JEREMY D. PLATT (P.A.-C) – Surgical Physician Assistant, NPI 1720028095
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 PHYSICIAN ASSISTANT in AZ
Provider Addresses for JEREMY D. PLATT (P.A.-C)
1001 Willow Creek Rd Ste 3100
Prescott, AZ 863011614
Phone: (928) 445-4818
Fax: (928) 445-4837
Type: Location
1001, Division Street, Prescott, Yavapai County, Arizona, 86301, United States
PRESCOTT, AZ 863011618
Phone: (928) 445-4818
Fax: (928) 445-4837
Type: Location
PO BOX 10880
PRESCOTT, AZ 863040880
Phone: (602) 406-4786
Fax: (916) 636-4358
Type: Mailing
1001 WILLOW CREEK RD STE 3300
PRESCOTT, AZ 863011614
Phone: (928) 458-2996
Fax: (928) 458-2135
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $431.
Total Amount is formed as General ($431) + Research ($0) + Ownership ($0) = $431.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Abbott Laboratories ($123).
Total Amount
$431
General + Research + Ownership
Payments
21
Total payment records
General Amount
$431
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $123 |
| ABBVIE INC. | $111 |
| Globus Medical, Inc. | $102 |
| NuVasive, Inc. | $66 |
| Averitas Pharma Inc. | $29 |
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: 2006-11-16
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 |
|---|---|---|---|---|
| I20061116000230 | I | Physician Assistant | AZ | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 372 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 68 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 66 | 51 | $0 |
| 64450 | Injection of anesthetic agent and/or steroid into other nerve or branch | 66 | 33 | $0 |
| 20552 | Injection of trigger points, 1-2 muscles | 64 | 49 | $0 |
Insurance plans in this area (ZIP 86301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Orthopedic Surgery | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | MI | |
| Family Practice | AZ | |
| Nurse Practitioner | SC | |
| - | TN | |
| Cardiovascular Disease (Cardiology) | AZ | |
| - | AZ | |
| P S Y C H I A T R Y | AZ |
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