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THERESA A SHOUSE M.D.
NPI 1467406058
Pediatrics in Plano, TX

Active since May 19, 2006PECOS Enrolled
6200 W PARKER RD, #410, PLANO, TX 75093(972) 981-8380(972) 981-3234 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Theresa A Shouse M.d. NPPES

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

THERESA A SHOUSE M.D. (NPI 1467406058) is an individual pediatrics provider in Plano, Texas, licensed in Texas (H8400) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467406058
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTHERESA A SHOUSECredential: M.D.
Location Address6200 W PARKER RD, #410Plano, TX 75093-7939
Mailing Address6200 W Parker Rd, #410Plano, TX 75093-7939 · (972) 981-8380 · Fax (972) 981-3234
Phone(972) 981-8380
Fax(972) 981-3234
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1467406058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · H8400
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.
6200 W PARKER RD, Plano, TX 75093
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, UnitedHealthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa A Shouse 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 Theresa Shouse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dallas Physician Medical Services For Children Inc
16 mi
Pediatrics
1935 MEDICAL DISTRICT DR
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 424 clinicians in this Medicare group
NPI 1194153650 (214) 456-7000

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 75093 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 20

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

DR. MARIA LOVE LEE M.D.
Internal Medicine
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 293-5151
AISHWARYA JUTTU
Student in an Organized Health Care Education/Training Program
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 981-7255
PAUL GERARD BOULET
Student in an Organized Health Care Education/Training Program
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 981-8000
TAYLOR NICOLE MCFARLIN CRNA
Nurse Anesthetist, Certified Registered
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 981-8000
PHYSICIAN ASSISTANT SERVICES OF TEXAS L.L.P
Physician Assistant (Medical)
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 599-0080
MR. AHMED Z SYED P.A.
Physician Assistant (Surgical)
6200 W PARKER RD
PLANO, TX 75093
Collin County (214) 808-3559
IJEOMA IKEH NP
Nurse Practitioner (Psychiatric/Mental Health)
6200 W PARKER RD
PLANO, TX 75093
Collin County (864) 529-1674
AMEET VENKAT THATISHETTY MD
Internal Medicine
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 981-3225

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 Theresa Shouse's NPI number?

The NPI number for Theresa Shouse is 1467406058. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Theresa Shouse located?

Theresa Shouse practices at 6200 W Parker Rd #410, Plano, TX 75093. The listed phone number is (972) 981-8380.

What is Theresa Shouse's specialty?

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

Is Theresa Shouse enrolled in Medicare?

Yes. Theresa Shouse is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theresa Shouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Shouse 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 Theresa Shouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Shouse accept?

Health plans from Baylor Scott and White Health Plan, UnitedHealthcare and WellPoint list Theresa Shouse 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 Theresa Shouse was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.