John Papaila, MD
NPI 1588678197 · Specialist · Sherman, TX
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Papaila, MD is a Specialist provider in Sherman, TX (NPI 1588678197).
Provider details
- NPI number
- 1588678197
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- J0624 (TX)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
74 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 25 | $86 |
| Aspiration And/Or Injection of Fluid From Small Joint20600 | 19 | $35 |
| Aspiration And/Or Injection of Fluid From Medium Joint20605 | 16 | $39 |
| Injection Into Tendon Or Ligament20550 | 14 | $51 |
Typical Medicare-allowed amounts for these services range $35–$86 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2008-02-29
Frequently asked questions
- What is John Papaila's NPI number?
- John Papaila's National Provider Identifier (NPI) is 1588678197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Papaila's specialty?
- John Papaila is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is John Papaila located?
- John Papaila's practice location on file with NPPES is 1419 N Travis St, Sherman, TX 75092-3757.
- What is John Papaila's phone number?
- The practice phone number listed in the NPPES registry for John Papaila is (903) 893-4244.
- Does John Papaila accept Medicare?
- John Papaila is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Papaila's NPI active?
- Yes — John Papaila's NPI (1588678197) is active in the NPPES registry as of the last update on 2008-02-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.