DR. KRISTIN MEYERTHOLEN FAVELA M.D.
NPI 1679833057
Pediatrics - Pediatric Endocrinology in Fort Worth, TX

Q: What is Kristin Favela's NPI number?

The NPI number for Kristin Favela is 1679833057. It was assigned to this individual provider in the NPPES registry on May 21, 2012.

Q: What is Kristin Favela's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Favela was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 21, 2012PECOS EnrolledAccepts Medicare Assignment

1500 COOPER ST, FORT WORTH, TX 76104(682) 885-7960 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2021, Oct 1, 2019, Dec 2, 2015 (3 updates tracked since 2015).

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About Dr. Kristin Meyertholen Favela M.d. NPPES

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

DR. KRISTIN MEYERTHOLEN FAVELA M.D. (NPI 1679833057) is an individual pediatric endocrinology provider in Fort Worth, Texas, licensed in Texas (S2770) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Cook Childrens Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (2012).

NPPES Registry Identity

NPI1679833057

Entity TypeIndividualFemale

Primary Taxonomy2080P0205X

Provider Legal NameDR. KRISTIN MEYERTHOLEN FAVELACredential: M.D.

Location Address1500 COOPER STFort Worth, TX 76104-2710

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1860 · Fax (682) 885-1396

Phone(682) 885-7960

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2012

Enumeration DateMay 21, 2012

Last NPPES UpdateApril 6, 20213 updates tracked since enumeration

✔ NPI 1679833057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in TX · S2770

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Also ListedPediatricsTaxonomy 208000000X · License 35.126849 (OH)

1500 COOPER ST, Fort Worth, TX 76104

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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.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. Kristin Meyertholen Favela 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 ID244568491

PECOS Enrollment IDI20190826002115

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.

Hospital Affiliations CMS Care Compare

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

Cook Childrens Medical Center

Childrens · Fort Worth, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number453300

Location801 Seventh AvenueFort Worth, TX 76104 · Tarrant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

KATRINA L WILLIE-MUSOMA MD

Pediatrics (Neurodevelopmental Disabilities)