JEREMY BLAKE WEAVER (P.A.) – Physician Assistant, NPI 1790014447
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
629 PHYSICIAN ASSISTANT in AR
Provider Addresses for JEREMY BLAKE WEAVER (P.A.)
620 BROADWAY ST
VAN BUREN, AR 729565830
Phone: (479) 474-5061
Fax: (479) 922-2007
Type: Mailing
4504, Boat Club Road, Lake Worth, Tarrant County, Texas, 76135, United States
#800
FORT WORTH, TX 761357003
Phone: (817) 741-7960
Type: Mailing
EQ Dental, 3529, Heritage Trace Parkway, Fort Worth, Tarrant County, Texas, 76244, United States
#137
FORT WORTH, TX 762444970
Phone: (817) 741-7960
Fax: (817) 741-7582
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 154 Open Payments records for all available years, with a total value of $2,473.
Total Amount is formed as General ($2,473) + Research ($0) + Ownership ($0) = $2,473.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ABBVIE INC. ($429).
Total Amount
$2,473
General + Research + Ownership
Payments
154
Total payment records
General Amount
$2,473
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $429 |
| AstraZeneca Pharmaceuticals LP | $345 |
| Lilly USA, LLC | $296 |
| Amgen Inc. | $159 |
| GlaxoSmithKline, LLC. | $137 |
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: 2019-05-22
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 |
|---|---|---|---|---|
| I20190522002455 | I | Physician Assistant | AR | 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 | 147 | 111 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 35 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 37 | 34 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 27 | 27 | $0 |
| G0008 | Administration of influenza virus vaccine | 25 | 25 | $0 |
Insurance plans in this area (ZIP 72956)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AR | |
| Family Practice | AR |
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