TOM TALBERT M.D.
NPI 1366420333
Family Medicine in Wichita Falls, TX

Active since January 09, 2006PECOS EnrolledAccepts Medicare Assignment
3006 MCNIEL AVE, WICHITA FALLS, TX 76309(940) 696-7511 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tom Talbert M.d. NPPES

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

TOM TALBERT M.D. (NPI 1366420333) is an individual family medicine provider in Wichita Falls, Texas, licensed in Texas (G3836) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and is a graduate of University Of Texas Medical Branch At Galveston (1982).

NPPES Registry Identity

NPI1366420333
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTOM TALBERTCredential: M.D.
Location Address3006 MCNIEL AVEWichita Falls, TX 76309-4954
Mailing AddressPo Box 331Wichita Falls, TX 76307-0331 · (940) 642-6273
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1982
Enumeration DateJanuary 9, 2006
Last NPPES UpdateMarch 23, 2017
NPI 1366420333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · G3836
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License G3836 (TX)
3006 MCNIEL AVE, Wichita Falls, TX 76309

Other Identifiers 3

Medicare UPINC22451TX
Medicaid0390437-01TX
Medicare PIN816844TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tom Talbert M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436236148
PECOS Enrollment IDI20090316000645
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
33 services23 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
29 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76309 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers26 claims26 services$52.91 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$16.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$82.26 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier37 claims37 services$20.42 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers34 claims34 services$31.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Occupational Therapist
3006 MCNIEL AVE
WICHITA FALLS, TX 76309
Nurse Practitioner (Family)
3006 MCNIEL AVE
WICHITA FALLS, TX 76309
Physical Therapy Assistant
3006 MCNIEL AVE
WICHITA FALLS, TX 76309
Physical Therapist (Geriatrics)
3006 MCNIEL AVE
WICHITA FALLS, TX 76309
Physical Therapy Assistant
3006 MCNIEL AVE
WICHITA FALLS, TX 76309
Physical Therapy Assistant
3006 MCNIEL AVE
WICHITA FALLS, TX 76309
Occupational Therapy Assistant
3006 MCNIEL AVE
WICHITA FALLS, TX 76309
Speech-Language Pathologist
3006 MCNIEL AVE
WICHITA FALLS, TX 76309

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 Tom Talbert's NPI number?

The NPI number for Tom Talbert is 1366420333. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Tom Talbert located?

Tom Talbert practices at 3006 Mcniel Ave, Wichita Falls, TX 76309. The listed phone number is (940) 696-7511.

What is Tom Talbert's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tom Talbert enrolled in Medicare?

Yes. Tom Talbert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tom Talbert accept?

Health plans from Blue Cross and Blue Shield of Texas list Tom Talbert 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.

Is Tom Talbert affiliated with any hospitals?

According to CMS data, Tom Talbert is affiliated with United Regional Health Care System.

When was this NPI record last updated?

The NPPES record for Tom Talbert was last updated on March 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.