PAUL LAVAL PUCKETT (PAC) – Physician Assistant, NPI 1407961410

PAUL LAVAL PUCKETT (PAC) is a healthcare provider. based in Summer, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA02778 (TX). The NPI Number for PAUL LAVAL PUCKETT (PAC) is 1407961410

Main info

Male
26 Years Of Experience
Name
PAUL LAVAL PUCKETT (PAC)
NPI
1407961410
Phone
(903) 784-1291
Address
2464 FM 2820
Enumeration Date
20 August 2006
Last Update Date
12 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9034280100
Graduation Year
2000 (26 years ago)
PAC ID
9830104538
Group Practice PAC ID
7618279530
Professional Enrollment ID
I20060216000497
Address ID
TX754262564CL1805XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

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Provider Addresses for PAUL LAVAL PUCKETT (PAC)

  • 2464 FM 2820

    SUMMER, TX 75486

    Phone: (903) 784-1291

    Type: Mailing

  • Hunt Regional Medical Center, 4215, Joe Ramsey Boulevard, Greenville, Hunt County, Texas, 75401, United States

    GREENVILLE, TX 75403

    Phone: (903) 408-5000

    Fax: (214) 712-2487

    Type: Location

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 $332.

Total Amount is formed as General ($332) + Research ($0) + Ownership ($0) = $332.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($64).

Total Amount

$332

General + Research + Ownership

Payments

18

Total payment records

General Amount

$332

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

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: 2006-02-16

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
I20060216000497IPhysician 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
81002Urinalysis, manual test6245$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus4337$0
87804Detection test by immunoassay with direct visual observation for influenza virus4020$0
View full utilization report →

Insurance plans in this area (ZIP 75486)

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Provider's Procedures

PAUL LAVAL PUCKETT (PAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTX85610Blood test, clotting time6011

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: 7618279530View full group profile
NameSpecialtyState
Nurse PractitionerOK

Reviews

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Frequently asked questions

Is PAUL LAVAL PUCKETT (PAC) listed with a National Provider Identifier?
Yes — PAUL LAVAL PUCKETT (PAC) has NPI 1407961410 on file in the registry.
Active or inactive — what applies to PAUL LAVAL PUCKETT (PAC)?
You should see PAUL LAVAL PUCKETT (PAC) as active in CMS-hosted NPPES data.
What expertise is attributed to PAUL LAVAL PUCKETT (PAC)?
PAUL LAVAL PUCKETT (PAC)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is PAUL LAVAL PUCKETT (PAC) associated with Summer?
Public fields place PAUL LAVAL PUCKETT (PAC) around Summer, Texas. Always confirm the exact site before visiting.
Does PAUL LAVAL PUCKETT (PAC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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