JESUS CEDILLO (PA) – Physician Assistant, NPI 1124418579

JESUS CEDILLO (PA) is a healthcare provider. based in Laredo, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA09683 (TX). The NPI Number for JESUS CEDILLO (PA) is 1124418579

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
JESUS CEDILLO (PA)
NPI
1124418579
Phone
Not provided
Address
10700 MCPHERSON RD
Enumeration Date
23 January 2015
Last Update Date
18 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9562824177
Graduation Year
2014 (12 years ago)
PAC ID
7618293184
Group Practice PAC ID
4587028139
Professional Enrollment ID
I20150226001818
Address ID
TX780416505LA7210XRDXX305
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for JESUS CEDILLO (PA)

  • 10700 MCPHERSON RD

    LAREDO, TX 780456268

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($111).

Total Amount

$160

General + Research + Ownership

Payments

5

Total payment records

General Amount

$160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

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: 2015-02-26

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
I20150226001818IPhysician AssistantTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making4949$0
99284Emergency department visit with moderate level of medical decision making4341$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2524$0
99291Critical care, first 30-74 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 78045)

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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: 4587028139View full group profile
NameSpecialtyState
Orthopedic Surgery, Sports MedicineIA
Orthopedic Surgery, Sports MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does JESUS CEDILLO (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JESUS CEDILLO (PA) uses 1124418579.
Does CMS list JESUS CEDILLO (PA) as active?
Yes — JESUS CEDILLO (PA) is active in the NPI listing used on this page.
What is JESUS CEDILLO (PA)'s primary classification?
Physician Assistant is the headline specialty for JESUS CEDILLO (PA) here. Clinical services aligned with this taxonomy classification.
Where is JESUS CEDILLO (PA) based?
JESUS CEDILLO (PA) is tied to Laredo, Texas in the data we show; additional addresses may exist on the full record.
Why does JESUS CEDILLO (PA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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