NORTH CENTRAL TEXAS ORTHOPAEDICS AND SPORTS MEDICINE PA
NPI 1194781773
Orthopaedic Surgery in Trophy Club, TX

Active since April 24, 2006
2800 E TX HIGHWAY 114 STE 130, TROPHY CLUB, TX 76262(469) 916-4435(855) 959-1785 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 24, 2024, Sep 18, 2019 (2 updates tracked since 2019).

About North Central Texas Orthopaedics And Sports Medicine Pa NPPES

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

NORTH CENTRAL TEXAS ORTHOPAEDICS AND SPORTS MEDICINE PA (NPI 1194781773) is a healthcare organization registered as an orthopaedic surgery in Trophy Club, Texas and active in the NPI registry since April 2006. The organization maintains a secondary practice location in Decatur and lists Randall Mckenna, Do, as its authorized official.

NPPES Registry Identity

NPI1194781773
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameNORTH CENTRAL TEXAS ORTHOPAEDICS AND SPORTS MEDICINE PA
Location Address2800 E TX HIGHWAY 114 STE 130Trophy Club, TX 76262-5305
Mailing Address2800 E Tx Hwy 114, Ste 130Trophy Club, TX 76262 · (469) 916-4435 · Fax (855) 959-1785
Fax(855) 959-1785
Organization SubpartNo
Authorized OfficialRandall MckennaDo · (940) 627-3491
Enumeration DateApril 24, 2006
Last NPPES UpdateDecember 24, 20242 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
✔ NPI 1194781773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in TX · J0118✔ Licensed in TX · K7089
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License M6477 (TX)
Also ListedPodiatristTaxonomy 213E00000X · License 1305 (TX)
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License J0118 (TX)
2800 E TX HIGHWAY 114 STE 130, Trophy Club, TX 76262

Secondary Practice Location 1

Location 11713 S FM 51, Ste 103Decatur, TX 76234 · Phone (940) 627-6976 · Fax (940) 627-3491

Other Identifiers 3

Other1141880001TX · Dme
Medicaid080630901TX
Other89Z590TX · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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)

North Central Texas Orthopaedics And Sports Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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 IDO20040430000097Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to North Central Texas Orthopaedics And Sports Medicine PA, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Physical Medicine and Rehabilitation
NPI 1750585600
1713 S. FM 51 #103
Decatur, TX 76234
(940) 627-6976
✔ PECOS✔ Accepts Medicare29 mi
Physical Therapist in Private Practice
NPI 1790265528
1713 S FM 51 STE 103
Decatur, TX 76234
(940) 627-6976
✔ Accepts Medicare29 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 North Central Texas Orthopaedics And Sports Medicine PA's NPI number?

The NPI number for North Central Texas Orthopaedics And Sports Medicine PA is 1194781773. It was assigned to this organization in the NPPES registry on April 24, 2006.

Where is North Central Texas Orthopaedics And Sports Medicine PA located?

North Central Texas Orthopaedics And Sports Medicine PA is located at 2800 E Tx Highway 114 Ste 130, Trophy Club, TX 76262. The listed phone number is (469) 916-4435.

What is North Central Texas Orthopaedics And Sports Medicine PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is North Central Texas Orthopaedics And Sports Medicine PA enrolled in Medicare?

Yes. North Central Texas Orthopaedics And Sports Medicine PA is registered in the Medicare PECOS enrollment system.

When is North Central Texas Orthopaedics And Sports Medicine PA'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 January 31, 2027. 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 North Central Texas Orthopaedics And Sports Medicine PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to North Central Texas Orthopaedics And Sports Medicine PA, in Physical Medicine and Rehabilitation and Physical Therapist in Private Practice. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does North Central Texas Orthopaedics And Sports Medicine PA accept?

Health plans from Molina Healthcare list North Central Texas Orthopaedics And Sports Medicine PA 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 North Central Texas Orthopaedics And Sports Medicine PA was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.