JAY PRIBBLE (P.A.) – Medical Physician Assistant, NPI 1508097155
Medical 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 JAY PRIBBLE (P.A.)
Highway 287, Midlothian, Ellis County, Texas, 76063, United States
MIDLOTHIAN, TX 760655576
Phone: (972) 723-5590
Fax: (972) 723-5592
Type: Mailing
3051 S CENTER ST
ARLINGTON, TX 760142023
Phone: (817) 468-1818
Fax: (817) 468-4775
Type: Mailing
3501 S CENTER STREET
ARLINGTON, TX 76014
Phone: (817) 468-1818
Fax: (817) 468-1818
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 128 Open Payments records for all available years, with a total value of $2,533.
Total Amount is formed as General ($2,533) + Research ($0) + Ownership ($0) = $2,533.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Lilly USA, LLC ($493).
Total Amount
$2,533
General + Research + Ownership
Payments
128
Total payment records
General Amount
$2,533
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $493 |
| Bayer Healthcare Pharmaceuticals Inc. | $297 |
| Novo Nordisk Inc | $290 |
| GlaxoSmithKline, LLC. | $200 |
| PFIZER INC. | $153 |
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: 2014-10-24
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 |
|---|---|---|---|---|
| I20141024002150 | 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 |
|---|---|---|---|---|
| 96127 | Assessment of emotional or behavioral problems | 194 | 95 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 152 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 69 | $0 |
| 83036 | Hemoglobin a1c level | 43 | 23 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 42 | 18 | $0 |
Insurance plans in this area (ZIP 76065)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Qualified Audiologist | TX | |
| Qualified Audiologist | TX | |
| O T O L A R Y N G O L O G Y | IL | |
| O T O L A R Y N G O L O G Y | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Physician Assistant | TX | |
| O T O L A R Y N G O L O G Y | TX |
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