MP PLASTIC SURGERY PLLC
NPI 1275922734
Plastic Surgery in Fort Worth, TX

Active since January 21, 2015
800 8TH AVE STE 206, FORT WORTH, TX 76104(817) 529-9199(817) 334-0491 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2023, Mar 8, 2021, Nov 13, 2018 (3 updates tracked since 2018).

About Mp Plastic Surgery Pllc NPPES

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

MP PLASTIC SURGERY PLLC (NPI 1275922734) is a healthcare organization registered as a plastic surgery in Fort Worth, Texas and active in the NPI registry since January 2015. The organization lists Maxim Pekarev, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1275922734
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameMP PLASTIC SURGERY PLLC
Location Address800 8TH AVE STE 206Fort Worth, TX 76104-2619
Mailing Address800 8th Ave Ste 206Fort Worth, TX 76104-2619 · (817) 529-9199 · Fax (817) 334-0491
Fax(817) 334-0491
Organization SubpartNo
Authorized OfficialMaxim PekarevPhysician/owner · (817) 529-9199
Enumeration DateJanuary 21, 2015
Last NPPES UpdateOctober 11, 20233 updates tracked since enumeration
NPPES CertifiedAugust 28, 2021
✔ NPI 1275922734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in TX · P5223
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
800 8TH AVE STE 206, Fort Worth, TX 76104

Other Identifiers 1

Medicaid328016601TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mp Plastic Surgery Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Mp Plastic Surgery PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Plastic and Reconstructive Surgery
NPI 1427349851
800 8TH AVE STE 206
Fort Worth, TX 76104
(304) 919-0627
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1578068805
800 8TH AVE STE 206
Fort Worth, TX 76104
(817) 529-9199
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1851618649
800 8TH AVE STE 206
Fort Worth, TX 76104
(817) 529-9199
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1295300580
800 8TH AVE STE 206
Fort Worth, TX 76104
(817) 529-9199
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548808603
1301 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 250-2000
✔ PECOS✔ Accepts Medicare0.3 mi
Plastic and Reconstructive Surgery
NPI 1801069182
3327 COLORADO BLVD STE 100
Denton, TX 76210
(940) 287-3795
✔ PECOS✔ Accepts Medicare34 mi
Plastic and Reconstructive Surgery
NPI 1831456433
3327 COLORADO BLVD STE 100
Denton, TX 76210
(940) 287-3793
✔ PECOS✔ Accepts Medicare34 mi
Plastic and Reconstructive Surgery
NPI 1659577039
4001 W 15TH ST STE 480
Plano, TX 75093
(214) 440-3210
✔ PECOS✔ Accepts Medicare39 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 Mp Plastic Surgery PLLC's NPI number?

The NPI number for Mp Plastic Surgery PLLC is 1275922734. It was assigned to this organization in the NPPES registry on January 21, 2015.

Where is Mp Plastic Surgery PLLC located?

Mp Plastic Surgery PLLC is located at 800 8th Ave Ste 206, Fort Worth, TX 76104. The listed phone number is (817) 529-9199.

What is Mp Plastic Surgery PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Mp Plastic Surgery PLLC enrolled in Medicare?

Yes. Mp Plastic Surgery PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mp Plastic Surgery PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Mp Plastic Surgery PLLC. 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. The largest specialties are Plastic and Reconstructive Surgery (6), Nurse Practitioner (1) and Podiatry (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mp Plastic Surgery PLLC was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.