JEREMY DAVID CAUDILL (PA-C) – Physician Assistant, NPI 1205189404
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for JEREMY DAVID CAUDILL (PA-C)
333 S 3RD ST
STE B
DANVILLE, KY 404222016
Phone: (859) 236-8730
Fax: (859) 236-4468
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2023-04-12 • Largest payer in this snapshot: Legacy Ortho LLC ($33).
Total Amount
$33
General + Research + Ownership
Payments
1
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Legacy Ortho LLC | $33 |
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: 2013-01-18
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 |
|---|---|---|---|---|
| I20130118000106 | 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 |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 2,544 | 28 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 542 | 158 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 228 | 150 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 152 | 152 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 138 | 119 | $0 |
Insurance plans in this area (ZIP 40422)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | KY | 20610 | Aspiration and/or injection of large joint or joint capsule | 149 | 115 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | KY | |
| - | KY | |
| Orthopedic Surgery | KY | |
| Physician Assistant | KY | |
| Physical Therapist In Private Practice | KY | |
| Orthopedic Surgery | KY | |
| Nurse Practitioner | KY | |
| Physical Therapist In Private Practice | KY | |
| Orthopedic Surgery | KY |
Reviews
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