 2012.
Where is John Roufail located?
John Roufail practices at 5012 S Us Highway 75 Ste 300, Denison, TX 75020. The listed phone number is (903) 416-6065.
What is John Roufail's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is John Roufail enrolled in Medicare?
Yes. John Roufail is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for John Roufail's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Roufail reassigns Medicare benefits to 2 organizations: Texomacare Specialty Physicians (Denison, TX) and Sanford Clinic (Ida Grove, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Roufail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Roufail accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Mending Health, Providence Health Plan and UnitedHealthcare list John Roufail as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is John Roufail affiliated with any hospitals?
According to CMS data, John Roufail is affiliated with Texoma Medical Center, Wilson N Jones Regional Medical Center and Tmc- Bonham Hospital.
When was this NPI record last updated?
The NPPES record for John Roufail was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John Roufail, M.D · NPI 1033454194
Neurological Surgery physician in Denison, Texas. Individual provider, active in the CMS NPPES registry since November 30, 2012.
## Identity
- **NPI:** 1033454194 (Entity type: Individual)
- **Enumerated:** November 30, 2012
- **Primary specialty:** Neurological Surgery · taxonomy 207T00000X
- **State license:** V6387 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5012 S US HIGHWAY 75 STE 300, Denison, TX 75020-4589
- **Phone:** (903) 416-6065
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Texomacare Specialty Physicians (NPI 1548541733, Denison, TX); Sanford Clinic (NPI 1265457964, Ida Grove, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** March 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033454194) · Data from the CMS NPPES public registry.