CAROLYN R RISINGER MD
NPI 1194883686
Pediatrics in Tyler, TX

Q: What is Carolyn Risinger's NPI number?

The NPI number for Carolyn Risinger is 1194883686. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Carolyn Risinger's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Risinger was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 05, 2006PECOS Enrolled

2990 N BROADWAY AVE, TYLER, TX 75702(903) 593-1892(903) 592-3886 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2019, Jul 2, 2019, Feb 20, 2018 and 1 more (4 updates tracked since 2016).

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About Carolyn R Risinger Md NPPES

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

CAROLYN R RISINGER MD (NPI 1194883686) is an individual pediatrics provider in Tyler, Texas, licensed in Texas (G5540) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194883686

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCAROLYN R RISINGERCredential: MD

Location Address2990 N BROADWAY AVETyler, TX 75702-2149

Mailing AddressPo Box 844273Dallas, TX 75284-4273 · (903) 324-6400

Phone(903) 593-1892

Fax(903) 592-3886

Sole ProprietorNo

Enumeration DateDecember 5, 2006

Last NPPES UpdateAugust 28, 20194 updates tracked since enumeration

✔ NPI 1194883686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · G5540

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2990 N BROADWAY AVE, Tyler, TX 75702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn R Risinger Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Risinger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Utmb Faculty Group Practice

214 mi

General Practice

301 UNIVERSITY BLVD
Galveston, TX 77555

Reassigned Medicare billing, Texas enrollment
2,222 clinicians in this Medicare group

NPI 1942241146 (409) 772-2222

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 17

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

DONNA LACHELLE JACKSON

Nurse Practitioner