ANDREW JASON JOHN (MD) – Physical Medicine & Rehabilitation Physician, NPI 1568091106
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,024 ORTHOPEDIC SURGERY in CA
Provider Addresses for ANDREW JASON JOHN (MD)
3301 SUMMER ISLAND CT
ONTARIO, CA 917610414
Phone: (909) 544-2911
Type: Mailing
1500 OWENS ST
SAN FRANCISCO, CA 941582334
Phone: (415) 353-2808
Type: Location
1911 N DELAWARE ST
INDIANAPOLIS, IN 462021527
Phone: (909) 544-2911
Type: Mailing
5333 MCAULEY DR RM 4001
YPSILANTI, MI 481971099
Phone: (734) 712-8633
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $768.
Total Amount is formed as General ($768) + Research ($0) + Ownership ($0) = $768.
Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Merz Pharmaceuticals, LLC ($768).
Total Amount
$768
General + Research + Ownership
Payments
8
Total payment records
General Amount
$768
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merz Pharmaceuticals, LLC | $768 |
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: 2024-09-09
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 |
|---|---|---|---|---|
| I20240909000891 | I | Orthopedic Surgery | 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 91761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | CA | |
| Hospitalist, Internal Medicine | CA | |
| - | CA | |
| - | CA | |
| Physician Assistant | CA | |
| - | CA | |
| - | ID | |
| Diagnostic Radiology | CA | |
| - | MD | |
| Orthopedic Surgery | CA |
Reviews
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