MARY KATHRYN EAGLETON M.D. - NPI 1669765350

Q: What is Mary Eagleton's NPI number?

The NPI number for Mary Eagleton is 1669765350. It was assigned to this individual provider in the NPPES registry on May 27, 2011.

Q: What is Mary Eagleton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Eagleton was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mary Kathryn Eagleton M.d. NPPES

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

MARY KATHRYN EAGLETON M.D. (NPI 1669765350) is an individual pediatrics provider in Tyler, Texas, licensed in Texas (BP1-0039531) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1669765350

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARY KATHRYN EAGLETONCredential: M.D.

Location Address8288 S BROADWAY AVETyler, TX 75703-5262

Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400

Phone(903) 606-7060

Sole ProprietorNo

Enumeration DateMay 27, 2011

Last NPPES UpdateMarch 17, 20185 updates tracked since enumeration

✔ NPI 1669765350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · BP1-0039531

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.

8288 S BROADWAY AVE, Tyler, TX 75703

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Secondary Practice Location 1

Location 11912 W. 35th St, Children's Medical GroupAustin, TX 78703 · Phone (512) 451-5161

Other Identifiers 4

Other8HE842TX · Bcbs

Medicaid376763401TX

OtherP01912556TX · Medicare Rail Road

Other75-2616977-118TX · Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Kathryn Eagleton 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 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 15

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

DR. JOHN W SCROGGINS MD

Family Medicine