Michael Paul Fichter , PA-C
Physician Assistant • Waco, TX
321 Richland West Cir
Waco, TX 767127919
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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Michael Fichter is listed in NPPES under Physician Assistant.
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NPI assigned on November 2, 2007; this date does not establish years in practice.
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Published CMS data list 154 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: 55 service units.
- G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 34 service units.
- 99214 — Established patient outpatient office visit: 32 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 5 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 2,019 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:
- Furosemide — 179 prescription fills, including refills.
- Carvedilol — 139 prescription fills, including refills.
- Rosuvastatin Calcium — 135 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 34 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Waco, TX (2024, 41 clinicians with data). Median for this group: 215. Middle half: 113 to 580.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
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 194 in 2020 to 154 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
321 Richland West Cir
Waco, TX 767127919
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Mexia, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Falls Community Hospital And Clinic; J Phillip Myatt Md Pllc. 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
2007
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
90 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 $10,529 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 $7,955 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
4,280 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
$313,770 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: $1,043.23 across 73 records.
By nature of payment
- Food and Beverage: $1,043.23 across 73 records.
Reporting-company totals (3 largest of 15)
- Novartis Pharmaceuticals Corporation: $160.38 across 32 records.
- Merck Sharp & Dohme LLC: $150.61 across 7 records.
- Alnylam Pharmaceuticals Inc.: $141.02 across 4 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
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 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
2007
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?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Michael Fichter 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 Michael Fichter 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 Waco and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Waco, TX (2024, 41 clinicians with data). Median for this group: 215. Middle half: 113 to 580.
Close to the middle for clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Medicare-allowed amount
A lower Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Waco, TX (2024, 41 clinicians with data). Median for this group: $15,480. Middle half: $4,776 to $30,420.
A lower Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.
Paid by Medicare
A lower Medicare payment amount than 60% of clinicians listed under Physician Assistant in Waco, TX (2024, 41 clinicians with data). Median for this group: $11,767. Middle half: $3,702 to $22,435.
A lower Medicare payment amount than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Waco, TX (2024, 42 clinicians with data). Median for this group: 317. Middle half: 106 to 760.
More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Waco, TX (2024, 42 clinicians with data). Median for this group: $9,561. Middle half: $833 to $111,417.
A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.
66 active clinicians are listed under Physician Assistant with a practice address in Waco, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Waco
6.1% of these 66 clinicians have the CMS telehealth indicator.
62.1% of these 66 clinicians are listed by CMS as accepting Medicare assignment.
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 21% from 194 in 2020 to 154 in 2024.
- 2020: 194
- 2021: 92
- 2022: 1,043
- 2023: 801
- 2024: 154
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Medicare-allowed amount
Medicare-allowed amount decreased 27% from $14,412 in 2020 to $10,529 in 2024.
- 2020: $14,412
- 2021: $8,161
- 2022: $35,569
- 2023: $32,167
- 2024: $10,529
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Paid by Medicare
Paid by Medicare decreased 25% from $10,563 in 2020 to $7,955 in 2024.
- 2020: $10,563
- 2021: $6,225
- 2022: $28,071
- 2023: $23,995
- 2024: $7,955
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 123% from 906 in 2020 to 2,019 in 2024.
- 2020: 906
- 2021: 1,014
- 2022: 1,316
- 2023: 789
- 2024: 2,019
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30-day fills
30-day fills increased 158% from 1,658 in 2020 to 4,280 in 2024.
- 2020: 1,658
- 2021: 2,172
- 2022: 2,563
- 2023: 1,318
- 2024: 4,280
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Part D drug cost
Part D drug cost increased 324% from $73,991 in 2020 to $313,770 in 2024.
- 2020: $73,991
- 2021: $99,292
- 2022: $127,615
- 2023: $62,489
- 2024: $313,770
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 14% from $1,213.86 in 2021 to $1,043.23 in 2025.
- 2021: $1,213.86
- 2022: $754.65
- 2023: $437.71
- 2024: $1,827.38
- 2025: $1,043.23
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): 73 records totaling $1,043.23.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Stryker Corporation |
Food and Beverage
In-kind items and services
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FLOWTRIEVER CATHETER, S | General | $44.88 |
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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AMVUTTRA | General | $38.13 |
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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ONPATTRO | General | $36.29 |
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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ONPATTRO | General | $35.46 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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CARDIOMEMS | General | $32.08 |
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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AMVUTTRA | General | $31.14 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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REPATHA | General | $27.47 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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REPATHA | General | $27.47 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
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LifeVest | General | $27.07 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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VERQUVO | General | $25.94 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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REPATHA | General | $25.57 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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VERQUVO | General | $24.50 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Rybelsus | General | $22.81 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
|
VERQUVO | General | $22.29 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
REPATHA | General | $22.18 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
REPATHA | General | $21.69 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $20.94 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
|
VERQUVO | General | $20.85 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Rybelsus | General | $20.57 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
AREXVY | General | $20.40 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
LEQVIO | General | $20.38 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
|
CAMZYOS | General | $20.28 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
|
LifeVest | General | $20.19 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $20.00 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
|
CAMZYOS | General | $19.94 |
(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
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55 | 45 | $314.00 | $103.99 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
34 | 24 | $31.00 | $13.38 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
32 | 20 | $238.00 | $79.42 |
|
99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
17 | 12 | $217.65 | $95.87 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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16 | 15 | $55.00 | $11.47 |
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 |
|---|---|---|---|---|---|
| Furosemide | Furosemide | 179 | 12,476 | $702.62 | 83 |
| Carvedilol | Carvedilol | 139 | 9,830 | $982.41 | 52 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 135 | 10,875 | $1,487.33 | 63 |
| Eliquis | Apixaban | 122 | 4,547 | $86,168.31 | 27 |
| Amlodipine Besylate | Amlodipine Besylate | 117 | 9,990 | $984.56 | 49 |
| Clopidogrel | Clopidogrel Bisulfate | 107 | 9,115 | $1,426.25 | 43 |
| Losartan Potassium | Losartan Potassium | 103 | 7,556 | $1,098.19 | 44 |
| Lisinopril | Lisinopril | 101 | 7,820 | $893.78 | 39 |
| Hydralazine Hcl | Hydralazine Hcl | 99 | 4,414 | $1,061.50 | 34 |
| Metoprolol Succinate | Metoprolol Succinate | 92 | 6,720 | $946.94 | 37 |
| Atorvastatin Calcium | Atorvastatin Calcium | 89 | 7,840 | $780.04 | 39 |
| Jardiance | Empagliflozin | 68 | 3,120 | $58,345.28 | 20 |
| Amiodarone Hcl | Amiodarone Hcl | 65 | 3,145 | $1,031.58 | 24 |
| Metoprolol Tartrate | Metoprolol Tartrate | 56 | 3,410 | $285.25 | 21 |
| Ranolazine Er | Ranolazine | 48 | 2,013 | $2,016.33 | 15 |
| Spironolactone | Spironolactone | 45 | 2,571 | $157.40 | 14 |
| Nitroglycerin | Nitroglycerin | 45 | 1,076 | $530.66 | 33 |
| Nebivolol Hcl | Nebivolol Hcl | 44 | 1,470 | $1,012.01 | 13 |
| Repatha Sureclick | Evolocumab | 41 | 1,820 | $34,614.64 | — |
| Gabapentin | Gabapentin | 30 | 1,200 | $187.61 | — |
| Farxiga | Dapagliflozin Propanediol | 30 | 1,380 | $24,338.73 | — |
| Ozempic | Semaglutide | 30 | 850 | $28,028.11 | — |
| Xarelto | Rivaroxaban | 28 | 2,160 | $38,441.80 | 12 |
| Entresto | Sacubitril/Valsartan | 27 | 1,200 | $26,105.32 | — |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 26 | 1,218 | $117.20 | — |
(top 25 shown)
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: 2024-04-02NUCC Taxonomy Code: 363A00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20110609000114
TX
2466639901
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
J Phillip Myatt Md Pllc
514 S Bonham St, Mexia, TX 766673600
Phone: 2542359355
J Phillip Myatt Md Pllc
321 Richland W Cir, Waco, TX 767127919
Phone: 2542359355
J Phillip Myatt Md Pllc
764 W Commerce St, Fairfield, TX 758401428
Phone: 2542359355
Falls Community Hospital And Clinic
322 Coleman St, Marlin, TX 766612358
Phone: 2548033561
Secondary Practice Locations
514 S Bonham St
Mexia, TX 766673600
Phone: 2542359355
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Internal Medicine - Interventional Cardiology
MDFACC
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 321 RICHLAND WEST CIR, WACO, TX 767127919 (Tel: 2542359355)
Registered at 321 RICHLAND WEST CIR, WACO, TX 767127919 (Tel: 2542359355)
NPI status registered as active in NPPES database
Registered at 7125 NEW SANGER RD STE A, WACO, TX 767124054 (Tel: 2543995400)
Registered at 7125 NEW SANGER RD STE A, WACO, TX 767124054 (Tel: 2543995400)
Recorded as MICHAEL FICHTER, PA-C
Physician Assistant (license number reported to NPPES: TX PA05778)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Waco
- Kimberly Barnett, PA-C
- Ashley Baize, PA-C
- James Tilton, PA-C
- Doffou Choho
- Megan Nixon, PA-C
- Halima Archer-Idodo, PA-C
Mailing Address
321 Richland West Cir
Waco, TX 767127919
Phone: 2542359355