JACK R CHILDRESS MD
NPI 1841245883
Internal Medicine in Lake Kiowa, TX
About Jack R Childress Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK R CHILDRESS MD (NPI 1841245883) is an individual internal medicine provider in Lake Kiowa, Texas, licensed in Texas (H5535) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 5
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
Jack R Childress Md 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
6Medicare enrollment records show Jack Childress reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denison, TX 75020
- Reassigned Medicare billing, Texas enrollment
- 5 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 1,208 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Texas enrollment
- 2,009 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
Greenwood Village, CO 80111
- Reassigned Medicare billing, Georgia and Louisiana enrollments
- 29 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 3
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Medical Center
Critical Access Hospitals · Franklinton, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76240 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Jack Childress's NPI number?
The NPI number for Jack Childress is 1841245883. It was assigned to this individual provider in the NPPES registry on May 24, 2006.
Where is Jack Childress located?
Jack Childress practices at 105 Sequoya Dr, Lake Kiowa, TX 76240. The listed phone number is (940) 736-8885.
What is Jack Childress's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jack Childress enrolled in Medicare?
Yes. Jack Childress 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 Jack Childress's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Childress reassigns Medicare benefits to 6 organizations: Greater Texoma Health Clinic (Denison, TX), Cogent Healthcare Of Texas, PA (Dallas, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Concord Medical Group PLLC (Lubbock, TX), Concord Medical Group Of Texas PLLC (Lubbock, TX) and 1 more organization, 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 Jack Childress's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Childress accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jack Childress 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 Jack Childress affiliated with any hospitals?
According to CMS data, Jack Childress is affiliated with Riverside Medical Center.
When was this NPI record last updated?
The NPPES record for Jack Childress was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Jack R Childress, MD · NPI 1841245883
Internal Medicine physician in Lake Kiowa, Texas. Individual provider, active in the CMS NPPES registry since May 24, 2006.
## Identity
- **NPI:** 1841245883 (Entity type: Individual)
- **Enumerated:** May 24, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** H5535 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 SEQUOYA DR, Lake Kiowa, TX 76240-9446
- **Phone:** (940) 736-8885 · **Fax:** (940) 668-8292
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Greater Texoma Health Clinic (NPI 1386760023, Denison, TX); Cogent Healthcare Of Texas, PA (NPI 1992722953, Dallas, TX); Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX); Concord Medical Group PLLC (NPI 1083630610, Lubbock, TX); Concord Medical Group Of Texas PLLC (NPI 1750790762, Lubbock, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical Branch At Galveston, class of 1983
## Record status
- **NPPES last updated:** June 3, 2025
- **Other identifiers:** Other 84487 (AR); Other 8V4246 (TX); Medicaid 1140766-07 (TX); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1841245883) · Data from the CMS NPPES public registry.