DR. JON THOMAS BEEZLEY (D.O.) – Emergency Medicine Physician, NPI 1073598058
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,051 EMERGENCY MEDICINE in TX
Provider Addresses for DR. JON THOMAS BEEZLEY (D.O.)
2804, High Point Court, High Point Farms, Grapevine, Tarrant County, Texas, 76051, United States
GRAPEVINE, TX 760516460
Phone: (817) 488-9124
Type: Mailing
2955 Eldorado Pkwy Ste 100
Frisco, TX 750337202
Phone: (214) 407-8668
Fax: (214) 407-8665
Type: Location
5500 Sycamore School Rd Ste 100
Fort Worth, TX 761233053
Phone: (682) 707-9707
Fax: (682) 707-9708
Type: Location
Texas Health Arlington Memorial Hospital, 800, West Randol Mill Road, Arlington, Tarrant County, Texas, 76012, United States
ARLINGTON, TX 760122504
Phone: (817) 548-6205
Type: Location
714 SUSSEX CT
SOUTHLAKE, TX 760928869
Phone: (817) 488-9124
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-10-29
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 |
|---|---|---|---|---|
| I20041029000774 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 76051)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OK | |
| Emergency Medicine | OH | |
| Emergency Medicine | TX | |
| Emergency Medicine | OK | |
| Emergency Medicine | AR | |
| Emergency Medicine | TX | |
| Emergency Medicine | OK | |
| Emergency Medicine | OH | |
| Emergency Medicine | TX | |
| Emergency Medicine | OK |
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