JON-MICHAEL GLEN CLINE (DO) – Sports Medicine (Family Medicine) Physician, NPI 1972866283
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
496 SPORTS MEDICINE in TX
Provider Addresses for JON-MICHAEL GLEN CLINE (DO)
PO BOX 846098
DALLAS, TX 752846098
Phone: (903) 324-6400
Type: Mailing
1327 TROUP HWY
TYLER, TX 757014443
Phone: (903) 606-8840
Fax: (903) 606-1121
Type: Location
3414 GOLDEN RD
TYLER, TX 757018336
Phone: (903) 939-7500
Type: Mailing
8101 S Broadway Ave
Tyler, TX 757035469
Phone: (903) 939-7500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $758.
Total Amount is formed as General ($758) + Research ($0) + Ownership ($0) = $758.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Arthrex, Inc. ($471).
Total Amount
$758
General + Research + Ownership
Payments
13
Total payment records
General Amount
$758
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $471 |
| Pylant Medical | $219 |
| Bioventus LLC | $49 |
| Avanos Medical | $18 |
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: 2014-10-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141010002121 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,080 | 16 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 412 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 155 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 139 | 91 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 75 | 60 | $0 |
Insurance plans in this area (ZIP 75284)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 17 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | LA | |
| P O D I A T R Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Hand Surgery, Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX |
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