ANA DIANE DEETER (PA) – Physician Assistant, NPI 1407539414
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for ANA DIANE DEETER (PA)
7434 Louis Pasteur Dr Ste 220
San Antonio, TX 782294540
Phone: (210) 714-0066
Type: Location
1100 JORIE BLVD STE 300
OAK BROOK, IL 605232219
Phone: (630) 974-6602
Fax: (630) 487-2411
Type: Mailing
899 SKOKIE BLVD STE 260
NORTHBROOK, IL 600624019
Phone: (630) 974-6602
Fax: (630) 487-2411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 114 Open Payments records for all available years, with a total value of $2,750.
Total Amount is formed as General ($2,750) + Research ($0) + Ownership ($0) = $2,750.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($415).
Total Amount
$2,750
General + Research + Ownership
Payments
114
Total payment records
General Amount
$2,750
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-07-17
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 |
|---|---|---|---|---|
| I20250717000800 | I | Physician Assistant | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78229)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | PA | |
| Physician Assistant | IL | |
| Clinical Social Worker | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL |
Reviews
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