LARA JENNIFER BEVERLY P.A.
NPI 1316199003
Physician Assistant in Sulphur Springs, TX

Active since October 14, 2008PECOS Enrolled
1339 S BROADWAY ST, SULPHUR SPRINGS, TX 75482(903) 951-1001 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lara Jennifer Beverly P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARA JENNIFER BEVERLY P.A. (NPI 1316199003) is an individual physician assistant in Sulphur Springs, Texas, licensed in Texas (PA05919) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1316199003
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLARA JENNIFER BEVERLYCredential: P.A.
Location Address1339 S BROADWAY STSulphur Springs, TX 75482-4895
Mailing Address1136 E Grande BlvdTyler, TX 75703-3982 · (903) 592-5601 · Fax (903) 595-3304
Sole ProprietorNo
Enumeration DateOctober 14, 2008
Last NPPES UpdateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
NPI 1316199003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA05919
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1339 S BROADWAY ST, Sulphur Springs, TX 75482

Secondary Practice Location 1

Location 11136 E Grande BlvdTyler, TX 75703-3982 · Phone (903) 592-5601 · Fax (903) 595-3304

Other Identifiers 3

Medicaid210066106TX
Other8Y9005TX · Bcbs
Medicaid210066104TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lara Jennifer Beverly P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75482 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
89%121 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
40%124 patients2/55-star benchmark: 100%
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
74%158 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%628 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
5%20 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
4%55 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
90%658 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%658 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
96%90 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
1339 S BROADWAY ST
SULPHUR SPRINGS, TX 75482
Nurse Practitioner
1339 S BROADWAY ST
SULPHUR SPRINGS, TX 75482
Physician Assistant
1339 S BROADWAY ST
SULPHUR SPRINGS, TX 75482
Physician Assistant
1339 S BROADWAY ST
SULPHUR SPRINGS, TX 75482
Nurse Practitioner (Family)
1339 S BROADWAY ST
SULPHUR SPRINGS, TX 75482

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lara Beverly's NPI number?

The NPI number for Lara Beverly is 1316199003. It was assigned to this individual provider in the NPPES registry on October 14, 2008.

Where is Lara Beverly located?

Lara Beverly practices at 1339 S Broadway St, Sulphur Springs, TX 75482. The listed phone number is (903) 951-1001.

What is Lara Beverly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lara Beverly enrolled in Medicare?

Yes. Lara Beverly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lara Beverly was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.