JEREMY RYAN ADDISON JONES (PA) – Physician Assistant, NPI 1750847166
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,062 PHYSICIAN ASSISTANT in OH
Provider Addresses for JEREMY RYAN ADDISON JONES (PA)
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO, CA 941113723
Phone: (415) 658-6791
Type: Mailing
3870 TOWNSFAIR WAY # 103-B
COLUMBUS, OH 432196173
Phone: (888) 663-6331
Fax: (415) 252-7176
Type: Location
2810, 16th Street Northeast, Hickory, Catawba County, North Carolina, 28601, United States
HICKORY, NC 286019600
Phone: (865) 256-9050
Type: Mailing
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 $152.
Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.
Last reported payment date: 2024-01-19 • Largest payer in this snapshot: Novo Nordisk Inc ($116).
Total Amount
$152
General + Research + Ownership
Payments
3
Total payment records
General Amount
$152
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $116 |
| ABBVIE INC. | $36 |
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: 2023-01-31
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190729001093 | I | Physician Assistant | NC | TBD |
| I20211129002492 | I | Physician Assistant | OH | TBD |
| I20230131002849 | I | Physician Assistant | NY | 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 94111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OH | |
| - | OH | |
| - | OH | |
| Family Practice | SC | |
| Nurse Practitioner | OH | |
| Family Practice | OH |
Reviews
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