JORY LEE STURDEVANT – Physician Assistant, NPI 1255094116

JORY LEE STURDEVANT is a healthcare provider. based in Vinton, Iowa. specializing in PHYSICIAN ASSISTANT. The NPI Number for JORY LEE STURDEVANT is 1255094116

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JORY LEE STURDEVANT
NPI
1255094116
Phone
(319) 472-6200
Address
502 N 9TH AVE
Enumeration Date
18 October 2021
Last Update Date
20 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3194726300
Graduation Year
2022 (4 years ago)
PAC ID
7719359553
Group Practice PAC ID
1759290331
Professional Enrollment ID
I20230204000264
Address ID
IA523492254VI504XXAVEX401

Contacts

Secure Messaging
jsturdevant@vghinc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness85
Years active:4State licenses:0Other namesUpdated within 12 months

1,648 PHYSICIAN ASSISTANT in IA

Provider Addresses for JORY LEE STURDEVANT

  • 502 N 9TH AVE

    VINTON, IA 523492299

    Phone: (319) 472-6200

    Type: Location

  • 2000 UNIVERSITY AVE

    DUBUQUE, IA 520015099

    Phone: (563) 589-3662

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $1,035.

Total Amount is formed as General ($1,035) + Research ($0) + Ownership ($0) = $1,035.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ABBVIE INC. ($169).

Total Amount

$1,035

General + Research + Ownership

Payments

46

Total payment records

General Amount

$1,035

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-02-04

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
I20230204000264IPhysician AssistantIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52349)

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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: 1759290331View full group profile
NameSpecialtyState
Nurse PractitionerIA
Physician AssistantIA
Family PracticeVA
Physician AssistantIA
Emergency Medicine, Family PracticeIA
Physician AssistantIA
Nurse PractitionerIA
Nurse PractitionerIA
Family PracticeIA
-IA

Reviews

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Frequently asked questions

Can I verify JORY LEE STURDEVANT with an NPI only?
You can start verification with NPI 1255094116 for JORY LEE STURDEVANT, then check state licensing separately.
Is JORY LEE STURDEVANT listed as active for patients and plans?
The listing shows JORY LEE STURDEVANT as active in the NPI system.
What is JORY LEE STURDEVANT's primary classification?
Physician Assistant is the headline specialty for JORY LEE STURDEVANT here. Clinical services aligned with this taxonomy classification.
Does JORY LEE STURDEVANT list a practice location?
Patients near Vinton, Iowa may find JORY LEE STURDEVANT in results; validate coverage separately.
Is the information about JORY LEE STURDEVANT up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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