JESSE G BRADSHAW (PA-C) – Physician Assistant, NPI 1821579012
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
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Provider Addresses for JESSE G BRADSHAW (PA-C)
Cheney Drive West, Twin Falls, Twin Falls County, Idaho, 83301, United States
TWIN FALLS, ID 833014278
Phone: (208) 647-0656
Fax: (208) 647-0659
Type: Mailing
Bennett Avenue, Burley, Cassia County, Idaho, 83318, United States
BURLEY, ID 833182664
Phone: (208) 647-0656
Type: Location
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 $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2024-05-07 • Largest payer in this snapshot: ABBVIE INC. ($43).
Total Amount
$56
General + Research + Ownership
Payments
3
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $43 |
| Exact Sciences Corporation | $13 |
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: 2019-01-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190124003776 | I | Physician Assistant | ID | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 142 | 54 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 45 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 20 | 20 | $0 |
| G0008 | Administration of influenza virus vaccine | 12 | 12 | $0 |
Insurance plans in this area (ZIP 83301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | ID | |
| Physician Assistant | ID | |
| - | ID |
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