JUSTIN JONES (PA-C) – Physician Assistant, NPI 1174190094
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for JUSTIN JONES (PA-C)
7901 John Carpenter Fwy
Dallas, TX 752474832
Phone: (469) 320-1267
Fax: (945) 242-8020
Type: Location
1000 Lipscomb St Ste 100
Fort Worth, TX 761043181
Phone: (817) 348-8600
Type: Location
6036 N 19th Ave Ste 204
Phoenix, AZ 850152104
Phone: (480) 616-0356
Fax: (480) 616-0603
Type: Location
2820 TERROSA RD
GRAND PRAIRIE, TX 750540074
Phone: (870) 718-6543
Type: Mailing
1000 LIPSCOMB ST STE 100
FORT WORTH, TX 761043181
Phone: (817) 348-8600
Type: Location
1919 S SHILOH RD STE 400
GARLAND, TX 750428211
Phone: (469) 320-1267
Fax: (945) 242-8020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $275.
Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($123).
Total Amount
$275
General + Research + Ownership
Payments
9
Total payment records
General Amount
$275
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $123 |
| ConvaTec Inc. | $49 |
| Ethicon US, LLC | $41 |
| Bioventus LLC | $25 |
| CTL Medical Corporation | $19 |
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: 2021-07-09
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 |
|---|---|---|---|---|
| I20210709002832 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 75247)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Physician Assistant | PA | |
| - | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX |
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