MRS. JORDAN SUMMER THOMAS (PA-C) – Physician Assistant, NPI 1942835079
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MRS. JORDAN SUMMER THOMAS (PA-C)
4174 OAK GROVE RD
ALMA, IL 628071508
Phone: (618) 267-9546
Type: Mailing
1801 DORAN RD S
MURRAY, KY 420712884
Phone: (618) 267-9546
Type: Mailing
803 POPLAR ST
MURRAY, KY 420712432
Phone: (270) 762-1100
Type: Location
405 W Jackson St
Carbondale, IL 629011462
Phone: (618) 549-0721
Type: Location
2 S Hospital Dr
Murphysboro, IL 629663333
Phone: (618) 684-3156
Type: Location
201 S 14th St
Herrin, IL 629483631
Phone: (618) 942-2171
Type: Location
1099 Medical Center Cir
Mayfield, KY 420661179
Phone: (270) 251-4100
Type: Location
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
201 S 14TH ST
HERRIN, IL 629483631
Phone: (618) 942-2171
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2024-03-28 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($55).
Total Amount
$55
General + Research + Ownership
Payments
4
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $55 |
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: 2023-01-26
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 |
|---|---|---|---|---|
| I20230126001872 | I | Physician Assistant | KY | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 239 | 119 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 47 | 43 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 42 | 40 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 39 | 24 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 62807)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Infectious Disease, Internal Medicine | TN | |
| Internal Medicine | TN | |
| Internal Medicine, Infectious Disease | TN | |
| Internal Medicine | CA | |
| Physician Assistant | KY | |
| Internal Medicine | AL | |
| Family Practice | KY | |
| Internal Medicine | TN | |
| Internal Medicine | TN |
Reviews
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