JASON D WILLIAMS (PA-C) – Physician Assistant, NPI 1366434516

JASON D WILLIAMS (PA-C) is a healthcare provider. based in Charlton, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA03507 (TX). The NPI Number for JASON D WILLIAMS (PA-C) is 1366434516

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
JASON D WILLIAMS (PA-C)
NPI
1366434516
Phone
(508) 980-7074
Address
246 SOUTHBRIDGE RD LOWR LEVEL
Enumeration Date
15 August 2005
Last Update Date
26 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
3072569854
Group Practice PAC ID
3476655077
Professional Enrollment ID
I20050324000466
Address ID
TX760142069Ar409XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for JASON D WILLIAMS (PA-C)

  • 246 SOUTHBRIDGE RD LOWR LEVEL

    CHARLTON, MA 015075237

    Phone: (508) 980-7074

    Type: Location

  • 409 CENTRAL PARK DR

    ARLINGTON, TX 760142069

    Phone: (817) 261-9191

    Fax: (817) 784-6880

    Type: Location

  • 910, Brookside Court, Buckland, Manchester, Hartford County, Connecticut, 06042, United States

    MANCHESTER, CT 060427117

    Phone: (469) 207-8890

    Type: Mailing

  • 409 CENTRAL PARK DR. ARLINGTON, TX 76014

    ARLINGTON, TX 76014

    Phone: (817) 261-9191

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: kaleo, Inc. ($62).

Total Amount

$247

General + Research + Ownership

Payments

13

Total payment records

General Amount

$247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

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: 2018-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050324000466IPhysician AssistantTXTBD
I20180814000647IPhysician AssistantMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes418298$0
99214Established patient office or other outpatient visit, 30-39 minutes175145$0
69210Removal of impacted ear wax5344$0
99212Established patient office or other outpatient visit, 10-19 minutes2524$0
31575Diagnostic exam of voice box using a flexible endoscope2020$0
View full utilization report →

Insurance plans in this area (ZIP 01507)

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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: 3476655077View full group profile
NameSpecialtyState
Qualified AudiologistTX
-TX
O T O L A R Y N G O L O G YTX
O T O L A R Y N G O L O G YKY
-TX
-TX
O T O L A R Y N G O L O G YTX

Reviews

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Frequently asked questions

How do payers reference JASON D WILLIAMS (PA-C)?
For JASON D WILLIAMS (PA-C), use NPI 1366434516 as the unique 10-digit identifier.
Is JASON D WILLIAMS (PA-C) still an active registrant?
JASON D WILLIAMS (PA-C) carries an active NPI according to the public dataset.
What clinical focus is listed for JASON D WILLIAMS (PA-C)?
At a glance, JASON D WILLIAMS (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is JASON D WILLIAMS (PA-C) registered?
Use Charlton, Massachusetts as the headline location for JASON D WILLIAMS (PA-C) here.
When was this NPI issued?
Enumeration for JASON D WILLIAMS (PA-C) is noted as August 15, 2005 where the registry provides it.

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