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“A pain management clinic is defined in statute and rule as a publicly or privately-owned facility for which a majority of patients are issued, on a monthly basis, a prescription for opioids, benzodiazepines, barbiturates, or carisoprodol, but not including suboxone.
A pain management clinic m ... ”
“
Are the Physicians being singled out?
How much is it going to cost?
Does the fingerprinting fee benefit the TMB?
When do we have to do it?
Can I complete the fingerprint requirement early?
Can I get my fingerprints done anywhere?
What is my Board issued 6-digit ID number?
What if my ... ”
“... ady have a CE Broker account for a license I hold in another state. Do I need to set up a new account for my Texas license?
No. You may simply add your Texas license to your existing CE Broker account. There is no additional fee (one-time or annual) to add your Texas license to an existing CE Broke ... ”
Description: Physician Statistics 2023 Jan - Physicians by Specialty
Document: PhysiciansbySpecialtyJanuary2023
SPECIALTY
M.D.�S
D.O.�S
UNKNOWN
TOTAL
0
0
0
0
ABDOMINALRADIOLOGY
11
0
0
11
ABDOMINALSURGERY
18
0
0
18
ADDICTIONMEDICINE
29
4
0
33
ADDICTIONMEDICINE-AN
3
1
0
4
ADDICTIONMEDICINE-FP
11
6
0
17
ADDICTIONMEDICINE-IM
5
1
0
6
ADDICTIONMEDICINE-PM
4
0
0
4
ADDICTIONPSYCHIATRY ...
Description: Physician Statistics 2023 Jan - Physicians by School of Graduation
Document: PhysiciansbySchoolJanuary2023
MEDICALSCHOOL
MALE
FEMALE
UNKNOWN
TOTAL
BAYLORCOLLOFMED,HOUSTON,TX
2181
1333
2
3516
MCGOVERNMEDSCHATTHEUNIVOFTEXASHLTHSCICTR,HOUSTON,TX
2818
1898
0
4716
TEXASA&MUNIVHLTHSCICTR,COLLOFMED,COLLEGESTATION,TX
1007
864
0
1871
TEXASCHRISTIANUNIVANDUNIVOFNORTHTEXASHLTHSCICTRSCH ...
Description: Physician Statistics 2023 Jan - Physicians by Gender and County
Document: PhysiciansbyCountyJanuary2023
COUNTY
MALE
FEMALE
UNKNOWN
TOTAL
ANDERSON
49
16
0
65
ANDREWS
9
6
0
15
ANGELINA
154
55
0
209
ARANSAS
14
2
0
16
ARCHER
0
0
0
0
ARMSTRONG
0
0
0
0
ATASCOSA
20
8
0
28
AUSTIN
14
1
0
15
BAILEY
2
0
0
2
BANDERA
8
2
0
10
BASTROP
32
19
0
51
BAYLOR
3
4
0
7
BEE
16
4
0
20
BELL
922
50 ...
Description: Physician Statistics 2023 Jan - Physicians by Age
Document: PhysiciansbyAgeJanuary2023
AGEGROUP
MALE
FEMALE
UNKNOWN
TOTAL
0-30
663
714
0
1377
31-35
4897
4466
1
9364
36-40
7226
6178
1
13405
41-45
7695
5950
1
13646
46-50
7504
4755
6
12265
51-55
7130
3965
8
11103
56-60
6676
2812
6
9494
61-65
5938
2093
4
8035
66-70
4928
1234
2
6164
71-75
2993
528
0
3521
76-120
2 ...
Description: PA Statistics 2023 Jan - Physician Assistants by In and Out of State
Document: PhysicianAssistantsInandOutofState
January2023Statisticsareincludedforlocation(basedonpracticeaddress),degree,andnumberoflicenseeswhoareTexas,U.S.orforeignmedicalgraduates,methodoflicensure,gender,typeoflicenseheld,andrace/Hispanicorigin.Note:topromoteconsistencyacrossagencyreports,thedemographicrep ...
Description: PA Statistics 2023 Jan - Physician Assistants by Gender and County
Document: PhysicianAssistantsbyCountyJanuary2023
COUNTY
MALE
FEMALE
UNKNOWN
TOTAL
ANDERSON
9
8
0
17
ANDREWS
0
1
0
1
ANGELINA
15
5
0
20
ARANSAS
1
0
0
1
ARCHER
0
0
0
0
ARMSTRONG
0
0
0
0
ATASCOSA
2
3
0
5
AUSTIN
0
2
0
2
BAILEY
0
1
0
1
BANDERA
0
4
0
4
BASTROP
8
13
0
21
BAYLOR
1
0
0
1
BEE
4
3
0
7
BELL
97
115
0
212
...
Description: PA Statistics 2023 Jan - Physician Assistants by Age
Document: PhysicianAssistantsbyAgeJanuary2023
AGEGROUP
MALE
FEMALE
UNKNOWN
TOTAL
0-30
336
1949
0
2285
31-35
480
1973
3
2456
36-40
527
1631
1
2159
41-45
425
1131
2
1558
46-50
472
778
3
1253
51-55
420
486
3
909
56-60
318
285
2
605
61-65
244
247
2
493
66-70
157
132
0
289
71-75
95
36
1
132
76-120
34
7
0
41
TOTAL
...
Description: PA Statistics 2023 Jan - Physician Assistants by School of Graduation
Document: PhysicianAssistantsbySchoolJanuary2023
PAPROGRAM
MALE
FEMALE
UNKNOWN
TOTAL
BAYLORCOLLOFMED,SCHOFHLTHPROFESSIONS,HOUSTON,TX
108
493
1
602
FORTSAMHOUSTON/UNIVOFNEBRASKA-INCONJUNCTION
153
39
0
192
FORTSAMHOUSTON/UNIVOFOKLAHOMA-INCONJUNCTION
11
2
0
13
HARDIN-SIMMONSUNIV,ABILENETX
20
62
0
82
INTERSERVICE ...
Description: TMB suspends Houston physician (Win)
Document: ... 800
-
248
-
4062
TMB suspends
Houston
physician
On
January 12,
2
023
, a disciplinary panel of the Texas Medical Board temporarily suspended,
without notice, the Texas medical license of
Htut Kyaw Win
, M.D. (Lic. No.
M0972
), after
determining his continuation in the pract ...
Description: ... as part of its licensure process for physicians, physician assistants, surgical assistants, acupuncturists, medical physicists, medical radiologic technologists, perfusionists, and respiratory care practitioners. The procedures used to verify this information meet or exceed URAC, NCQA a ...
Document:
7
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0
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ȱȱ
ȱ˜ŒŠ’˜—ȱ ›ŽœœDZȱŠ’•’—ȱ ›ŽœœDZȱ˜&#x ...
Description: Surgical Assistant Performance Evaluation Form
Document: ... PLETED BY
APPLICANT:
Complete
the information in the
Applicant
box
only
.
The remainder of the form should be completed and submitted by the
evaluator as noted below.
Applicants
cannot submit this form.
Applicant’s Current Full Name: ________________________________________
Prin ...
Description: Surgical Assistant Work Experience Form
Document: ... )
INSTRUCTIONS
:
•
You must list
all
supervising physicians who supervised you within the last
three (3) years.
•
You must list at least 2000 hours of
active
experience working as a surgical assistant below.
•
The 2000 hours must be within the
last three years only
and ...
Description: Medical Board 2022 - December - Full Board Minutes
Document: ... . Carlton reported that the agency is fully moved in to the GWB buildingPossible Formation of a Committee Regarding Active Practice Determination, Remedies, and LimitationsMr. Carlton suggested the formation of a committee with 1 member from each board to discuss active practice and what determines ...
Description: TMB disciplines 27 physicians at March meeting
Document: ... cal records
,
and one order related to a
Texas Physician Health Program violation
.
The Board also ratified
four
cease and desist orders
.
The Board issued
3
19
physician licenses at the
March
meeting
, bringing the total number of physician licenses issued in
Fiscal Year 2023 to
2, ...
Description: TMB suspends San Antonio physician (Fiallo)
Document: ...
-
248
-
4062
TMB suspends
San Antonio
physician
On
March 14
,
2
023
, a disciplinary panel of the Texas Medical Board temporarily suspended,
without notice, the Texas medical license of
F
r
ancisco Julian Fiallo
, M.D. (Lic. No.
R0393
), after
determining his continuation i ...
“... to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without proper delegation from a physician would ... ”
Are CRNA’s authorized to practice independent of physician supervision and delegation?
No, neither the Medical Practice Act nor the Nursing Practice Act authorize independent practice by a CRNA. Additionally, Texas Attorney General Opinion No. KP-0266 found “A certified registered nurse anesthetist does not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without proper delegation from a physician would be liable for the unlicensed practice of medicine.
“To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. If a physician has been on official retired status for two years or longer, the request must be reviewed by the Licensure Committee of the Board. Please contact th ... ”
My physician license is currently in a retired status. How to I return it to an active status so I can practice?
To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. If a physician has been on official retired status for two years or longer, the request must be reviewed by the Licensure Committee of the Board. Please contact the Registration department for information on the approval procedure.
“Yes, if you are a physician or a physician assistant. Physicians are required to register all PAs and APRNs that they supervise prior to the delegates beginning to work for them. If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this c ... ”
Do I have to let the Medical Board know about my delegates/supervising physicians?
Yes, if you are a physician or a physician assistant.
Physicians are required to register all PAs and APRNs that they supervise prior to the delegates beginning to work for them. If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this change.
PAs are likewise required to register their supervising physicians with the Board prior to beginning to practice under the employment or prescriptive authority agreement. They are also required to notify the Board within 30 days of any change to the scope of the delegation.
APRNs should look to guidance provided by the Texas Board of Nursing for how to register their delegating physicians, as the Medical Board does not have licensing authority for nurses.
“To return to practice from retired status, a physician must submit an application online for re-activation/re-licensure and meet all of the current requirements for licensure. ”
Are there any additional requirements that I need to complete before I request to return my retired physician license to an active status?
To return to practice from retired status, a physician must submit an application online for re-activation/re-licensure and meet all of the current requirements for licensure.
“A physician, their delegated midlevel provider, or any other qualified and licensed individual delegated authority to check the PMP may do so on behalf of the prescriber. Ultimately though, it is the prescriber’s responsibility to ensure that the PMP has been checked and that they have r ... ”
Is only the prescriber allowed to check the PMP, or can someone else check on behalf of the physician?
A physician, their delegated midlevel provider, or any other qualified and licensed individual delegated authority to check the PMP may do so on behalf of the prescriber. Ultimately though, it is the prescriber’s responsibility to ensure that the PMP has been checked and that they have reviewed and taken into account any relevant information prior to issuing a prescription.
“There is nothing that discusses how far ahead of time the PMP check can be undertaken, however the reason for the requirement is to ensure that prescribers have as much information as possible in order to make informed decisions about prescribing certain controlled substances. If the PMP check ... ”
How far ahead of time can I check the PMP?
There is nothing that discusses how far ahead of time the PMP check can be undertaken, however the reason for the requirement is to ensure that prescribers have as much information as possible in order to make informed decisions about prescribing certain controlled substances. If the PMP check is completed too far ahead of time, then there may be new information in the PMP that the prescriber is not considering.
The PMP is updated on a 24-hour basis and therefore contains information accurate up to 24 hours prior to completion of the check.
“At this time, all you must do is fill out the waiver application. No additional information is currently required. ”
What do I need to submit to TMB in order to qualify for a waiver?
At this time, all you must do is fill out the waiver application. No additional information is currently required.
“... ted a waiver, it will be displayed on your public physician profile. This alone will serve as proof of your waiver. Generally, waiver requests are determined within 2-3 business days. You are encouraged to check your profile daily upon submitting your waiver request. You may also c ... ”
How will I be notified if I am granted a waiver?
If you are granted a waiver, it will be displayed on your public physician profile. This alone will serve as proof of your waiver. Generally, waiver requests are determined within 2-3 business days. You are encouraged to check your profile daily upon submitting your waiver request. You may also choose to print a simple copy of the ‘Verified Information’ section of your profile, which includes your waiver status, by choosing the “Print Verification” option on your profile.
“Currently, each individual physician who needs a waiver will have to apply for their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group. ”
Does everyone at my practice have to apply for a waiver or just the medical director?
Currently, each individual physician who needs a waiver will have to apply for their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group.
“If the supervising physician has a waiver, then the prescribing delegate is also covered under that waiver. So long as the prescribing delegate is prescribing under the authority of a physician who has been granted a waiver, then the prescribing delegate may use non-electronic prescribing means.&nbs ... ”
Do delegates who have prescribing authority have to apply for their own waiver or are they covered by the supervising physician’s waiver?
If the supervising physician has a waiver, then the prescribing delegate is also covered under that waiver. So long as the prescribing delegate is prescribing under the authority of a physician who has been granted a waiver, then the prescribing delegate may use non-electronic prescribing means. If a prescribing delegate is issuing a prescription under the authority of a physician who does not have a waiver, then the prescribing delegate must issue the prescription via e-prescribing.
If an individual wants to look up whether a prescribing delegate has a waver they can do so as listed below:
For physician assistants: A PA’s waiver status will not be viewable on their TMB public profile. Each PA’s public profile has a link to their supervising physician’s profile page. The physician’s profile page will list the waiver status.
For nurse practitioners: APRN waivers are determined by the Texas Board of Nursing. Information on the waiver process for the APRNs is available on the Texas Board of Nursing Website.
“ If a physician has a waiver from e-prescribing, it is viewable on their public profile page, under the section entitled “Verified Information.” If you want to verify that a PA or nurse practitioner has a waiver, you will have to look at the delegating physician’s ... ”
How can someone determine if a practitioner has a waiver?
If a physician has a waiver from e-prescribing, it is viewable on their public profile page, under the section entitled “Verified Information.” If you want to verify that a PA or nurse practitioner has a waiver, you will have to look at the delegating physician’s public profile. You can look up a prescriber’s public profile here: Look up a License
NOTE: Per the Texas State Board of Pharmacy, a “pharmacist is not responsible for ensuring there is a waiver. In addition, there is no requirement of the pharmacist to ensure an appropriate waiver is granted.”
“... erprints. This ID number is assigned at the time of application submission. If you were assigned a 5-digit ID number at the time of your application submission, please use a leading zero when submitting your fingerprints. Example: ID number “12345” becomes “012345”. ... ”
What if my Board issued ID number is only 5 digits long?
A Board issued 6-digit ID number is required for submitting your fingerprints. This ID number is assigned at the time of application submission. If you were assigned a 5-digit ID number at the time of your application submission, please use a leading zero when submitting your fingerprints. Example: ID number “12345” becomes “012345”.
“... ; While processing times vary (average turnaround time is less than 10 business days), please note it can take 4-6 weeks for hard card submissions. If you believe that you should be able to access the online registration system, and you are not able to, please contact us a Registrations@tmb.st ... ”
I submitted my fingerprints. Why am I still not able to enter the online registration?
Please note that the fingerprint background check results will be required prior to a license being able to access the online registration system. While processing times vary (average turnaround time is less than 10 business days), please note it can take 4-6 weeks for hard card submissions. If you believe that you should be able to access the online registration system, and you are not able to, please contact us a Registrations@tmb.state.tx.us.
“Not at this time. Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee, payable directly to IdentoGo. Results of the fingerprinting will be sent directly to TMB from both the Texas Department of Public Safety Criminal Records and the Fede ... ”
Can I get my fingerprints done anywhere?
Not at this time. Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee, payable directly to IdentoGo. Results of the fingerprinting will be sent directly to TMB from both the Texas Department of Public Safety Criminal Records and the Federal Bureau of Investigation.