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MR. DAVID PEARCE FANNON MPAS, PA-C
NPI 1154660975
Physician Assistant - Medical in Tyler, TX

Active since February 14, 2013PECOS Enrolled
800 E DAWSON ST, TYLER, TX 75701(903) 606-4262 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. David Pearce Fannon Mpas, Pa-c NPPES

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

MR. DAVID PEARCE FANNON MPAS, PA-C (NPI 1154660975) is an individual medical provider in Tyler, Texas, licensed in Texas (PA08166) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1154660975
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. DAVID PEARCE FANNONCredential: MPAS, PA-C
Location Address800 E DAWSON STTyler, TX 75701-2036
Mailing Address8198 Walnut Hill Ln, Suite 2007Dallas, TX 75231-4316 · (214) 345-4733
Phone(903) 606-4262
Sole ProprietorNo
Enumeration DateFebruary 14, 2013
Last NPPES UpdateApril 6, 2021
NPPES CertifiedApril 6, 2021
✔ NPI 1154660975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA08166
800 E DAWSON ST, Tyler, TX 75701
Open in Google Maps ↗

Secondary Practice Location 1

Location 18198 Walnut Hill Ln, Suite 2007Dallas, TX 75231-4316 · Phone (214) 345-4733

Other Identifiers 2

OtherP02592821TX · Mcrr
OtherP02592787TX · Mcrr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Pearce Fannon Mpas, Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
274 services265 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
26 services26 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
23 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRBY KILE CRNA
Anesthesiology
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 593-8441
MR. BLAKE ALLEN LONG RN
Registered Nurse (Registered Nurse First Assistant)
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 593-8441
DAVID A BRICKEY DO
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 525-1914
DR. ESMAEL FANTAW YIMER MD
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-7264
SALEEM ZAIDI M.D.
Anesthesiology (Critical Care Medicine)
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-5864
DR. JAMES MICHAEL WILSON MD, MPH
Emergency Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 525-1914
DR. SAILAJA SAKAM M.D.
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-4129
JAMES BLAKE KNUTSON MD
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 510-1186

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 David Fannon's NPI number?

The NPI number for David Fannon is 1154660975. It was assigned to this individual provider in the NPPES registry on February 14, 2013.

Where is David Fannon located?

David Fannon practices at 800 E Dawson St, Tyler, TX 75701. The listed phone number is (903) 606-4262.

What is David Fannon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is David Fannon enrolled in Medicare?

Yes. David Fannon is registered in the Medicare PECOS enrollment system.

What insurance does David Fannon accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list David Fannon 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.

When was this NPI record last updated?

The NPPES record for David Fannon was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.