MARK L TELLEZ MD
NPI 1164445102
Surgery in Fort Worth, TX
About Mark L Tellez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK L TELLEZ MD (NPI 1164445102) is an individual surgery provider in Fort Worth, Texas, licensed in Texas (L1214) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and is a graduate of Other (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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
Mark L Tellez Md 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 Mark Tellez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Health Care PLLC
- 511 clinicians in this Medicare group
Dallas, TX 75204
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Urgent Surgery Associates PA
- 120 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baylor Scott & White Medical Center Grapevine
Acute Care Hospitals · Grapevine, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Mark Tellez's NPI number?
The NPI number for Mark Tellez is 1164445102. It was assigned to this individual provider in the NPPES registry on July 25, 2006.
Where is Mark Tellez located?
Mark Tellez practices at 1500 S Main St Suite 303, Fort Worth, TX 76104. The listed phone number is (817) 702-1172.
What is Mark Tellez's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Mark Tellez enrolled in Medicare?
Yes. Mark Tellez 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 Mark Tellez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Tellez reassigns Medicare benefits to 2 organizations: Texas Health Care, P.L.L.C. (Fort Worth, TX) and Urgent Surgery Associates, P.A. (Dallas, TX). 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 Mark Tellez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Tellez accept?
Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Mark Tellez 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 Mark Tellez affiliated with any hospitals?
According to CMS data, Mark Tellez is affiliated with Baylor Scott & White Medical Center Grapevine.
When was this NPI record last updated?
The NPPES record for Mark Tellez was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mark L Tellez, MD · NPI 1164445102
Surgery physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1164445102 (Entity type: Individual)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** L1214 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 S MAIN ST, SUITE 303, Fort Worth, TX 76104-4917
- **Phone:** (817) 702-1172 · **Fax:** (817) 702-1605
## 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): Texas Health Care, P.L.L.C. (NPI 1245360171, Fort Worth, TX); Urgent Surgery Associates, P.A. (NPI 1326077082, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1982
## Record status
- **NPPES last updated:** February 14, 2017
- **Other identifiers:** Medicare UPIN B41168; Medicaid 140972403 (TX); Medicare PIN 8D9924 (TX); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1164445102) · Data from the CMS NPPES public registry.