JEANIENE ANNE TALLEY (MD) – Family Medicine Physician, NPI 1003889585
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
992 FAMILY PRACTICE in NV
Provider Addresses for JEANIENE ANNE TALLEY (MD)
PO BOX 15645
LAS VEGAS, NV 891145645
Phone: (702) 242-7786
Fax: (702) 240-8790
Type: Mailing
PO BOX 92001
LAS VEGAS, NV 891932001
Phone: (702) 474-4110
Fax: (702) 240-8790
Type: Mailing
3860 W ANN RD
N LAS VEGAS, NV 890314409
Phone: (702) 474-4110
Type: Location
North Nellis Boulevard, Sunrise, Las Vegas, Clark County, Nevada, 89110, United States
LAS VEGAS, NV 89110
Phone: (702) 459-7424
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $1,000.
Total Amount is formed as General ($1,000) + Research ($0) + Ownership ($0) = $1,000.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($230).
Total Amount
$1,000
General + Research + Ownership
Payments
38
Total payment records
General Amount
$1,000
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $230 |
| ABBVIE INC. | $158 |
| Amgen Inc. | $151 |
| GlaxoSmithKline, LLC. | $113 |
| Lilly USA, LLC | $81 |
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: 2004-04-06
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 |
|---|---|---|---|---|
| I20040406000619 | I | Family Practice | NV | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 341 | 207 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 125 | 99 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 46 | 46 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 19 | 19 | $0 |
Insurance plans in this area (ZIP 89114)
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