TEXAS PLASTIC SURGERY ASSOCIATES, PA
NPI 1568740892
Plastic Surgery in Fort Worth, TX

Active since August 03, 2011
800 12TH AVE, SUITE 100, FORT WORTH, TX 76104(817) 810-0770(817) 810-9990 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2022, Nov 5, 2019 (2 updates tracked since 2019).

About Texas Plastic Surgery Associates, Pa NPPES

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

TEXAS PLASTIC SURGERY ASSOCIATES, PA (NPI 1568740892) is a healthcare organization registered as a plastic surgery in Fort Worth, Texas and active in the NPI registry since August 2011. The organization lists Robert Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1568740892
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameTEXAS PLASTIC SURGERY ASSOCIATES, PA
Location Address800 12TH AVE, SUITE 100Fort Worth, TX 76104-2518
Mailing Address800 12th Ave, Suite 100Fort Worth, TX 76104-2518 · (817) 810-0770 · Fax (817) 810-9990
Fax(817) 810-9990
Organization SubpartNo
Authorized OfficialRobert AndersonOwner · (817) 810-0770
Enumeration DateAugust 3, 2011
Last NPPES UpdateJune 9, 20222 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1568740892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
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.
Also ListedSurgeryTaxonomy 208600000X
800 12TH AVE, Fort Worth, TX 76104

Other Identifiers 1

Medicaid2885303-01TX

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Texas Plastic Surgery Associates, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20111213000133Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Texas Plastic Surgery Associates, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Plastic and Reconstructive Surgery
NPI 1346567757
800 12TH AVE STE 100
Fort Worth, TX 76104
(817) 810-0770
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1326064270
800 12TH AVE STE 100
Fort Worth, TX 76104
(817) 810-0770
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1295049070
5825 EDWARDS RANCH RD STE 200
Fort Worth, TX 76109
(817) 529-4314
✔ PECOS✔ Accepts Medicare4.2 mi
Plastic and Reconstructive Surgery
NPI 1225565203
825 FAIRFAX AVE STE 610
Norfolk, VA 23507
(757) 446-6107
✔ PECOS✔ Accepts Medicare1,227 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 Texas Plastic Surgery Associates, PA's NPI number?

The NPI number for Texas Plastic Surgery Associates, PA is 1568740892. It was assigned to this organization in the NPPES registry on August 3, 2011.

Where is Texas Plastic Surgery Associates, PA located?

Texas Plastic Surgery Associates, PA is located at 800 12th Ave Suite 100, Fort Worth, TX 76104. The listed phone number is (817) 810-0770.

What is Texas Plastic Surgery Associates, PA's specialty?

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

Is Texas Plastic Surgery Associates, PA enrolled in Medicare?

Yes. Texas Plastic Surgery Associates, PA is registered in the Medicare PECOS enrollment system.

When is Texas Plastic Surgery Associates, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Texas Plastic Surgery Associates, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Texas Plastic Surgery Associates, PA. 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. Of these, 2 practice at this address and 3 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 Texas Plastic Surgery Associates, PA was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.