JAYSON TRIPP (DO) – Pharmacist, NPI 1578053138

JAYSON TRIPP (DO) is a healthcare provider. based in Ponte vedra, Florida. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. OS19034 (FL). The NPI Number for JAYSON TRIPP (DO) is 1578053138

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JAYSON TRIPP (DO)
NPI
1578053138
Phone
(801) 821-2333
Address
203 FORT WADE RD UNIT 260
Enumeration Date
18 May 2018
Last Update Date
5 January 2026

Doctor Profile

Medical School Name
CAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
7207120306
Graduation Year
2018 (8 years ago)
PAC ID
4981953619
Group Practice PAC ID
0840550596
Professional Enrollment ID
I20250211002492
Address ID
CO802461226DE425XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:8State licenses:9Digital endpointsOther names

1,954 PSYCHIATRY in FL

Provider Addresses for JAYSON TRIPP (DO)

  • 203 FORT WADE RD UNIT 260

    PONTE VEDRA, FL 320815159

    Phone: (801) 821-2333

    Fax: (801) 901-1194

    Type: Location

  • 2046 Riverview Auto Drive

    Suite 401

    Mesa, AZ 85201

    Phone: (480) 626-7584

    Fax: (480) 210-0230

    Type: Location

  • 1860 N 95th Ln Ste 300

    Phoenix, AZ 850375074

    Phone: (480) 626-7584

    Fax: (480) 210-0230

    Type: Location

  • 36457 N Gantzel Rd Ste 102

    San Tan Valley, AZ 851407343

    Phone: (480) 626-7584

    Fax: (480) 210-0230

    Type: Location

  • 3300 N TRIUMPH BLVD STE 500

    LEHI, UT 840436475

    Phone:

    Type: Mailing

  • 1501 N GILBERT RD STE 206

    GILBERT, AZ 852342394

    Phone: (480) 626-7584

    Fax: (480) 210-0230

    Type: Location

  • Cape Fear Valley Medical Center, 1638, Owen Drive, Bordeaux, Fayetteville, Cumberland County, North Carolina, 28304, United States

    FAYETTEVILLE, NC 283043424

    Phone: (910) 615-4329

    Type: Mailing

  • 300 COLONIAL CENTER PKWY STE 350

    ROSWELL, GA 300764893

    Phone: (678) 861-1832

    Fax: (678) 585-2259

    Type: Location

  • 203 Fort Wade Rd Unit 260

    Ponte Vedra, FL 320815159

    Phone: (801) 821-2333

    Fax: (801) 901-1194

    Type: Location

  • 841 Prudential Dr Ste 1100

    Jacksonville, FL 322078352

    Phone: (801) 821-2333

    Fax: (801) 901-1194

    Type: Location

  • 1501 N Gilbert Rd Ste 206

    Gilbert, AZ 852342394

    Phone: (480) 626-7584

    Fax: (480) 210-0230

    Type: Location

  • 990 Hammond Dr Ste 600

    Atlanta, GA 303285510

    Phone: (678) 861-1832

    Fax: (678) 585-2259

    Type: Location

  • 2355 E Camelback Rd Ste 625

    Phoenix, AZ 850163458

    Phone: (480) 626-7584

    Fax: (480) 210-0230

    Type: Location

  • 4545 E Chandler Blvd Ste 308

    Phoenix, AZ 850487646

    Phone: (480) 626-7584

    Fax: (480) 210-0230

    Type: Location

  • 20950 N Tatum Blvd Ste 380

    Phoenix, AZ 850504258

    Phone: (480) 626-7584

    Fax: (480) 210-0230

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 320 Open Payments records for all available years, with a total value of $6,737.

Total Amount is formed as General ($6,737) + Research ($0) + Ownership ($0) = $6,737.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,374).

Total Amount

$6,737

General + Research + Ownership

Payments

320

Total payment records

General Amount

$6,737

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2025-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20220722002616IPsychiatryAZTBD
I20220722002739IPsychiatryUTTBD
I20250211002492IPsychiatryCOTBD
I20250212003783IPsychiatryTXTBD
I20250213000974IOsteopathic Manipulative MedicineFLTBD

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
90833Psychotherapy with evaluation and management visit, 30 minutes3415$0
99215Established patient office or other outpatient visit, 40-54 minutes3013$0
View full utilization report →

Insurance plans in this area (ZIP 32081)

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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: 0840550596View full group profile
NameSpecialtyState
Nurse PractitionerUT
P S Y C H I A T R YAZ
Nurse PractitionerAZ
Geriatric Psychiatry, PsychiatryIN
P S Y C H I A T R YCO
Nurse PractitionerGA
P S Y C H I A T R YFL
P S Y C H I A T R YAZ
P S Y C H I A T R YTX
P S Y C H I A T R YAZ

Reviews

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Frequently asked questions

Does JAYSON TRIPP (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JAYSON TRIPP (DO) uses 1578053138.
Is JAYSON TRIPP (DO) listed as active for patients and plans?
The listing shows JAYSON TRIPP (DO) as active in the NPI system.
What is JAYSON TRIPP (DO)'s specialty?
The listing groups JAYSON TRIPP (DO) with Pharmacist. Clinical services aligned with this taxonomy classification.
Does JAYSON TRIPP (DO) list a practice location?
Patients near Ponte Vedra, Florida may find JAYSON TRIPP (DO) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.