JARED DEVIRGILIS (PA-C) – Surgical Physician Assistant, NPI 1548719065
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,304 PHYSICIAN ASSISTANT in FL
Provider Addresses for JARED DEVIRGILIS (PA-C)
1895 Kingsley Ave Ste 300
Orange Park, FL 320734453
Phone: (904) 263-5557
Type: Location
367, South Gulph Road, Gulph Mills Village, King of Prussia, Upper Merion Township, Montgomery County, Pennsylvania, 19406, United States
ATTN: IPM CREDENTIALING
KING OF PRUSSIA, PA 194063121
Phone: (941) 746-5111
Type: Mailing
Manatee Healthcare System, 206, 2nd Street East, Bradenton, Manatee County, Florida, 34208, United States
BRADENTON, FL 342081042
Phone: (941) 746-5111
Fax: (941) 745-7233
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Boston Scientific Corporation ($104).
Total Amount
$128
General + Research + Ownership
Payments
2
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $104 |
| AXOGEN | $24 |
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: 2026-02-16
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230605000527 | I | Physician Assistant | TN | TBD |
| I20260216000755 | I | Physician Assistant | GA | 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 32073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | AL | |
| Physician Assistant | TN | |
| Nurse Practitioner | TN | |
| Family Practice | TN | |
| General Surgery | NC | |
| Physician Assistant | TN | |
| Family Practice | NC | |
| Orthopedic Surgery | TN | |
| Pulmonary Disease | TN | |
| D E R M A T O L O G Y | FL |
Reviews
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