JERRY LILES (D.O.) – Family Medicine Physician, NPI 1013934645
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for JERRY LILES (D.O.)
6101 BLUE LAGOON DR STE 400
MIAMI, FL 331262051
Phone: (305) 500-2000
Type: Mailing
1009, East 6th Street, Alice, Jim Wells County, Texas, 78332, United States
ALICE, TX 783324657
Phone: (361) 668-8889
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $112.
Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.
Last reported payment date: 2023-04-17 • Largest payer in this snapshot: Lilly USA, LLC ($97).
Total Amount
$112
General + Research + Ownership
Payments
2
Total payment records
General Amount
$112
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $97 |
| AstraZeneca Pharmaceuticals LP | $14 |
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: 2004-12-14
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 |
|---|---|---|---|---|
| I20041214000482 | I | Family Practice | TX | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 212 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 208 | 87 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 26 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 38 | 25 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 16 | 16 | $0 |
Insurance plans in this area (ZIP 33126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Internal Medicine, General Practice | FL | |
| Family Practice, Geriatric Medicine | FL | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | NV | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX |
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