KRISTINE L PRUITT (PA) – Physician Assistant, NPI 1255348389
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for KRISTINE L PRUITT (PA)
317, FM 1187, Brook Hollow, Aledo, Parker County, Texas, 76008, United States
ALEDO, TX 760084200
Phone: (817) 441-7181
Fax: (817) 441-7893
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 11 Open Payments records for all available years, with a total value of $270.
Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.
Last reported payment date: 2023-11-20 • Largest payer in this snapshot: Radius Health, Inc. ($181).
Total Amount
$270
General + Research + Ownership
Payments
11
Total payment records
General Amount
$270
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Radius Health, Inc. | $181 |
| Amgen Inc. | $71 |
| Ethicon US, LLC | $18 |
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: 2005-03-29
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 |
|---|---|---|---|---|
| I20050329000771 | 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 |
|---|---|---|---|---|
| 77089 | Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk | 299 | 224 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 249 | 167 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 166 | 164 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 155 | 151 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 63 | 63 | $0 |
Insurance plans in this area (ZIP 76008)
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