DANE THURSTON (PA) – Physician Assistant, NPI 1225255235

DANE THURSTON (PA) is a healthcare provider. based in Fort worth, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 362840-1206 (UT). The NPI Number for DANE THURSTON (PA) is 1225255235

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DANE THURSTON (PA)
NPI
1225255235
Phone
(817) 232-9115
Address
3629 WESTERN CENTER BLVD STE 221
Enumeration Date
19 April 2007
Last Update Date
14 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4352838400
Graduation Year
1991 (35 years ago)
PAC ID
4183853120
Group Practice PAC ID
6305743618
Professional Enrollment ID
I20250904003229
Address ID
UT846275549EP152XX400X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for DANE THURSTON (PA)

  • 3629 WESTERN CENTER BLVD STE 221

    FORT WORTH, TX 761371940

    Phone: (817) 232-9115

    Type: Mailing

  • 152 N 400 W

    EPHRAIM, UT 846275549

    Phone: (435) 283-8400

    Fax: (435) 283-8401

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $375.

Total Amount is formed as General ($375) + Research ($0) + Ownership ($0) = $375.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($128).

Total Amount

$375

General + Research + Ownership

Payments

18

Total payment records

General Amount

$375

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2025-09-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140214001057IPhysician AssistantTXTBD
I20250904003229IPhysician AssistantUTTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg19019$0
99213Established patient office or other outpatient visit, 20-29 minutes6055$0
99203New patient office or other outpatient visit, 30-44 minutes3838$0
96372Injection of drug or substance under skin or into muscle3130$0
87400Detection test by immunoassay technique for influenza virus2714$0
View full utilization report →

Insurance plans in this area (ZIP 76137)

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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: 6305743618View full group profile
NameSpecialtyState
-UT
-UT
Clinical Social WorkerUT
Clinical Social WorkerUT
Clinical Social WorkerUT
Physician AssistantUT
-UT
Clinical Social WorkerUT
Nurse PractitionerUT
-UT

Reviews

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Frequently asked questions

What unique ID ties claims to DANE THURSTON (PA)?
NPI 1225255235 is assigned to DANE THURSTON (PA) under the national enumeration system.
Does this profile mean DANE THURSTON (PA) is currently active?
Yes — DANE THURSTON (PA) appears active in the national provider directory.
What field does DANE THURSTON (PA) work in?
You can think of DANE THURSTON (PA) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place DANE THURSTON (PA)?
The snapshot lists Fort Worth, Texas for DANE THURSTON (PA); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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