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MARY KATHRYN EAGLETON M.D.
NPI 1669765350
Pediatrics in Tyler, TX

Active since May 27, 2011PECOS Enrolled
8288 S BROADWAY AVE, TYLER, TX 75703(903) 606-7060 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Dec 1, 2017, Nov 20, 2017 and 2 more (5 updates tracked since 2017).

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mary Eagleton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mother Frances Hospital Regional Health Care Center
5.8 mi
General Acute Care Hospital
800 E DAWSON ST
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 547 clinicians in this Medicare group
NPI 1679578439 (903) 593-8441
Christus Trinity Clinic Texas
6.0 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119
Mother Frances Hospital Jacksonville
22 mi
Critical Access
2026 S JACKSON ST
Jacksonville, TX 75766
  • Reassigned Medicare billing, Texas enrollment
  • 409 clinicians in this Medicare group
NPI 1952306672 (903) 541-4500

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 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
8288 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 606-7060
ANDREA M ELLIS MD
Family Medicine
8288 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 606-7060
DANIEL JUN PARK M.D.
Pediatrics
8288 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 606-7060
DR. ROY BRENT WADLE D.O.
Family Medicine
8288 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 606-7060
KURT NIELSEN MD
Emergency Medicine
8288 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 606-7060
JOHN JASON PAGE DO, PA
Family Medicine
8288 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 606-7060
SONJA FAYE TILLER FNP-C
Nurse Practitioner (Family)
8288 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 606-7060
GALE JEANNIE HOBSON M.D.
Family Medicine
8288 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 606-7060

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 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.

Where is Mary Eagleton located?

Mary Eagleton practices at 8288 S Broadway Ave, Tyler, TX 75703. The listed phone number is (903) 606-7060.

What is Mary Eagleton's specialty?

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

Is Mary Eagleton enrolled in Medicare?

Yes. Mary Eagleton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Eagleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Eagleton reassigns Medicare benefits to 3 organizations: Mother Frances Hospital Regional Health Care Center (Tyler, TX), Christus Trinity Clinic Texas (Tyler, TX) and Mother Frances Hospital Jacksonville (Jacksonville, TX). Each 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 Mary Eagleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Eagleton accept?

Health plans from Blue Cross and Blue Shield of Texas list Mary Eagleton 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 Mary Eagleton was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.