JORDAN JUTRAS (PA-C) – Physician Assistant, NPI 1821726803
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
Provider Addresses for JORDAN JUTRAS (PA-C)
65 MAY ST
ATTLEBORO, MA 027035529
Phone: (508) 816-1772
Type: Mailing
407 EAST AVE STE 120
PAWTUCKET, RI 028605299
Phone: (508) 816-1772
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $495.
Total Amount is formed as General ($495) + Research ($0) + Ownership ($0) = $495.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ABBVIE INC. ($115).
Total Amount
$495
General + Research + Ownership
Payments
25
Total payment records
General Amount
$495
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
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: 2022-11-22
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 |
|---|---|---|---|---|
| I20221122003218 | I | Physician Assistant | RI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 128 | 98 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 55 | 43 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 30 | 30 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 22 | 21 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 02703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | RI | |
| Physician Assistant | RI | |
| - | RI | |
| Physician Assistant | RI | |
| Internal Medicine | RI | |
| Internal Medicine | RI | |
| Physician Assistant | RI | |
| Physician Assistant | RI |
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