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MR. PABLO PEREZ PA-C
NPI 1497456669
Physician Assistant in Fort Worth, TX

Active since March 15, 2023PECOS EnrolledAccepts Medicare Assignment
4301 DONNELLY AVE, FORT WORTH, TX 76107(405) 501-7782 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 23, 2023, Mar 15, 2023 (2 updates tracked since 2023).

About Mr. Pablo Perez Pa-c NPPES

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

MR. PABLO PEREZ PA-C (NPI 1497456669) is an individual physician assistant in Fort Worth, Texas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Orthopedic And Spine Hospi, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2023).

NPPES Registry Identity

NPI1497456669
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. PABLO PEREZCredential: PA-C
Location Address4301 DONNELLY AVEFort Worth, TX 76107-5403
Mailing Address4301 Donnelly AveFort Worth, TX 76107-5403 · (405) 501-7782
Phone(405) 501-7782
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2023
Enumeration DateMarch 15, 2023
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1497456669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
4301 DONNELLY AVE, Fort Worth, TX 76107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Pablo Perez Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729448212
PECOS Enrollment IDI20230714003671
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott And White Orthopedic And Spine Hospi

Acute Care Hospitals · Arlington, TX
OwnershipProprietary
CMS Certification Number670067
Location707 Highlander BlvdArlington, TX 76015 · Tarrant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

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 Pablo Perez's NPI number?

The NPI number for Pablo Perez is 1497456669. It was assigned to this individual provider in the NPPES registry on March 15, 2023.

Where is Pablo Perez located?

Pablo Perez practices at 4301 Donnelly Ave, Fort Worth, TX 76107. The listed phone number is (405) 501-7782.

What is Pablo Perez's specialty?

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

Is Pablo Perez enrolled in Medicare?

Yes. Pablo Perez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pablo Perez accept?

Health plans from Blue Cross and Blue Shield of Texas list Pablo Perez 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 Pablo Perez affiliated with any hospitals?

According to CMS data, Pablo Perez is affiliated with Baylor Scott And White Orthopedic And Spine Hospi.

When was this NPI record last updated?

The NPPES record for Pablo Perez was last updated on March 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.