JIVIDEN JAMES MCCOY (PA-C) – Medical Physician Assistant, NPI 1891036075

JIVIDEN JAMES MCCOY (PA-C) is a healthcare provider. based in Abilene, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA08350 (TX). The NPI Number for JIVIDEN JAMES MCCOY (PA-C) is 1891036075

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JIVIDEN JAMES MCCOY (PA-C)
NPI
1891036075
Phone
(325) 672-4372
Address
1633 COTTONWOOD ST
Enumeration Date
12 March 2013
Last Update Date
18 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
0345480349
Group Practice PAC ID
7618916883
Professional Enrollment ID
I20130716000635
Address ID
TX760337447CR2010XRDXX601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for JIVIDEN JAMES MCCOY (PA-C)

  • 1633 COTTONWOOD ST

    ABILENE, TX 796013033

    Phone: (325) 672-4372

    Fax: (325) 673-0856

    Type: Mailing

  • 1749 PINE ST

    ABILENE, TX 796013043

    Phone: (325) 672-4372

    Type: Location

  • 2010 W KATHERINE P RAINES RD STE 300

    CLEBURNE, TX 760337447

    Phone: (325) 672-4372

    Fax: (325) 673-0856

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $135.

Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.

Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($82).

Total Amount

$135

General + Research + Ownership

Payments

7

Total payment records

General Amount

$135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-07-16

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
I20130716000635IPhysician AssistantTXTBD

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
27447Replacement of knee joint, both sides of knee2828$0
View full utilization report →

Insurance plans in this area (ZIP 79601)

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Provider's Procedures

JIVIDEN JAMES MCCOY (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTX20610Aspiration and/or injection of large joint or joint capsule3632

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: 7618916883View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Orthopedic SurgeryTX
Physician AssistantTX
Nurse PractitionerTX
Physical Therapist In Private PracticeOK
Physician AssistantTX
Orthopedic SurgeryTX
P O D I A T R YTX
P O D I A T R YTX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

Can I cross-check JIVIDEN JAMES MCCOY (PA-C) using NPI 1891036075?
NPI 1891036075 belongs to JIVIDEN JAMES MCCOY (PA-C); compare other details if you need extra assurance.
Is there an active status for JIVIDEN JAMES MCCOY (PA-C)?
For scheduling context, JIVIDEN JAMES MCCOY (PA-C) is shown as active in the registry.
What kind of doctor is JIVIDEN JAMES MCCOY (PA-C)?
JIVIDEN JAMES MCCOY (PA-C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is JIVIDEN JAMES MCCOY (PA-C) associated with Abilene?
Public fields place JIVIDEN JAMES MCCOY (PA-C) around Abilene, Texas. Always confirm the exact site before visiting.
Can I trust this NPI listing for JIVIDEN JAMES MCCOY (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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