KEITH PENSOM DO
NPI 1689878761
Family Medicine in Fort Worth, TX
About Keith Pensom Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH PENSOM DO (NPI 1689878761) is an individual family medicine provider in Fort Worth, Texas, licensed in Texas (K9387) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Permian Regional Medical Center Andrews County Ho, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Keith Pensom Do 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.
Medicare Billing Reassignments
10Medicare enrollment records show Keith Pensom reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Allen, TX 75013
- Reassigned Medicare billing, Texas enrollment
- 128 clinicians in this Medicare group
Gainesville, TX 76240
- Reassigned Medicare billing, Texas enrollment
- 1,193 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 547 clinicians in this Medicare group
Lufkin, TX 75904
- Reassigned Medicare billing, Texas enrollment
- 89 clinicians in this Medicare group
Woodville, TX 75979
- Reassigned Medicare billing, Texas enrollment
- 8 clinicians in this Medicare group
Liberty, TX 77575
- Reassigned Medicare billing, Texas enrollment
- 199 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- 1,338 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- 1,439 clinicians in this Medicare group
Orange, TX 77630
- Reassigned Medicare billing, Texas enrollment
- 205 clinicians in this Medicare group
Clewiston, FL 33440
- Reassigned Medicare billing, Texas enrollment
- 123 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Permian Regional Medical Center Andrews County Ho
Acute Care Hospitals · Andrews, TXTyler County Hospital
Acute Care Hospitals · Woodville, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Keith Pensom's NPI number?
The NPI number for Keith Pensom is 1689878761. It was assigned to this individual provider in the NPPES registry on June 13, 2007.
Where is Keith Pensom located?
Keith Pensom practices at 544 W Seminary Dr, Fort Worth, TX 76115. The listed phone number is (817) 924-7978.
What is Keith Pensom's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Keith Pensom enrolled in Medicare?
Yes. Keith Pensom 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.
Which organizations bill Medicare for Keith Pensom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Pensom reassigns Medicare benefits to 10 organizations: Elite Hospital Partners, PLLC (Allen, TX), Acs Primary Care Physicians Southwest, PA (Gainesville, TX), Longhorn Emergency Medical Associates PA (Austin, TX), Angelina Emergency Medicine Associates PA (Lufkin, TX), Newgen Em Cpm PLLC (Woodville, TX) and 5 more organizations, listed in the Medicare section above. 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 Keith Pensom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keith Pensom accept?
Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health and Oscar Insurance Company list Keith Pensom 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 Keith Pensom affiliated with any hospitals?
According to CMS data, Keith Pensom is affiliated with Permian Regional Medical Center Andrews County Ho and Tyler County Hospital.
When was this NPI record last updated?
The NPPES record for Keith Pensom was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Keith Pensom, DO · NPI 1689878761
Family Medicine physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since June 13, 2007.
## Identity
- **NPI:** 1689878761 (Entity type: Individual)
- **Enumerated:** June 13, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** K9387 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 544 W SEMINARY DR, Fort Worth, TX 76115-1360
- **Phone:** (817) 924-7978
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Elite Hospital Partners, PLLC (NPI 1609625995, Allen, TX); Acs Primary Care Physicians Southwest, PA (NPI 1538101019, Gainesville, TX); Longhorn Emergency Medical Associates PA (NPI 1649669672, Austin, TX); Angelina Emergency Medicine Associates PA (NPI 1518397298, Lufkin, TX); Newgen Em Cpm PLLC (NPI 1003756727, Woodville, TX); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** August 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1689878761) · Data from the CMS NPPES public registry.