DR. AMANDA NICOLE LONG (D.O.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1013129931
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
660 ENDOCRINOLOGY in TX
Provider Addresses for DR. AMANDA NICOLE LONG (D.O.)
2116 E Rusk St
Jacksonville, TX 757669052
Phone: (903) 510-1173
Type: Location
3201 S Loop 256
Palestine, TX 758016901
Phone: (903) 723-0330
Type: Location
2026 S JACKSON ST
JACKSONVILLE, TX 757665822
Phone: (903) 586-5678
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752846098
Phone: (903) 324-6450
Type: Mailing
619, South Fleishel Avenue, Tyler, Smith County, Texas, 75701, United States
STE 327
TYLER, TX 757012004
Phone: (903) 510-1173
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $439.
Total Amount is formed as General ($439) + Research ($0) + Ownership ($0) = $439.
Last reported payment date: 2024-12-08 • Largest payer in this snapshot: Dexcom, Inc. ($251).
Total Amount
$439
General + Research + Ownership
Payments
8
Total payment records
General Amount
$439
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $251 |
| Medtronic, Inc. | $137 |
| Abbott Laboratories | $37 |
| Tandem Diabetes Care, Inc. | $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: 2012-07-31
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 |
|---|---|---|---|---|
| I20120731000617 | I | Endocrinology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 729 | 366 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 214 | 87 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 66 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 24 | 12 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 75766)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ENDOCRINOLOGY | TX | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | IL | |
| - | NC | |
| Physician Assistant | LA | |
| Hospitalist, Gastroenterology | TX | |
| Internal Medicine | TX |
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