DR. STEPHEN D PAMATMAT MD
NPI 1184773780
Internal Medicine - Nephrology in Tyler, TX

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment
1133 MEDICAL DR, TYLER, TX 75701(903) 595-5486(903) 595-5128 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2022, Nov 29, 2017 (2 updates tracked since 2017).

About Dr. Stephen D Pamatmat Md NPPES

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

DR. STEPHEN D PAMATMAT MD (NPI 1184773780) is an individual nephrology provider in Tyler, Texas, licensed in Texas (L5083) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1184773780
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. STEPHEN D PAMATMATCredential: MD
Location Address1133 MEDICAL DRTyler, TX 75701-2130
Mailing Address1133 Medical DrTyler, TX 75701-2130 · (903) 595-5486 · Fax (903) 595-5128
Fax(903) 595-5128
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJanuary 10, 2007
Last NPPES UpdateApril 28, 20232 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
NPI 1184773780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in TX · L5083 Licensed in OK · 34363
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1133 MEDICAL DR, Tyler, TX 75701

Secondary Practice Locations 4

Location 11336 S Palestine StAthens, TX 75751-3621 · Phone (903) 595-5486 · Fax (903) 595-5128
Location 2203 Nacogdoches St Ste 240Jacksonville, TX 75766-2465 · Phone (903) 595-5486 · Fax (903) 595-5128
Location 34002 S Loop 256 Ste RPalestine, TX 75801-8498 · Phone (903) 595-5486 · Fax (903) 595-5128
Location 4807 E 1st StTyler, TX 75701-3304 · Phone (903) 526-0480 · Fax (903) 595-5128

Other Identifiers 2

Medicaid200214980 AOK
Medicaid152736802TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen D Pamatmat 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.

PECOS PAC ID8729140157
PECOS Enrollment IDI20100107000808
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 7

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
261 services114 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
211 services193 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
91 services61 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
87 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
21 services19 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson County
Emergency services Birthing friendly

Christus Mother Frances Hospital- Jacksonville

Critical Access Hospitals · Jacksonville, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451319
Location2026 S Jackson StreetJacksonville, TX 75766 · Cherokee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers26 claims2,220 services$0.31 avg. paid by Medicare
Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg J7508
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims14,400 services$0.40 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers24 claims4,500 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers38 claims6,960 services$0.94 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers28 claims28 services$18.95 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers54 claims72 services$12.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Nephrology)
1133 MEDICAL DR
TYLER, TX 75701
Internal Medicine (Nephrology)
1133 MEDICAL DR
TYLER, TX 75701
Internal Medicine (Nephrology)
1133 MEDICAL DR
TYLER, TX 75701
Internal Medicine (Nephrology)
1133 MEDICAL DR
TYLER, TX 75701
Nurse Practitioner
1133 MEDICAL DR
TYLER, TX 75701
Physician Assistant
1133 MEDICAL DR
TYLER, TX 75701
Nurse Practitioner
1133 MEDICAL DR
TYLER, TX 75701
Internal Medicine (Nephrology)
1133 MEDICAL DR
TYLER, TX 75701

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 Stephen Pamatmat's NPI number?

The NPI number for Stephen Pamatmat is 1184773780. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Stephen Pamatmat located?

Stephen Pamatmat practices at 1133 Medical Dr, Tyler, TX 75701. The listed phone number is (903) 595-5486.

What is Stephen Pamatmat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Stephen Pamatmat enrolled in Medicare?

Yes. Stephen Pamatmat 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.

What insurance does Stephen Pamatmat accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Stephen Pamatmat 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 Stephen Pamatmat affiliated with any hospitals?

According to CMS data, Stephen Pamatmat is affiliated with Christus Mother Frances Hospital, Ut Health East Texas Athens Hospital and Christus Mother Frances Hospital- Jacksonville.

When was this NPI record last updated?

The NPPES record for Stephen Pamatmat was last updated on April 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.