Individual provider Active NPI

Jerry M. Tarver, M.D.

  • Interventional Pain Medicine Physician
  • Abilene, TX
National Provider Identifier
1235170671
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
H2971 Issued in TX
Practice address
4351 Ridgemont Dr Ste a
Abilene, TX 79606
Phone
(254) 245-9175
Fax
(254) 213-7771
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H2971 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X H2971 TX
Interventional Pain Medicine Physician 208VP0014X H2971 TX Primary

Addresses

Primary practice location

4351 Ridgemont Dr Ste a
Abilene, TX 79606

Mailing address

PO Box 11538
Killeen, TX 76547-1538
Phone (254) 245-9177

Other practice location 1

120 S Park Dr Ste A
Brownwood, TX 76801-5958
Phone (254) 245-9175

Other identifiers 1

IdentifierTypeStateIssuer
137430811MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190621001189 TX Practitioner - AnesthesiologyPractitioner - Pain Management 2163432931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Texas Medical School at San Antonio, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pain Associates PLLCGroup PAC ID 6204973894, 33 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

4351 Ridgemont Dr
Suite a
Abilene, TX 79606-8747
Phone (254) 245-9175

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587
  • Shannon Medical Center Hospital, San Angelo, TX, CCN 450571
  • Eastland Memorial Hospital Hospital, Eastland, TX, CCN 671303
  • Haskell Memorial Hospital Hospital, Haskell, TX, CCN 451341

Merit-based Incentive Payment System (MIPS)

Final score
74.91 of 100Reported as group
Quality
70.09
Promoting interoperability
95
Improvement activities
40
Cost
50.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H2971TXMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Associates PLLC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Integrated Pain Associates PLLC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Abilene Spine & Joint Surgery Center LLC PastSince Sep 1, 2020 Accepting new patients

Locations

4351 Ridgemont Dr
Ste B
Abilene, TX 79606
Phone (325) 795-1888

4351 Ridgemont Dr
Ste A
Abilene, TX 79606
Phone (325) 698-4545

118 S Park Dr
Ste C
Brownwood, TX 76801
Phone (325) 600-4264

120 S Park Dr
Ste A
Brownwood, TX 76801

3800 S W S Young Dr
Ste 201
Killeen, TX 76542
Phone (254) 213-0489

207 W Avenue E
Lampasas, TX 76550
Phone (512) 556-3621

710 E 6th St
Odessa, TX 79761
Phone (432) 334-8088

5244 S 31st St
Temple, TX 76502
Phone (254) 235-0708

205 Woodhew Dr
Ste 220
Waco, TX 76712

Interoperability endpoints

  • Direct secure messaging: jerry.tarver@ipac.eclinicaldirectplus.com
  • Direct secure messaging: jerry.tarver@ipap-tx.direct.office.nextgen.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1235170671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11538",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765471538",
            "telephone_number": "254-245-9177",
            "fax_number": "254-245-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 RIDGEMONT DR STE A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79606",
            "telephone_number": "254-245-9175",
            "fax_number": "254-213-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Brownwood",
            "state": "TX",
            "postal_code": "768015958",
            "country_code": "US",
            "telephone_number": "254-245-9175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARVER",
        "first_name": "JERRY",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H2971",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "H2971",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "H2971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137430811",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.