PAUL LAVAL PUCKETT PAC
NPI 1407961410
Physician Assistant - Medical in Greenville, TX

Active since August 20, 2006PECOS Enrolled
4215 JOE RAMSEY BLVD, GREENVILLE, TX 75403(903) 408-5000(214) 712-2487 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul Laval Puckett Pac NPPES

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

PAUL LAVAL PUCKETT PAC (NPI 1407961410) is an individual medical provider in Greenville, Texas, licensed in Texas (PA02778) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Paris Regional Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1407961410
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePAUL LAVAL PUCKETTCredential: PAC
Location Address4215 JOE RAMSEY BLVDGreenville, TX 75403
Mailing Address2464 Fm 2820Summer, TX 75486 · (903) 784-1291
Fax(214) 712-2487
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 20, 2006
Last NPPES UpdateJune 12, 2024
NPPES CertifiedJune 12, 2024
NPI 1407961410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA02778
4215 JOE RAMSEY BLVD, Greenville, TX 75403

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Paul Laval Puckett Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830104538
PECOS Enrollment IDI20060216000497
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
90 services37 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
67 services43 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
47 services38 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Paris Regional Medical Center

Acute Care Hospitals · Paris, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450196
Location865 Deshong DrParis, TX 75460 · Lamar County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers34 claims81 services$5.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims17 services$1.05 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers11 claims11 services$114.74 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers11 claims32 services$41.86 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$69.77 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers19 claims19 services$18.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Radiology (Diagnostic Radiology)
4215 JOE RAMSEY BLVD
GREENVILLE, TX 75403
Radiology (Diagnostic Radiology)
4215 JOE RAMSEY BLVD
GREENVILLE, TX 75403
Radiology (Diagnostic Radiology)
4215 JOE RAMSEY BLVD
GREENVILLE, TX 75403

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 Paul Puckett's NPI number?

The NPI number for Paul Puckett is 1407961410. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Paul Puckett located?

Paul Puckett practices at 4215 Joe Ramsey Blvd, Greenville, TX 75403. The listed phone number is (903) 408-5000.

What is Paul Puckett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Paul Puckett enrolled in Medicare?

Yes. Paul Puckett is registered in the Medicare PECOS enrollment system.

What insurance does Paul Puckett accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Paul Puckett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Puckett affiliated with any hospitals?

According to CMS data, Paul Puckett is affiliated with Paris Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Puckett was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.