JERRY CHARLES VEGA – Medical Physician Assistant, NPI 1013568088
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 PHYSICIAN ASSISTANT in AZ
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Provider Addresses for JERRY CHARLES VEGA
East Cedar Avenue, Shadow Mountain, East Flagstaff, Flagstaff, Coconino County, Arizona, 86001-3139, United States
FLAGSTAFF, AZ 860041630
Phone: (928) 774-2788
Type: Location
1515 E Cedar Ave Ste A-3
Flagstaff, AZ 860041630
Phone: (928) 774-2788
Type: Location
66675 PIERSON BLVD
DESERT HOT SPRINGS, CA 922403737
Phone: (760) 676-5240
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($31).
Total Amount
$78
General + Research + Ownership
Payments
3
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $31 |
| Amgen Inc. | $29 |
| SANOFI PASTEUR INC. | $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: 2021-07-20
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 |
|---|---|---|---|---|
| I20210720002912 | I | Physician Assistant | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 86004)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Infectious Disease | CA | |
| - | CA | |
| Family Practice | CA | |
| Emergency Medicine | CA | |
| P S Y C H I A T R Y | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA |
Reviews
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