JONATHAN P JETER (M.D.) – Dermatology Physician, NPI 1689056228

JONATHAN P JETER (M.D.) is a healthcare provider. based in El paso, Texas. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. R1052 (TX). The NPI Number for JONATHAN P JETER (M.D.) is 1689056228

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN P JETER (M.D.)
NPI
1689056228
Phone
Not provided
Address
5005 N PIEDRAS ST
Enumeration Date
19 June 2015
Last Update Date
27 October 2023

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
7578388030
Graduation Year
2015 (11 years ago)
PAC ID
4183051790
Group Practice PAC ID
7012071608
Professional Enrollment ID
I20231220001987
Address ID
VA236665843HA17XXXSQXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,287 DERMATOLOGY in TX

Provider Addresses for JONATHAN P JETER (M.D.)

  • 5005 N PIEDRAS ST

    EL PASO, TX 79920

    Phone:

    Type: Mailing

  • 576 JEFFERSON AVE

    FORT EUSTIS, VA 236041373

    Phone: (757) 314-2037

    Fax: (577) 314-7977

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$14
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: 2023-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200220001400IDermatologyTXTBD
I20231220001987IDermatologyVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79920)

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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: 7012071608View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
-VA
Physician AssistantVA
D E R M A T O L O G YVA
Physician AssistantVA
-FL
D E R M A T O L O G YVA
Physician AssistantVA
D E R M A T O L O G YNC

Reviews

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Frequently asked questions

What is the standard ID for JONATHAN P JETER (M.D.) in the U.S.?
In the U.S., JONATHAN P JETER (M.D.) is identified by NPI 1689056228.
Should I treat JONATHAN P JETER (M.D.) as an active provider?
Patients and plans typically see JONATHAN P JETER (M.D.) as active in the national extract.
How should patients interpret JONATHAN P JETER (M.D.)'s specialty?
The extract shows Dermatology Physician for JONATHAN P JETER (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit JONATHAN P JETER (M.D.) in El Paso, Texas?
For routing, start with El Paso, Texas for JONATHAN P JETER (M.D.), then verify phone and hours locally.
Why is information missing for JONATHAN P JETER (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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