MR. IVAN JESUS PALACIOS (PA- C) – Physician Assistant, NPI 1790310449
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for MR. IVAN JESUS PALACIOS (PA- C)
1109 E 5TH ST APT 1422
AUSTIN, TX 787023989
Phone: (830) 613-5621
Type: Mailing
USAISR BURN CENTER, BURN REHABILITATION SERVICES
MCMR-SRT-T; 3698 CHAMBERS PASS, BLDG 3611
JBSA- FORT SAM HOUSTON, TX 782344504
Phone: (210) 916-5658
Fax: (210) 271-0830
Type: Mailing
2715 W TRENTON RD
EDINBURG, TX 785393433
Phone: (956) 618-4878
Fax: (956) 618-4879
Type: Mailing
1975 4TH ST
SAN FRANCISCO, CA 941432351
Phone: (415) 476-3501
Type: Location
6621 Fannin St
Houston, TX 770302399
Phone: (832) 824-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $268.
Total Amount is formed as General ($268) + Research ($0) + Ownership ($0) = $268.
Last reported payment date: 2023-10-04 • Largest payer in this snapshot: Gilead Sciences, Inc. ($251).
Total Amount
$268
General + Research + Ownership
Payments
4
Total payment records
General Amount
$268
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $251 |
| Exact Sciences Corporation | $17 |
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: 2025-08-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210920002368 | I | Physician Assistant | TX | TBD |
| I20250808001467 | I | Physician Assistant | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78702)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.