BENJAMIN ALAN JETER (P.A.) – Surgical Physician Assistant, NPI 1255304473
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
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Provider Addresses for BENJAMIN ALAN JETER (P.A.)
1801, Gadsden Highway, Tutwiler Farm, Trussville, Jefferson County, Alabama, 35235, United States
BIRMINGHAM, AL 352353134
Phone: (205) 838-3900
Fax: (205) 838-3906
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $67.
Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.
Last reported payment date: 2024-01-30 • Largest payer in this snapshot: Abbott Laboratories ($34).
Total Amount
$67
General + Research + Ownership
Payments
4
Total payment records
General Amount
$67
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $34 |
| Boston Scientific Corporation | $18 |
| Alphatec Spine, Inc | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-02-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120209000658 | I | Physician Assistant | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 13 | $0 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 12 | 12 | $0 |
Insurance plans in this area (ZIP 35235)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | AL | |
| Orthopedic Surgery | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Physical Therapist In Private Practice | AL | |
| Nurse Practitioner | AL | |
| Orthopedic Surgery, Hand Surgery | AL | |
| Physician Assistant | AL | |
| R H E U M A T O L O G Y | AL | |
| Physical Medicine And Rehabilitation | AL |
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