TATE JAMES PERQUE (PA-C) – Physician Assistant, NPI 1003125055
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,472 PHYSICIAN ASSISTANT in LA
Provider Addresses for TATE JAMES PERQUE (PA-C)
2900 SAINT MICHAEL DR STE 401
TEXARKANA, TX 755035211
Phone: (903) 614-5368
Fax: (903) 614-5343
Type: Mailing
1453 E BERT KOUNS INDUSTRIAL LOOP STE 318
SHREVEPORT, LA 711056810
Phone: (318) 681-1968
Fax: (318) 681-1969
Type: Location
2751 Albert L Bicknell Dr
Suite 5C
Shreveport, LA 711033920
Phone: (318) 227-9777
Fax: (318) 459-1188
Type: Location
3315 Centenary Blvd
Shreveport, LA 711044503
Phone: (318) 230-3601
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $942.
Total Amount is formed as General ($942) + Research ($0) + Ownership ($0) = $942.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($399).
Total Amount
$942
General + Research + Ownership
Payments
25
Total payment records
General Amount
$942
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $399 |
| Ethicon US, LLC | $168 |
| Aziyo Biologics, Inc. | $98 |
| ATRICURE, INC. | $85 |
| Silk Road Medical, Inc. | $75 |
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: 2010-10-11
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 |
|---|---|---|---|---|
| I20101011001187 | I | Physician Assistant | LA | 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 |
|---|---|---|---|---|
| 33533 | Coronary artery bypass using artery graft, 1 graft | 36 | 36 | $0 |
| 33508 | Harvest of vein using an endoscope | 34 | 34 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 24 | 16 | $0 |
| 33268 | Exclusion of appendage of left upper chamber of heart performed during other procedure on chest | 23 | 23 | $0 |
| 33517 | Coronary artery bypass using vein or artery graft, 1 graft | 19 | 19 | $0 |
Insurance plans in this area (ZIP 75503)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX | |
| Nurse Practitioner | IL | |
| - | NC | |
| Physician Assistant | LA | |
| Hospitalist, Gastroenterology | TX |
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