DR. RICHARD C NAIL M.D.
NPI 1245300789
Pediatrics in Frisco, TX

Active since November 09, 2006PECOS Enrolled
5560 INDEPENDENCE PKWY, FRISCO, TX 75035(214) 389-8801(214) 389-8802 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Richard C Nail M.d. NPPES

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

DR. RICHARD C NAIL M.D. (NPI 1245300789) is an individual pediatrics provider in Frisco, Texas, licensed in Texas (L2492) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245300789
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. RICHARD C NAILCredential: M.D.
Location Address5560 INDEPENDENCE PKWYFrisco, TX 75035-4600
Mailing Address5560 Independence PkwyFrisco, TX 75035-4600 · (214) 389-8801 · Fax (214) 389-8802
Fax(214) 389-8802
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateNovember 29, 2011
✔ NPI 1245300789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · L2492
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.
5560 INDEPENDENCE PKWY, Frisco, TX 75035

Other Identifiers 1

Medicare UPINH65488TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard C Nail M.d. 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 Richard Nail reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
1935 MEDICAL DISTRICT DR
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 424 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75035 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 13

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

Nurse Practitioner (Pediatrics)
5560 INDEPENDENCE PKWY
FRISCO, TX 75035
Nurse Practitioner (Pediatrics)
5560 INDEPENDENCE PKWY
FRISCO, TX 75035
Pediatrics
5560 INDEPENDENCE PKWY
FRISCO, TX 75035
Pediatrics
5560 INDEPENDENCE PKWY
FRISCO, TX 75035
Nurse Practitioner (Family)
5560 INDEPENDENCE PKWY
FRISCO, TX 75035
Pediatrics
5560 INDEPENDENCE PKWY
FRISCO, TX 75035
Pediatrics
5560 INDEPENDENCE PKWY
FRISCO, TX 75035
Pediatrics
5560 INDEPENDENCE PKWY
FRISCO, TX 75035

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 Richard Nail's NPI number?

The NPI number for Richard Nail is 1245300789. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Richard Nail located?

Richard Nail practices at 5560 Independence Pkwy, Frisco, TX 75035. The listed phone number is (214) 389-8801.

What is Richard Nail's specialty?

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

Is Richard Nail enrolled in Medicare?

Yes. Richard Nail is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Nail's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Nail reassigns Medicare benefits to Dallas Physician Medical Services For Children Inc (Dallas, TX). The 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 Richard Nail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Nail accept?

Health plans from Baylor Scott and White Health Plan and WellPoint list Richard Nail 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 Richard Nail was last updated on November 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.