JENNY VERONICA GOROST DEYTO (PA-C) – Physician Assistant, NPI 1639125883

JENNY VERONICA GOROST DEYTO (PA-C) is a healthcare provider. based in Christopher, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085005871 (IL). The NPI Number for JENNY VERONICA GOROST DEYTO (PA-C) is 1639125883

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
JENNY VERONICA GOROST DEYTO (PA-C)
NPI
1639125883
Phone
(618) 724-1624
Address
PO BOX 155
Enumeration Date
26 May 2006
Last Update Date
5 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
8921010323
Group Practice PAC ID
0143608372
Professional Enrollment ID
I20101029000089
Address ID
MO631041016SA1225XBLVD400

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for JENNY VERONICA GOROST DEYTO (PA-C)

  • PO BOX 155

    CHRISTOPHER, IL 628220155

    Phone: (618) 724-1624

    Fax: (618) 724-4628

    Type: Mailing

  • 1 HOSPITAL DR

    COLUMBIA, MO 652120001

    Phone: (573) 884-9066

    Fax: (573) 884-3037

    Type: Location

  • 103, Commerce Street, Milan, Carmi, White County, Illinois, 62821, United States

    CARMI, IL 62821

    Phone: (618) 384-5686

    Type: Location

  • PO BOX 843966

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

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 $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2023-07-27 • Largest payer in this snapshot: ABBVIE INC. ($40).

Total Amount

$40

General + Research + Ownership

Payments

3

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$40
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: 2010-10-29

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
I20101029000089IPhysician AssistantMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6638$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3635$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3322$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2625$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 62822)

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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: 0143608372View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
Pediatric Medicine, Hematology/OncologyTN
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)MO
Pediatric MedicineIL
G A S T R O E N T E R O L O G YWV
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO
Infectious DiseaseOH
Physician AssistantMO
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO

Reviews

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Frequently asked questions

Can I use this page to confirm JENNY VERONICA GOROST DEYTO (PA-C)'s NPI?
Yes. JENNY VERONICA GOROST DEYTO (PA-C) is listed with NPI 1639125883 in the public NPI dataset.
Is JENNY VERONICA GOROST DEYTO (PA-C) still practicing?
JENNY VERONICA GOROST DEYTO (PA-C) is currently listed as active in the public NPI registry.
What is JENNY VERONICA GOROST DEYTO (PA-C)'s specialty?
The listing groups JENNY VERONICA GOROST DEYTO (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is JENNY VERONICA GOROST DEYTO (PA-C) based?
JENNY VERONICA GOROST DEYTO (PA-C) is tied to Christopher, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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