Dr. Todd P Smith , MD
Surgery - Vascular Surgery • Tyler, TX
619 S Fleishel Ave, Ste 203
Tyler, TX 757012004
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Todd Smith is listed in NPPES under Surgery - Vascular Surgery.
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NPI assigned on February 21, 2006; this date does not establish years in practice.
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Published CMS data list 1,580 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 520 service units.
- 93880 — Ultrasound of both sides of head and neck blood flow: 247 service units.
- 93922 — Ultrasound study of arm and leg arteries: 225 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 21 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 460 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Clopidogrel (Clopidogrel Bisulfate) — 214 prescription fills, including refills.
- Acetaminophen-Codeine (Acetaminophen With Codeine) — 72 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 57 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 8 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under Surgery - Vascular Surgery in Texas (2024, 252 clinicians with data). Median for this group: 641. Middle half: 300 to 1,132.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 2,069 in 2020 to 1,580 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
619 S Fleishel Ave
Ste 203
Tyler, TX 757012004
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Tyler, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Christus Trinity Clinic. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1995
What Public CMS Data Show
Surgery - Vascular Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
608 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $154,179 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 – by Provider and Service, 2024.
Paid by Medicare
About $117,204 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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 – by Provider and Service, 2024.
30-day fills
761 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
$25,867 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,443.90 across 30 records.
By nature of payment
- Food and Beverage: $1,443.90 across 30 records.
Reporting-company totals (3 largest of 7)
- Boston Scientific Corporation: $375.05 across 6 records.
- Neuros Medical, Inc.: $354.84 across 4 records.
- Shockwave Medical, Inc: $347.43 across 12 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
31 years (graduated 1995)
CMS Doctors and Clinicians data list 1995 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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.
NPI first issued
2006
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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; Medicare.gov, “Does your provider accept Medicare as full payment?”
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.
Enrolled in Medicare (PECOS)
Dr. Smith 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.
Can order Medicare-covered services
CMS lists Dr. Smith 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Tyler and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Surgery - Vascular Surgery in Texas (2024, 252 clinicians with data). Median for this group: 641. Middle half: 300 to 1,132.
Too few clinicians listed under Surgery - Vascular Surgery in Tyler have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Surgery - Vascular Surgery in Texas (2024, 252 clinicians with data). Median for this group: $88,553. Middle half: $29,762 to $173,949.
Too few clinicians listed under Surgery - Vascular Surgery in Tyler have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Surgery - Vascular Surgery in Texas (2024, 252 clinicians with data). Median for this group: $68,422. Middle half: $22,754 to $133,426.
Too few clinicians listed under Surgery - Vascular Surgery in Tyler have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Surgery - Vascular Surgery in Texas (2024, 228 clinicians with data). Median for this group: 123. Middle half: 44 to 285.
Too few clinicians listed under Surgery - Vascular Surgery in Tyler have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Surgery - Vascular Surgery in Texas (2024, 228 clinicians with data). Median for this group: $11,845. Middle half: $589 to $40,493.
Too few clinicians listed under Surgery - Vascular Surgery in Tyler have Medicare Part D data for 2024 to compare.
8 active clinicians are listed under Surgery - Vascular Surgery with a practice address in Tyler, TX (368 in Texas).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 24% from 2,069 in 2020 to 1,580 in 2024.
- 2020: 2,069
- 2021: 1,670
- 2022: 1,717
- 2023: 1,605
- 2024: 1,580
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Medicare-allowed amount
Medicare-allowed amount decreased 44% from $274,430 in 2020 to $154,179 in 2024.
- 2020: $274,430
- 2021: $230,838
- 2022: $208,157
- 2023: $174,117
- 2024: $154,179
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Paid by Medicare
Paid by Medicare decreased 45% from $211,856 in 2020 to $117,204 in 2024.
- 2020: $211,856
- 2021: $177,488
- 2022: $159,275
- 2023: $132,808
- 2024: $117,204
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 27% from 631 in 2020 to 460 in 2024.
- 2020: 631
- 2021: 537
- 2022: 467
- 2023: 525
- 2024: 460
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30-day fills
30-day fills decreased 14% from 887 in 2020 to 761 in 2024.
- 2020: 887
- 2021: 772
- 2022: 722
- 2023: 757
- 2024: 761
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Part D drug cost
Part D drug cost increased 113% from $12,123 in 2020 to $25,867 in 2024.
- 2020: $12,123
- 2021: $12,524
- 2022: $11,492
- 2023: $35,633
- 2024: $25,867
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Industry payments (Open Payments)
Industry payments (Open Payments) increased 10% from $1,308.48 in 2021 to $1,443.90 in 2025.
- 2021: $1,308.48
- 2022: $1,782.11
- 2023: $1,930.21
- 2024: $1,577.75
- 2025: $1,443.90
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · 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
Program year 2025 (payments made January 1 – December 31, 2025): 30 records totaling $1,443.90.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Neuros Medical, Inc. |
Food and Beverage
In-kind items and services
|
Altius | General | $177.05 |
| Neuros Medical, Inc. |
Food and Beverage
In-kind items and services
|
Altius | General | $149.57 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
ELUVIA | General | $137.54 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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ESPRIT | General | $122.40 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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ELUVIA | General | $102.44 |
| Shockwave Medical, Inc |
Food and Beverage
In-kind items and services
|
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter | General | $101.19 |
| Artivion, Inc. |
Food and Beverage
In-kind items and services
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Vascular | General | $72.52 |
| W. L. Gore & Associates, Inc. |
Food and Beverage
In-kind items and services
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GORE VIABAHN VBX Balloon Expandable Endo | General | $54.27 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
ENROUTE Transcarotid Neuroprotection System | General | $53.82 |
| W. L. Gore & Associates, Inc. |
Food and Beverage
In-kind items and services
|
GORE VIABAHN VBX Balloon Expandable Endo | General | $39.33 |
| Shockwave Medical, Inc |
Food and Beverage
In-kind items and services
|
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter | General | $38.40 |
| Shockwave Medical, Inc |
Food and Beverage
In-kind items and services
|
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter | General | $37.93 |
| Shockwave Medical, Inc |
Food and Beverage
In-kind items and services
|
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter | General | $34.62 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
EkoSonic | General | $33.63 |
| Shockwave Medical, Inc |
Food and Beverage
In-kind items and services
|
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter | General | $32.82 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Thrombectomy | General | $25.08 |
| Shockwave Medical, Inc |
Food and Beverage
In-kind items and services
|
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter | General | $23.66 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
DIAMONDBACK PERIPHERAL | General | $23.51 |
| Shockwave Medical, Inc |
Food and Beverage
In-kind items and services
|
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter | General | $23.24 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
ESPRIT | General | $22.93 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
Ranger | General | $22.54 |
| Shockwave Medical, Inc |
Food and Beverage
In-kind items and services
|
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter | General | $20.22 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
ESPRIT | General | $17.14 |
| Shockwave Medical, Inc |
Food and Beverage
In-kind items and services
|
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter | General | $17.06 |
| AngioDynamics, Inc. |
Food and Beverage
In-kind items and services
|
AURYON LASER SYSTEM 100-120 VAC | General | $14.48 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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 |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
520 | 407 | $289.00 | $95.28 |
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93880
Ultrasound of both sides of head and neck blood flow
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247 | 230 | $190.00 | $37.01 |
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93922
Ultrasound study of arm and leg arteries
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225 | 159 | $186.00 | $11.55 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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105 | 105 | $375.00 | $129.22 |
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76775
Limited ultrasound scan behind abdominal cavity
|
85 | 72 | $96.00 | $26.82 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
|
83 | 82 | $300.00 | $126.60 |
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93971
Ultrasound study of one arm or leg veins with compression and maneuvers
|
41 | 33 | $100.00 | $20.60 |
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99152
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
|
39 | 39 | $173.00 | $11.88 |
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75625
Review by radiologist of abdominal aorta image
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31 | 31 | $229.00 | $65.73 |
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75716
Review by radiologist of both arms or legs arteries image
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28 | 28 | $316.00 | $89.82 |
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76770
Complete ultrasound scan behind abdominal cavity
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26 | 25 | $122.00 | $32.36 |
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93926
Ultrasound of one leg arteries or artery grafts
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24 | 23 | $110.00 | $22.42 |
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93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
17 | 16 | $140.00 | $31.00 |
|
36821
Relocation of arm vein with connection to arm artery for hemodialysis
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16 | 16 | $2177.00 | $638.94 |
|
35301
Removal of blood clot and portion of chest, neck, or brain artery
|
15 | 15 | $3697.00 | $1093.20 |
|
76937
Ultrasonic guidance for blood vessel access
|
15 | 15 | $47.00 | $13.57 |
|
49324
Insertion of abdominal cavity tube using an endoscope
|
14 | 13 | $1298.00 | $313.99 |
|
93976
Ultrasound of abdomen and pelvis artery and vein blood flow
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14 | 12 | $230.00 | $31.80 |
|
37228
Balloon dilation of artery of leg, initial vessel
|
13 | 13 | $14955.00 | $479.07 |
|
22558
Fusion of lower spine bone through abdomen with partial removal of disc
|
11 | 11 | $5073.00 | $943.54 |
|
37215
Insertion of stent and blood clot protection device in neck artery with review by radiologist
|
11 | 11 | $3256.00 | $954.34 |
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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Clopidogrel | Clopidogrel Bisulfate | 214 | 13,507 | $1,473.68 | 73 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 72 | 231 | $518.16 | 63 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 57 | 301 | $396.19 | 48 |
| Cilostazol | Cilostazol | 44 | 2,445 | $715.15 | — |
| Gabapentin | Gabapentin | 28 | 1,200 | $323.38 | — |
| Xarelto | Rivaroxaban | 19 | 840 | $15,061.35 | — |
| Prasugrel Hcl | Prasugrel Hcl | 15 | 630 | $1,174.44 | — |
| Eliquis | Apixaban | 11 | 330 | $6,204.99 | — |
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: 2026-03-31NUCC Taxonomy Code: 2086S0129X
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - VASCULAR SURGERY
I20040802000726
TX
8729059001
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
Christus Trinity Clinic
3203 S Main St, Lindale, TX 757717727
Phone: 9032664000
Christus Trinity Clinic
3201 S Loop, Palestine, TX 758016901
Christus Trinity Clinic
2026 S Jackson St, Jacksonville, TX 757665822
Phone: 9035414599
Christus Trinity Clinic
Po Box, Dallas, TX 752846098
Christus Trinity Clinic
620 S Fleishel Ave, Tyler, TX 757012041
Phone: 9036064900
Christus Trinity Clinic
800 E Dawson St, Tyler, TX 757012036
Phone: 9035101186
Christus Trinity Clinic
2026 S Jackson St, Jacksonville, TX 757665822
Phone: 9035414613
Christus Trinity Clinic
630 S Fleishel Ave, Tyler, TX 757012041
Phone: 9036065560
Secondary Practice Locations
619 S Fleishel Ave Ste 327
Tyler, TX 757012019
Phone: 9036061400
619 S Fleishel Ave Ste 203
Tyler, TX 757012067
Phone: 9036062299
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery - Vascular Surgery
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated February 21, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Surgery - Vascular Surgery Specialists in Tyler
- Dr. Todd Bengtson, MD
- Dr. David Kerns, MD
- Dr. Mark Robbins, MD
- Dr. Jeffrey Carr, MD
- Dr. Roy Jones, MD
Mailing Address
Po Box 846098
Dallas, TX 752846098
Phone: 9033246450