JONATHAN EDMOND PEPPER (M.D.) – Obstetrics & Gynecology Physician, NPI 1013448752

JONATHAN EDMOND PEPPER (M.D.) is a healthcare provider. based in Huntsville, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. T3362 (TX). The NPI Number for JONATHAN EDMOND PEPPER (M.D.) is 1013448752

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN EDMOND PEPPER (M.D.)
NPI
1013448752
Phone
(936) 291-3219
Address
PO BOX 4001
Enumeration Date
24 March 2017
Last Update Date
12 February 2026

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
4322647180
Graduation Year
2017 (9 years ago)
PAC ID
0345518833
Group Practice PAC ID
2163326281
Professional Enrollment ID
I20220210000428
Address ID
TX797204121BI1501XPLAC403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for JONATHAN EDMOND PEPPER (M.D.)

  • PO BOX 4001

    HUNTSVILLE, TX 773424001

    Phone: (936) 291-3219

    Fax: (936) 291-7206

    Type: Mailing

  • Roma Drive, Broadmoor Terrace, Shreveport, Caddo Parish, Louisiana, 71105, United States

    APT 707

    SHREVEPORT, LA 711054641

    Phone: (504) 261-8871

    Type: Mailing

  • Michaelangelo Drive, Borderland Retreat Colonia, Edinburg, Hidalgo County, Texas, United States

    EDINBURG, TX 785391405

    Phone: (956) 362-3590

    Fax: (956) 362-3590

    Type: Location

  • 6611 RIVER PLACE BLVD STE 202

    AUSTIN, TX 787301167

    Phone: (512) 473-8300

    Type: Mailing

  • 125 MEDICAL PARK LN STE C

    HUNTSVILLE, TX 773404957

    Phone: (936) 291-3219

    Fax: (936) 291-7206

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $9,488.

Total Amount is formed as General ($9,488) + Research ($0) + Ownership ($0) = $9,488.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($8,068).

Total Amount

$9,488

General + Research + Ownership

Payments

61

Total payment records

General Amount

$9,488

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-02-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220210000428IObstetrics/GynecologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77342)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163326281View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Cardiovascular Disease (Cardiology)TX
O B S T E T R I C S/ G Y N E C O L O G YTX
Internal Medicine, Cardiovascular Disease (Cardiology)TX
Pulmonary DiseaseTX
General SurgeryTX
General SurgeryPA

Reviews

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Frequently asked questions

What federal number belongs to JONATHAN EDMOND PEPPER (M.D.)?
The federal identifier for JONATHAN EDMOND PEPPER (M.D.) is NPI 1013448752.
Is JONATHAN EDMOND PEPPER (M.D.)'s NPI currently valid?
The extract we use shows JONATHAN EDMOND PEPPER (M.D.) as active.
Does JONATHAN EDMOND PEPPER (M.D.) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for JONATHAN EDMOND PEPPER (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for JONATHAN EDMOND PEPPER (M.D.)?
We surface Huntsville, Texas for JONATHAN EDMOND PEPPER (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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