HEAD & NECK SURGICAL ASSOCIATES
NPI 1053304030
Otolaryngology in Wichita Falls, TX

Active since August 25, 2005
1 BURNSIDE, WICHITA FALLS, TX 76310(940) 322-6953(940) 767-9301 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Head & Neck Surgical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEAD & NECK SURGICAL ASSOCIATES (NPI 1053304030) is a healthcare organization registered as an otolaryngology in Wichita Falls, Texas and active in the NPI registry since August 2005. The organization lists Barry B Prestridge, President, as its authorized official.

NPPES Registry Identity

NPI1053304030
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameHEAD & NECK SURGICAL ASSOCIATES
Location Address1 BURNSIDEWichita Falls, TX 76310-1123
Mailing Address1 BurnsideWichita Falls, TX 76310-1123 · (940) 322-6953 · Fax (940) 767-9301
Fax(940) 767-9301
Organization SubpartNo
Authorized OfficialBarry B PrestridgePresident · (940) 322-6953
Enumeration DateAugust 25, 2005
Last NPPES UpdateMarch 18, 2015
✔ NPI 1053304030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1 BURNSIDE, Wichita Falls, TX 76310

Other Identifiers 2

Medicare PIN00QW53TX
Medicaid094815001TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Head & Neck Surgical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20040805001001Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Head & Neck Surgical Associates, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Otolaryngology6
Qualified Audiologist5
Nurse Practitioner2

Clinicians, nearest first (13)

Otolaryngology
NPI 1447435490
1 BURNSIDE
Wichita Falls, TX 76310
(940) 322-6955
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1306824578
1 BURNSIDE
Wichita Falls, TX 76310
(940) 264-5500
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1285845586
1 BURNSIDE
Wichita Falls, TX 76310
(940) 322-6953
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1770553471
1 BURNSIDE
Wichita Falls, TX 76310
(940) 322-2498
✔ Accepts MedicareSame address
Otolaryngology
NPI 1073824983
1 BURNSIDE
Wichita Falls, TX 76310
(940) 264-5500
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1407849219
1 BURNSIDE
Wichita Falls, TX 76310
(940) 322-6953
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841611910
4327 BARNETT RD
Wichita Falls, TX 76310
(940) 322-6953
✔ PECOS✔ Accepts Medicare0.1 mi
Otolaryngology
NPI 1306208004
1 BURNSIDE
Wichita Falls, TX 76310
(940) 264-8526
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1811688005
1 BURNSIDE
Wichita Falls, TX 76310
(940) 322-6953
✔ PECOS✔ Accepts Medicare0.2 mi
Qualified Audiologist
NPI 1629655873
1 BURNSIDE
Wichita Falls, TX 76310
(940) 322-2498
✔ Accepts Medicare0.2 mi
Qualified Audiologist
NPI 1730330465
5220 W UNIVERSITY DR BLDG 2
Mckinney, TX 75071
(972) 984-1050
118 mi
Qualified Audiologist
NPI 1013171503
1600 COIT RD STE 103
Plano, TX 75075
(972) 867-9135
✔ Accepts Medicare120 mi
Qualified Audiologist
NPI 1073996591
2070 OLD BRIDGE RD STE 103
Woodbridge, VA 22192
(703) 499-8787
✔ Accepts Medicare1,232 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Head & Neck Surgical Associates's NPI number?

The NPI number for Head & Neck Surgical Associates is 1053304030. It was assigned to this organization in the NPPES registry on August 25, 2005.

Where is Head & Neck Surgical Associates located?

Head & Neck Surgical Associates is located at 1 Burnside, Wichita Falls, TX 76310. The listed phone number is (940) 322-6953.

What is Head & Neck Surgical Associates's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Head & Neck Surgical Associates enrolled in Medicare?

Yes. Head & Neck Surgical Associates is registered in the Medicare PECOS enrollment system.

When is Head & Neck Surgical Associates's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Head & Neck Surgical Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Head & Neck Surgical Associates. A 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 the clinician's services. The largest specialties are Otolaryngology (6), Qualified Audiologist (5) and Nurse Practitioner (2). Of these, 6 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Head & Neck Surgical Associates was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.