Deactivated NPI 1710957048 Deactivated / Inactive NPI Male Practitioner

Dr. David John Fedro , DO

General Practice • Hewitt, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Fedro has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 26, 2006

NPI Deactivation Date December 26, 2024

Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. David Fedro, DO was a registered General Practice practicing in Hewitt, TX. Throughout an active medical career spanning 18 years, Dr. Fedro provided care at the practice location at 688 ALLIANCE PKWY until profile deactivation on 2024-12-26.

Historical Medicare Part B clinical services included established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, emergency department visit with moderate level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

688 Alliance Pkwy
Suite #201

Hewitt, TX 766433585

Telephone 2543004399

Fax 2543004401

Associated Practice Facility / Clinic

🏢 Legacy Medical Lab Services, Llc Facility NPI 1902111610

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Hewitt, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Hewitt, TX (1183 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	28	$149.10	$84.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	95	38	$143.72	$86.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$98.14	$54.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	11	$22.37	$13.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	133	85	$475.00	$116.74
99213 Established patient office or other outpatient visit, typically 15 minutes	84	43	$84.00	$69.45
99283 Emergency department visit with low level of medical decision making	61	41	$287.00	$69.37
99285 Emergency department visit for life threatening or functioning severity	50	45	$614.00	$170.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	14	$262.80	$68.41
99217 Hospital observation care on day of discharge	19	17	$268.21	$68.87
99239 Hospital discharge day management, more than 30 minutes	17	15	$285.52	$101.22
99219 Hospital observation care, typically 50 minutes	17	17	$416.38	$126.92
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$94.00	$59.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	152	55	$81.89	$65.94
99284 Emergency department visit with moderate level of medical decision making	118	87	$475.00	$118.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	25	$262.80	$69.53
99285 Emergency department visit for life threatening or functioning severity	62	49	$614.00	$173.33
99283 Emergency department visit with low level of medical decision making	59	43	$287.00	$70.09
99239 Hospital discharge day management, more than 30 minutes	26	22	$285.52	$102.94
99219 Hospital observation care, typically 50 minutes	26	22	$416.38	$129.79
99217 Hospital observation care on day of discharge	26	23	$268.21	$69.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	20	$494.25	$131.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	168	59	$92.86	$50.03
99284 Emergency department visit with moderate level of medical decision making	98	69	$475.00	$118.52
99285 Emergency department visit for life threatening or functioning severity	65	56	$614.00	$171.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	19	$262.80	$71.65
99283 Emergency department visit with low level of medical decision making	39	30	$287.00	$64.71
99217 Hospital observation care on day of discharge	28	27	$268.21	$71.86
99219 Hospital observation care, typically 50 minutes	26	23	$416.38	$134.24
99225 Subsequent observation care, typically 25 minutes per day	16	11	$226.00	$71.82
99239 Hospital discharge day management, more than 30 minutes	15	13	$285.52	$105.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$494.25	$136.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	208	73	$79.55	$49.62
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	204	139	$232.52	$82.76
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	159	121	$357.98	$126.91
99336 Established patient assisted living visit, typically 40 minutes	125	84	$375.28	$133.14
99335 Established patient assisted living visit, typically 25 minutes	79	62	$178.45	$93.44
99285 Emergency department visit for life threatening or functioning severity	20	16	$614.00	$164.53
99284 Emergency department visit with moderate level of medical decision making	17	17	$475.00	$110.51
99217 Hospital observation care on day of discharge	15	14	$268.21	$71.56
99283 Emergency department visit with low level of medical decision making	13	11	$287.00	$61.16
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	11	11	$151.41	$59.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	1,574	317	$358.89	$121.14
99336 Established patient assisted living visit, typically 40 minutes	705	159	$375.81	$127.35
99335 Established patient assisted living visit, typically 25 minutes	293	114	$179.06	$89.20
99213 Established patient office or other outpatient visit, typically 15 minutes	246	102	$65.86	$48.44
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	242	137	$233.48	$79.21
G0008 Administration of influenza virus vaccine	126	126	$6.75	$6.61
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	125	125	$28.48	$18.65
99344 New patient home visit, typically 1 hour	42	42	$536.42	$172.02
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	35	35	$463.96	$175.72
99326 New patient assisted living visit, typically 45 minutes	29	29	$268.21	$131.30
99343 New patient home visit, typically 45 minutes	27	27	$410.97	$123.17
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	14	12	$151.41	$56.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$45.14	$23.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	1,254	279	$357.94	$114.57
99336 Established patient assisted living visit, typically 40 minutes	702	141	$373.94	$120.42
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	397	178	$230.46	$75.83
99213 Established patient office or other outpatient visit, typically 15 minutes	254	98	$67.10	$45.71
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	137	136	$28.67	$11.80
G0008 Administration of influenza virus vaccine	136	135	$7.11	$6.96
99335 Established patient assisted living visit, typically 25 minutes	102	61	$178.45	$84.48
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	63	63	$459.89	$166.41
99344 New patient home visit, typically 1 hour	61	61	$534.88	$163.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$45.00	$22.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$87.00	$69.40

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX G3347

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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NPI Profile Deactivated December 26, 2024

Record deactivated on December 26, 2024

✅

NPI Profile Active November 06, 2013

NPI status registered as active in NPPES database

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Updated Practice Location November 06, 2013

Registered at 688 ALLIANCE PKWY, SUITE #201, HEWITT, TX 766433585 (Tel: 2543004399)

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Updated Business Mailing Address November 06, 2013

Registered at 688 ALLIANCE PKWY, SUITE #201, HEWITT, TX 766433585 (Tel: 2543004399)

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Provider Name / Credentials Updated November 06, 2013

Recorded as DAVID FEDRO, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2013

General Practice (License #G3347 in TX)

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Initial NPI Registration & Enumeration January 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710957048

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 26, 2006

Last Update: November 06, 2013

Deactivation Date: December 26, 2024

Update or Correct Profile

Mailing Address

688 Alliance Pkwy, Suite #201

Hewitt, TX 766433585

Phone: 2543004399

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.