JEREMY THOMAS DIVER (PA-C) – Medical Physician Assistant, NPI 1679913354
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
8,584 PHYSICIAN ASSISTANT in TX
Provider Addresses for JEREMY THOMAS DIVER (PA-C)
6316 PRECINCT LINE RD
HURST, TX 760542766
Phone: (817) 605-2525
Type: Location
1512 TEASLEY LN
DENTON, TX 762057282
Phone: (940) 382-0980
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $1,528.
Total Amount is formed as General ($1,528) + Research ($0) + Ownership ($0) = $1,528.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($454).
Total Amount
$1,528
General + Research + Ownership
Payments
66
Total payment records
General Amount
$1,528
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $454 |
| Lilly USA, LLC | $211 |
| PFIZER INC. | $180 |
| Abbott Laboratories | $151 |
| GlaxoSmithKline, LLC. | $92 |
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: 2014-04-30
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20140430000642 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 372 | 262 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 169 | 142 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 43 | 43 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 38 | 19 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 26 | 26 | $0 |
Insurance plans in this area (ZIP 76054)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| Clinical Social Worker | TX | |
| - | TX | |
| Orthopedic Surgery | TX | |
| Clinical Psychologist | TX | |
| Internal Medicine | TX |
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