LEONARD MATTHEW ACEVEDO (P.A-C, MPAS) – Physician Assistant, NPI 1558793992

LEONARD MATTHEW ACEVEDO (P.A-C, MPAS) is a healthcare provider. based in Hurst, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A-C, MPAS. They hold a License No. PA08462 (TX). The NPI Number for LEONARD MATTHEW ACEVEDO (P.A-C, MPAS) is 1558793992

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
LEONARD MATTHEW ACEVEDO (P.A-C, MPAS)
NPI
1558793992
Phone
(817) 595-4500
Address
804 NE MALL BLVD
Enumeration Date
8 August 2013
Last Update Date
5 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
9133442056
Group Practice PAC ID
0042349136
Professional Enrollment ID
I20141230001099
Address ID
TX760534653HU804XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for LEONARD MATTHEW ACEVEDO (P.A-C, MPAS)

  • 804 NE MALL BLVD

    HURST, TX 760534653

    Phone: (817) 595-4500

    Fax: (817) 595-4505

    Type: Mailing

  • 4724 WELLINGTON ST

    GREENVILLE, TX 754014944

    Phone: (903) 455-8800

    Fax: (214) 771-3101

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 170 Open Payments records for all available years, with a total value of $3,211.

Total Amount is formed as General ($3,211) + Research ($0) + Ownership ($0) = $3,211.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($602).

Total Amount

$3,211

General + Research + Ownership

Payments

170

Total payment records

General Amount

$3,211

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2014-12-30

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
I20141230001099IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes620385$0
17003Destruction of precancer skin growth, 2-14 growths402104$0
17000Destruction of precancer skin growth, 1 growth208164$0
17110Destruction of skin growth, 1-14 growths175140$0
11102Biopsy of related skin growth, first growth9180$0
View full utilization report →

Insurance plans in this area (ZIP 76053)

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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: 0042349136View full group profile
NameSpecialtyState
Dermatology, General PracticeTX
D E R M A T O L O G YTX
Physician AssistantTX
Micrographic Dermatologic Surgery (Mds), DermatologyMS
-TX

Reviews

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Frequently asked questions

How do I look up LEONARD MATTHEW ACEVEDO (P.A-C, MPAS) by NPI?
Use NPI 1558793992 when you need to reference LEONARD MATTHEW ACEVEDO (P.A-C, MPAS) in forms, claims, or directories.
Is LEONARD MATTHEW ACEVEDO (P.A-C, MPAS) active in the national directory?
LEONARD MATTHEW ACEVEDO (P.A-C, MPAS)'s public NPI profile is in an active state.
Can you summarize LEONARD MATTHEW ACEVEDO (P.A-C, MPAS)'s specialty in plain language?
Clinically, the directory lists LEONARD MATTHEW ACEVEDO (P.A-C, MPAS) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is LEONARD MATTHEW ACEVEDO (P.A-C, MPAS)'s primary listing?
We display Hurst, Texas because that is what the record indicates for LEONARD MATTHEW ACEVEDO (P.A-C, MPAS).
What if Hurst, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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