MR. JEREMIAH P LEWIS (PA-C) – Medical Physician Assistant, NPI 1073709622
Medical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MR. JEREMIAH P LEWIS (PA-C)
1801 N Senate Blvd MPC 2
Suite 3300
Indianapolis, IN 46202
Phone: (317) 923-1787
Type: Location
North Shadeland Avenue, Castleton, Vertland, Indianapolis, Indiana, 46250, United States
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
12289, Hancock Street, Carmel, Hamilton County, Indiana, 46032, United States
STE 34
CARMEL, IN 460325801
Phone: (317) 815-8950
Fax: (317) 815-8951
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $113.
Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: ATRICURE, INC. ($30).
Total Amount
$113
General + Research + Ownership
Payments
5
Total payment records
General Amount
$113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $30 |
| Smith+Nephew, Inc. | $26 |
| Abbott Laboratories | $25 |
| Biocomposites Inc | $18 |
| bioMerieux Inc | $15 |
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: 2010-05-08
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 |
|---|---|---|---|---|
| I20100508000143 | I | Physician Assistant | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Plastic And Reconstructive Surgery | IN | |
| Nurse Practitioner | IN | |
| Plastic And Reconstructive Surgery | IN | |
| Thoracic Surgery | OH | |
| Physician Assistant | IN | |
| Plastic And Reconstructive Surgery, General Surgery, Hand Surgery | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN |
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