DR. JACK LEIGH III EIDSON (M.D.) – Vascular Surgery Physician, NPI 1487819538
Vascular Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
492 VASCULAR SURGERY in TX
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Provider Addresses for DR. JACK LEIGH III EIDSON (M.D.)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States
TEMPLE, TX 765080001
Phone: (254) 724-2111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $1,057.
Total Amount is formed as General ($1,057) + Research ($0) + Ownership ($0) = $1,057.
Last reported payment date: 2024-11-02 • Largest payer in this snapshot: Cook Medical LLC ($349).
Total Amount
$1,057
General + Research + Ownership
Payments
13
Total payment records
General Amount
$1,057
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cook Medical LLC | $349 |
| Medtronic, Inc. | $247 |
| W. L. Gore & Associates, Inc. | $230 |
| Bolton Medical Inc | $129 |
| LeMaitre Vascular, Inc. | $102 |
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: 2013-07-02
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 |
|---|---|---|---|---|
| I20130702000532 | I | Vascular Surgery | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 111 | 77 | $0 |
| 93923 | Complete ultrasound study of arm and leg arteries | 98 | 96 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 59 | 55 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 40 | 39 | $0 |
| 93978 | Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts | 35 | 34 | $0 |
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Anesthesiology Assistant | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX |
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