DR. KRISTOPHER P JERRY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1063861979

DR. KRISTOPHER P JERRY (DPM) is a healthcare provider. based in Port st lucie, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO3941 (FL). The NPI Number for DR. KRISTOPHER P JERRY (DPM) is 1063861979

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTOPHER P JERRY (DPM)
NPI
1063861979
Phone
(772) 301-1951
Address
1846 SE PORT ST LUCIE BLVD
Enumeration Date
10 June 2016
Last Update Date
19 September 2022

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
7723011951
Graduation Year
2016 (10 years ago)
PAC ID
8527391903
Group Practice PAC ID
3173856556
Professional Enrollment ID
I20190618001861
Address ID
FL349525545PO1846XBLVD600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for DR. KRISTOPHER P JERRY (DPM)

  • 1846, Southeast Port St Lucie Boulevard, Port St. Lucie, St. Lucie County, Florida, 34952, United States

    PORT ST LUCIE, FL 349525545

    Phone: (772) 301-1951

    Fax: (772) 934-7297

    Type: Mailing

  • 721 Colorado Ave

    Stuart, FL 349943017

    Phone: (772) 301-1951

    Type: Location

  • 5700 Stirling Rd Ste 100

    Hollywood, FL 330211522

    Phone: (772) 301-1951

    Type: Location

  • 9950 Stirling Rd Ste 108

    Hollywood, FL 330248001

    Phone: (954) 869-4848

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $7,611.

Total Amount is formed as General ($7,611) + Research ($0) + Ownership ($0) = $7,611.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: ConvaTec Inc. ($4,200).

Total Amount

$7,611

General + Research + Ownership

Payments

38

Total payment records

General Amount

$7,611

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-06-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190618001861IPodiatryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes317152$0
11721Removal of fingernails or toenails, 6 or more nails231115$0
99213Established patient office or other outpatient visit, 20-29 minutes215128$0
J1100Injection, dexamethasone sodium phosphate, 1 mg14822$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg14422$0
View full utilization report →

Insurance plans in this area (ZIP 34952)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173856556View full group profile
NameSpecialtyState
P O D I A T R YFL
P O D I A T R YOH

Reviews

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Frequently asked questions

What NPI should I save for DR. KRISTOPHER P JERRY (DPM)?
Save NPI 1063861979 if you need a stable reference for DR. KRISTOPHER P JERRY (DPM).
Is DR. KRISTOPHER P JERRY (DPM) currently active in the NPI registry?
CMS-published data lists DR. KRISTOPHER P JERRY (DPM) as an active registrant.
What kind of provider is DR. KRISTOPHER P JERRY (DPM)?
The page reflects Foot & Ankle Surgery Podiatrist for DR. KRISTOPHER P JERRY (DPM). Clinical services aligned with this taxonomy classification.
What location shows for DR. KRISTOPHER P JERRY (DPM)?
We surface Port St Lucie, Florida for DR. KRISTOPHER P JERRY (DPM) based on available NPPES addresses.
How can I contact DR. KRISTOPHER P JERRY (DPM)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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