DR. JERRY W BISHOP (M.D.) – Family Medicine Physician, NPI 1982607875

DR. JERRY W BISHOP (M.D.) is a healthcare provider. based in Dade city, Florida. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. ME92732 (FL). The NPI Number for DR. JERRY W BISHOP (M.D.) is 1982607875

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY W BISHOP (M.D.)
NPI
1982607875
Phone
(352) 567-6763
Address
13933 17TH ST STE 101
Enumeration Date
24 May 2005
Last Update Date
10 February 2020

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
2961390760
Group Practice PAC ID
2365679057
Professional Enrollment ID
I20050818000271
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JERRY W BISHOP (M.D.)

  • 17th Street, Dade City, Pasco County, Florida, 33523, United States

    DADE CITY, FL 335254604

    Phone: (352) 567-6763

    Fax: (352) 567-2146

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $535.

Total Amount is formed as General ($535) + Research ($0) + Ownership ($0) = $535.

Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Teleflex LLC ($126).

Total Amount

$535

General + Research + Ownership

Payments

24

Total payment records

General Amount

$535

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-02

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: 2005-08-18

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
I20050818000271IFamily PracticeFLTBD

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 minutes13174$0
99213Established patient office or other outpatient visit, 20-29 minutes4030$0
View full utilization report →

Insurance plans in this area (ZIP 33525)

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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: 2365679057View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
-FL
Hospitalist, Internal MedicineFL
-FL
H O S P I T A L I S TCA
Hospitalist, Internal MedicineFL
-FL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JERRY W BISHOP (M.D.)?
NPI 1982607875 is assigned to DR. JERRY W BISHOP (M.D.) under the national enumeration system.
Is DR. JERRY W BISHOP (M.D.) active in the national directory?
DR. JERRY W BISHOP (M.D.)'s public NPI profile is in an active state.
What does DR. JERRY W BISHOP (M.D.) treat or focus on?
Patients typically see DR. JERRY W BISHOP (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JERRY W BISHOP (M.D.)?
The page summarizes Dade City, Florida for DR. JERRY W BISHOP (M.D.); expand the address list for detail.
What if Dade City, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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