KRISTIN L AULT (DO) – Family Medicine Physician, NPI 1609078211
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,706 FAMILY PRACTICE in TX
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Provider Addresses for KRISTIN L AULT (DO)
2116, East Rusk Street, Jacksonville, Cherokee County, Texas, 75766, United States
JACKSONVILLE, TX 757669052
Phone: (903) 284-6105
Fax: (903) 284-6140
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 107 Open Payments records for all available years, with a total value of $1,509.
Total Amount is formed as General ($1,509) + Research ($0) + Ownership ($0) = $1,509.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Lilly USA, LLC ($343).
Total Amount
$1,509
General + Research + Ownership
Payments
107
Total payment records
General Amount
$1,509
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $343 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $219 |
| GlaxoSmithKline, LLC. | $172 |
| PFIZER INC. | $157 |
| Novo Nordisk Inc | $88 |
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: 2008-06-10
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 |
|---|---|---|---|---|
| I20080610000644 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,721 | 214 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,426 | 188 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,019 | 397 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 811 | 386 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 792 | 376 | $0 |
Insurance plans in this area (ZIP 75766)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Family Practice | TX | |
| General Practice, Sports Medicine, Family Practice | TX | |
| Family Practice | TX |
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