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DR. BANNIE LEE TABOR M.D.
NPI 1992761274
Obstetrics & Gynecology - Maternal & Fetal Medicine in Fort Worth, TX

Active since April 25, 2006PECOS Enrolled
1325 PENNSYLVANIA AVE, SUITE 600, FORT WORTH, TX 76104(817) 878-5298(817) 878-5289 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Bannie Lee Tabor M.d. NPPES

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

DR. BANNIE LEE TABOR M.D. (NPI 1992761274) is an individual maternal & fetal medicine provider in Fort Worth, Texas, licensed in Texas (G3834) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1982).

NPPES Registry Identity

NPI1992761274
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameDR. BANNIE LEE TABORCredential: M.D.
Location Address1325 PENNSYLVANIA AVE, SUITE 600Fort Worth, TX 76104-2158
Mailing Address1301 Concord TerSunrise, FL 33323-2843 · (800) 243-3839
Phone(817) 878-5298
Fax(817) 878-5289
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1982
Enumeration DateApril 25, 2006
Last NPPES UpdateSeptember 27, 2011
✔ NPI 1992761274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in TX · G3834
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
1325 PENNSYLVANIA AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINE01726TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bannie Lee Tabor M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739085598
PECOS Enrollment IDI20050914000681
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 Reassignment

Medicare enrollment records show Bannie Tabor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrix Medical Group Of Texas Billing, Inc.
43 mi
Maternal & Fetal Medicine
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250
Richardson, TX 75082
  • Reassigned Medicare billing, Texas enrollment
  • 56 clinicians in this Medicare group
NPI 1568486264 (972) 437-5099

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 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
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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.

TEXAS HEALTH CARE, P.L.L.C.
Surgery
1325 PENNSYLVANIA AVE, SUITE 777
FORT WORTH, TX 76104
Tarrant County (817) 698-9700
EMNET SISAY MD
Internal Medicine (Infectious Disease)
1325 PENNSYLVANIA AVE, STE. 325
FORT WORTH, TX 76104
Tarrant County (817) 887-9389
KATHERINE A WHITFIELD CPNP PC
Nurse Practitioner
1325 PENNSYLVANIA AVE, #550
FORT WORTH, TX 76104
Tarrant County (817) 784-0818
TOSHA KAY BOLLIER ALEXANDER APRN, NNP-BC
Nurse Practitioner (Neonatal)
1325 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 250-5422
TESS, PA
Surgery
1325 PENNSYLVANIA AVE, SUITE 200
FORT WORTH, TX 76104
Tarrant County (817) 332-9957
YVONNE JANET HELLAND RNC, MSN, NNP
Nurse Practitioner (Neonatal)
1325 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 250-2892
MS. YVONNE LEANNE HULSEBOS M.S., C.G.C.
Genetic Counselor, MS
1325 PENNSYLVANIA AVE, SUITE 600
FORT WORTH, TX 76104
Tarrant County (817) 878-5298
DENISE CAROLE CASE N.P.
Nurse Practitioner (Neonatal, Critical Care)
1325 PENNSYLVANIA AVE, SUITE 740
FORT WORTH, TX 76104
Tarrant County (817) 250-5422

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 Bannie Tabor's NPI number?

The NPI number for Bannie Tabor is 1992761274. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Bannie Tabor located?

Bannie Tabor practices at 1325 Pennsylvania Ave Suite 600, Fort Worth, TX 76104. The listed phone number is (817) 878-5298.

What is Bannie Tabor's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Bannie Tabor enrolled in Medicare?

Yes. Bannie Tabor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bannie Tabor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bannie Tabor reassigns Medicare benefits to Obstetrix Medical Group Of Texas Billing, Inc. (Richardson, TX). The 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 Bannie Tabor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bannie Tabor 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 5 other insurers list Bannie Tabor 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 Bannie Tabor was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.