DR. JON DAVIS PRUETT (M.D.) – Dermatology Physician, NPI 1023071933
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for DR. JON DAVIS PRUETT (M.D.)
8201 PRESTON RD STE 440
DALLAS, TX 752256209
Phone: (214) 675-3227
Type: Mailing
4340, North Josey Lane, Carrollton, Denton County, Texas, 75010, United States
SUITE 100
CARROLLTON, TX 750104602
Phone: (972) 492-7900
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 430 Open Payments records for all available years, with a total value of $8,886.
Total Amount is formed as General ($8,886) + Research ($0) + Ownership ($0) = $8,886.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($2,095).
Total Amount
$8,886
General + Research + Ownership
Payments
430
Total payment records
General Amount
$8,886
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $2,095 |
| GENZYME CORPORATION | $775 |
| Lilly USA, LLC | $752 |
| Dermavant Sciences, Inc. | $440 |
| Sun Pharmaceutical Industries Inc. | $376 |
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: 2007-03-08
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 |
|---|---|---|---|---|
| I20070308000071 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 942 | 144 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 321 | 250 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 219 | 173 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 193 | 166 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 151 | 129 | $0 |
Insurance plans in this area (ZIP 75225)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | TX | 17003 | Destruction of 2-14 skin growths | 2018 | 308 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX |
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