Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Michael G Omotola , PA-C

Physician Assistant โ€ข Addison, TX

Active NPI 1124505615 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4135 Belt Line Rd Ste 124
Addison, TX 750015879

Call 4694959126 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4135 Belt Line Rd Ste 124

Addison, TX 750015879

Telephone 4694959126
Fax 4694950726
Organization at the Same NPPES Address or Phone
Texas Health Urgent Care Facility NPI 1376131045

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Grand Prairie, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 3 distinct group names: Healthtexas Provider Network; Primamed Physicians, Pllc; Questcare Medical Services Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Medical School

Eastern Virginia Medical School

Graduation Year

2018

Medicare patients

117 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $18,006 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $11,997 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

136 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$876 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $21.45 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michael Omotola has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Michael Omotola as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Addison and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Texas (2024, 4,408 clinicians with data). Median for this group: 212. Middle half: 76 to 594.

Too few clinicians listed under Physician Assistant in Addison have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Texas (2024, 4,408 clinicians with data). Median for this group: $15,420. Middle half: $6,125 to $35,691.

Too few clinicians listed under Physician Assistant in Addison have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Texas (2024, 4,408 clinicians with data). Median for this group: $11,271. Middle half: $4,421 to $26,297.

Too few clinicians listed under Physician Assistant in Addison have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 263. Middle half: 73 to 938.

Too few clinicians listed under Physician Assistant in Addison have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $8,078. Middle half: $753 to $103,086.

Too few clinicians listed under Physician Assistant in Addison have Medicare Part D data for 2024 to compare.

16 active clinicians are listed under Physician Assistant with a practice address in Addison, TX (11,139 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Addison

25% of these 16 clinicians have the CMS telehealth indicator.

62.5% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $21.45.

Manufacturer Payment Nature Product Type Amount ($)
Pfizer Inc.
Food and Beverage
In-kind items and services
PAXLOVID General $21.45

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2020โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
56 46 $334.00 $107.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
38 38 $503.00 $139.41
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
28 24 $230.00 $76.18
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
24 23 $204.00 $65.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
20 20 $330.00 $93.15
71046 X-ray of chest, 2 views
15 14 $94.00 $28.30
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
15 15 $50.00 $16.20
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
13 13 $154.00 $34.62

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prednisone Prednisone 63 308 $67.44 59
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 20 200 $479.26 18
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 17 170 $153.32 15
Doxycycline Hyclate Doxycycline Hyclate 14 113 $120.63 12
Ibuprofen Ibuprofen 11 58 $15.76 โ€”
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 11 105 $39.27 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-11-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES TX PA12295

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20200519000618

Enrollment State Jurisdiction

TX

PECOS Control ID

6103257548

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Healthtexas Provider Network

1005 Legacy Ranch Rd, Waxahachie, TX 751651294

Phone: 4698009790

Healthtexas Provider Network

1441 S Midlothian Pkwy, Midlothian, TX 760655591

Phone: 4698009600

Healthtexas Provider Network

1441 S Midlothian Pkwy, Midlothian, TX 760655597

Phone: 4698009440

Healthtexas Provider Network

2021 N Macarthur Boulevard, Irving, TX 750612210

Healthtexas Provider Network

4001 Worth St, Dallas, TX 752461608

Healthtexas Provider Network

5408 Colleyville Blvd, Colleyville, TX 760345833

Phone: 8174989920

Healthtexas Provider Network

5800 E Lovers Ln, Dallas, TX 752062901

Phone: 9728176260

Healthtexas Provider Network

7217 Telecom Pkwy, Garland, TX 750442203

Healthtexas Provider Network

821 N Coleman St, Prosper, TX 750782339

Phone: 4698005200

Healthtexas Provider Network

925 E Southlake Boulevard, Southlake, TX 760921477

Phone: 8179128560

Questcare Medical Services Pllc

3901 W 15th St, Plano, TX 750757738

Phone: 9549395000

Questcare Medical Services Pllc

5500 Frisco Square Blvd, Frisco, TX 750343305

Phone: 9549395000

Primamed Physicians, Pllc

1001 N Interstate 35 E, Desoto, TX 751154286

Phone: 4697651600

Primamed Physicians, Pllc

11888 Marsh Ln, Dallas, TX 752348083

Phone: 9724889222

Primamed Physicians, Pllc

1280 N Town E Blvd, Mesquite, TX 751504606

Phone: 9726861880

Primamed Physicians, Pllc

2205 N Tarrant Pkwy, Fort Worth, TX 761772204

Phone: 8173283320

Primamed Physicians, Pllc

3304 Alma Dr, Plano, TX 750237333

Phone: 9724246581

Primamed Physicians, Pllc

6350 E Mockingbird Ln, Dallas, TX 752142622

Phone: 2148280448

Primamed Physicians, Pllc

7910 Belt Line Rd, Dallas, TX 752548130

Phone: 9729806753

Secondary Practice Locations

2520 W I 20

Grand Prairie, TX 750527280

Phone: 5123633257

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Kimberly Arrington , NP-C

Nurse Practitioner - Family

NPI 1366011447

Nurse Practitioner (Certified)

Rogelio De La Rosa , NP-C

Nurse Practitioner - Family

NPI 1679181440

Nurse Practitioner (Certified)

Sarah Gray , FNP

Nurse Practitioner - Family

NPI 1619431624

Family Nurse Practitioner

Eresiya Printers , FNP-BC

Nurse Practitioner - Family

NPI 1760014013

Family Nurse Practitioner (Board Certified)

Sabita Sigdel , FNP

Nurse Practitioner - Family

NPI 1285988253

Family Nurse Practitioner

Lindsie Smitherman , FNP

Nurse Practitioner - Family

NPI 1477895241

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Practice Location November 02, 2026

Registered at 4135 BELT LINE RD STE 124, ADDISON, TX 750015879 (Tel: 4694959126)

๐Ÿข
Secondary Practice Location Registered November 02, 2026

Additional practice office at 2520 W I 20, Grand Prairie, TX 750527280

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2026

Physician Assistant (license number reported to NPPES: TX PA12295)

โœ…
NPI Profile Active July 26, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 26, 2018

Registered at 2520 W I 20, GRAND PRAIRIE, TX 750527280 (Tel: 5123633257)

๐Ÿ“
Business Mailing Address (Initial Record) July 26, 2018

Registered at 417 W 20TH ST UNIT 11386, NORFOLK, VA 235171287 (Tel: 5123633257)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 26, 2018

Recorded as MICHAEL OMOTOLA, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2018

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration July 26, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124505615
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2018
Last Update: November 02, 2026
Sole Proprietor: No

Other Physician Assistants in Addison

All Physician Assistants in Addison

Mailing Address

417 W 20th St Unit 11386

Norfolk, VA 235171287

Phone: 5123633257

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.