MICHAEL PATRICK COTTER M.D.
NPI 1295755577
Hospitalist in Fort Worth, TX

Active since July 20, 2006PECOS Enrolled
1325 PENNSYLVANIA AVE STE 740, FORT WORTH, TX 76104(817) 250-2890 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2019, Nov 4, 2016, Oct 17, 2016 (3 updates tracked since 2016).

About Michael Patrick Cotter M.d. NPPES

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

MICHAEL PATRICK COTTER M.D. (NPI 1295755577) is an individual hospitalist provider in Fort Worth, Texas, licensed in Texas (Q9138) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1295755577
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMICHAEL PATRICK COTTERCredential: M.D.
Location Address1325 PENNSYLVANIA AVE STE 740Fort Worth, TX 76104
Mailing Address1325 Pennsylvania Ave Ste 740Fort Worth, TX 76104-2144 · (817) 250-2890
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateJanuary 9, 20193 updates tracked since enumeration
✔ NPI 1295755577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · Q9138
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPediatricsTaxonomy 208000000X · License 04-31771 (KS), Q9138 (TX)
1325 PENNSYLVANIA AVE STE 740, Fort Worth, TX 76104

Secondary Practice Location 1

Location 15323 Harry Hines BlvdDallas, TX 75390-7208 · Phone (214) 456-7000 · Fax (214) 456-8132

Other Identifiers 3

Medicaid1295755577AL
Medicaid200379560AKS
OtherKA2129004KS · Medicare Ptan

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)

Michael Patrick Cotter 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 Reassignments

3

Medicare enrollment records show Michael Cotter reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
600 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
Primary Care
1801 CHUKKA HINA
Durant, OK 74701
  • Reassigned Medicare billing, Texas enrollment
  • 581 clinicians in this Medicare group
Neonatal-Perinatal Medicine
2929 WOODLAND PARK DR
Houston, TX 77082
  • Reassigned Medicare billing, Texas enrollment
  • 508 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 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 2

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

Hospitalist
1325 PENNSYLVANIA AVE STE 740
FORT WORTH, TX 76104
Nurse Practitioner (Pediatrics)
1325 PENNSYLVANIA AVE STE 740
FORT WORTH, TX 76104

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 Michael Cotter's NPI number?

The NPI number for Michael Cotter is 1295755577. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Michael Cotter located?

Michael Cotter practices at 1325 Pennsylvania Ave Ste 740, Fort Worth, TX 76104. The listed phone number is (817) 250-2890.

What is Michael Cotter's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Michael Cotter enrolled in Medicare?

Yes. Michael Cotter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Cotter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Cotter reassigns Medicare benefits to 3 organizations: University Of Texas Southwestern Medical Center At Dallas (Fort Worth, TX), Choctaw Nation Of Oklahoma (Durant, OK) and Pediatrix Medical Group Of Texas Billing, Inc. (Houston, TX). Each 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 Michael Cotter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Cotter accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Health and Oscar Insurance Company list Michael Cotter 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 Michael Cotter was last updated on January 9, 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.