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DR. THOMAS CRAIG DARTER M.D.
NPI 1467553370
Family Medicine in Childress, TX

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
1001 HWY 83 N, CHILDRESS, TX 79201(940) 937-3636(940) 937-9644 Get Directions Write a Review

NPPES record last updated: December 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thomas Craig Darter M.d. NPPES

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

DR. THOMAS CRAIG DARTER M.D. (NPI 1467553370) is an individual family medicine provider in Childress, Texas, licensed in Texas (H5760) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Bsa Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1988).

NPPES Registry Identity

NPI1467553370
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS CRAIG DARTERCredential: M.D.
Location Address1001 HWY 83 NChildress, TX 79201
Mailing Address1001 Us Highway 83 NChildress, TX 79201-2322 · (940) 937-3636 · Fax (940) 937-9644
Phone(940) 937-3636
Fax(940) 937-9644
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1988
Enumeration DateSeptember 25, 2006
Last NPPES UpdateDecember 23, 2009
✔ NPI 1467553370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · H5760
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.
1001 HWY 83 N, Childress, TX 79201
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Other Identifiers 4

Medicare UPIND98427
Other8B4354TX · Blue Cross Blue Shield
Medicare PIN8A8336TX
Medicaid140182030TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Thomas Craig Darter 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 ID8527965433
PECOS Enrollment IDI20090826000638
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 7

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
120 services43 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
62 services59 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
38 services32 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Bsa Hospital

Acute Care Hospitals · Amarillo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450231
Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Childress Regional Medical Center

Acute Care Hospitals · Childress, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450369
LocationHwy 83 NorthChildress, TX 79201 · Childress County
Emergency services Birthing friendly

Collingsworth General Hospital

Critical Access Hospitals · Wellington, TX
OwnershipProprietary
CMS Certification Number451355
Location1013 15th StWellington, TX 79095 · Collingsworth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79201 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 21

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers22 claims70 services$6.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers17 claims30 services$1.11 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers17 claims17 services$45.37 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims732 services$29.85 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers11 claims216 services$9.36 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers12 claims12 services$108.00 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 5

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

DR. HONORATO P OLAY JR. M.D.
Family Medicine
1001 HWY 83 N
CHILDRESS, TX 79201
Childress County (940) 937-3636
DR. JAMES M HENDERSON M.D.
Family Medicine
1001 HWY 83 N
CHILDRESS, TX 79201
Childress County (940) 937-3636
DR. RICHARD DAVID CALDWELL M.D.
Family Medicine
1001 HWY 83 N
CHILDRESS, TX 79201
Childress County (940) 937-3636
DR. DONDI D RIDENS M.D.
Family Medicine
1001 HWY 83 N
CHILDRESS, TX 79201
Childress County (940) 937-3636
DR. WELDON D GREEN M.D.
Family Medicine
1001 HWY 83 N
CHILDRESS, TX 79201
Childress County (940) 937-3636

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 Thomas Darter's NPI number?

The NPI number for Thomas Darter is 1467553370. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Thomas Darter located?

Thomas Darter practices at 1001 Hwy 83 N, Childress, TX 79201. The listed phone number is (940) 937-3636.

What is Thomas Darter's specialty?

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

Is Thomas Darter enrolled in Medicare?

Yes. Thomas Darter 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 Thomas Darter accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Thomas Darter 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 Thomas Darter affiliated with any hospitals?

According to CMS data, Thomas Darter is affiliated with Bsa Hospital, Childress Regional Medical Center and Collingsworth General Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Darter was last updated on December 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.