JOHN COLIN CULBERTSON (PA-C) – Physician Assistant, NPI 1073859732
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,472 PHYSICIAN ASSISTANT in LA
Provider Addresses for JOHN COLIN CULBERTSON (PA-C)
919 HIDDEN RDG
IRVING, TX 750383813
Phone: (469) 282-2711
Fax: (469) 282-0996
Type: Mailing
1460 E BERT KOUNS INDUSTRIAL LOOP
SUITE 700
SHREVEPORT, LA 711055644
Phone: (318) 681-5580
Fax: (318) 681-5280
Type: Location
3515 RICHMOND RD
TEXARKANA, TX 755030711
Phone: (903) 791-9355
Fax: (903) 793-0496
Type: Mailing
4526 NORTHPORT BLVD
SHREVEPORT, LA 711072536
Phone: (318) 935-9626
Fax: (318) 489-4181
Type: Location
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: 2015-07-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130410000069 | I | Physician Assistant | TX | TBD |
| I20150706000078 | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 519 | 61 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 142 | 121 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 140 | 67 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 125 | 89 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 117 | 102 | $0 |
Insurance plans in this area (ZIP 75038)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | LA | |
| Physician Assistant | OK | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | AR | |
| - | TX | |
| Nurse Practitioner | TX | |
| - | AR | |
| Nurse Practitioner | TX | |
| Family Practice, Geriatric Medicine | AR | |
| - | TX |
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