JASON T. GAISFORD (PA-C) – Physician Assistant, NPI 1679909931
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for JASON T. GAISFORD (PA-C)
2124 N Biomet Dr
Warsaw, IN 465827858
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
2512 E DuPont Rd Ste 200
Fort Wayne, IN 46825
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
1314 E 7th St Ste 201
Auburn, IN 467062533
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
6811 Lima Rd
Fort Wayne, IN 468181145
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
PO BOX 670
HUNTERTOWN, IN 467480670
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Mailing
1721 MAGNAVOX WAY
FORT WAYNE, IN 468041537
Phone: (260) 748-3651
Fax: (260) 748-3651
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 116 Open Payments records for all available years, with a total value of $2,077.
Total Amount is formed as General ($2,077) + Research ($0) + Ownership ($0) = $2,077.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($626).
Total Amount
$2,077
General + Research + Ownership
Payments
116
Total payment records
General Amount
$2,077
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $626 |
| Spinal Simplicity, LLC | $397 |
| PFIZER INC. | $223 |
| Curonix LLC | $147 |
| Boston Scientific Corporation | $118 |
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: 2014-01-16
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 |
|---|---|---|---|---|
| I20140116000774 | 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.
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 | 355 | 166 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 289 | 165 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 182 | 81 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 174 | 102 | $0 |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 161 | 94 | $0 |
Insurance plans in this area (ZIP 46582)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| A N E S T H E S I O L O G Y | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Physician Assistant | IN |
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