TYLER CAMERON JEFFERSON (PA-C) – Physician Assistant, NPI 1740245968

TYLER CAMERON JEFFERSON (PA-C) is a healthcare provider. based in Denton, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA06754 (TX). The NPI Number for TYLER CAMERON JEFFERSON (PA-C) is 1740245968

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
TYLER CAMERON JEFFERSON (PA-C)
NPI
1740245968
Phone
(940) 382-1577
Address
2535 W OAK ST
Enumeration Date
19 April 2006
Last Update Date
23 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
3779509906
Group Practice PAC ID
6608775135
Professional Enrollment ID
I20160222001029
Address ID
NM875057601SA455XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for TYLER CAMERON JEFFERSON (PA-C)

  • 2535, West Oak Street, Denton, Denton County, Texas, 76201, United States

    DENTON, TX 762012331

    Phone: (940) 382-1577

    Fax: (940) 387-5471

    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 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Medline Industries LP ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medline Industries LP$23
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: 2016-02-22

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
I20160222001029IPhysician AssistantNMTBD

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
20610Aspiration and/or injection of fluid from large joint207138$0
73564X-ray of knee, 4 or more views162123$0
99214Established patient office or other outpatient visit, 30-39 minutes150134$0
73502X-ray of hip, 2-3 views11784$0
73562X-ray of knee, 3 views116106$0
View full utilization report →

Insurance plans in this area (ZIP 76201)

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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: 6608775135View full group profile

Reviews

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Frequently asked questions

What is the registry number for TYLER CAMERON JEFFERSON (PA-C)?
The registry entry for TYLER CAMERON JEFFERSON (PA-C) shows NPI 1740245968.
Quick check: is TYLER CAMERON JEFFERSON (PA-C) active?
Public NPPES data shows TYLER CAMERON JEFFERSON (PA-C) with an active NPI status right now.
How should patients interpret TYLER CAMERON JEFFERSON (PA-C)'s specialty?
The extract shows Physician Assistant for TYLER CAMERON JEFFERSON (PA-C). Clinical services aligned with this taxonomy classification.
Is TYLER CAMERON JEFFERSON (PA-C) tied to Denton, Texas?
If you are local to Denton, Texas, TYLER CAMERON JEFFERSON (PA-C) may be relevant to your search.
Why is information missing for TYLER CAMERON JEFFERSON (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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