DR. JEDD JACK AUDRY (MD) – Psychiatry Physician, NPI 1427535202
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,216 PSYCHIATRY in MI
Provider Addresses for DR. JEDD JACK AUDRY (MD)
1469 Mary Ct
Alma, MI 488011053
Phone: (989) 629-8215
Fax: (989) 629-8216
Type: Location
602 Beech St Ste 2200
Clare, MI 486171467
Phone: (989) 802-8535
Fax: (989) 802-8485
Type: Location
555 W Wackerly St Ste 3625
Midland, MI 486404715
Phone: (989) 832-4202
Fax: (989) 832-4203
Type: Location
640 Court St
West Branch, MI 486619390
Phone: (989) 343-3730
Fax: (989) 343-3733
Type: Location
2333 Biddle Ave
Wyandotte, MI 481924668
Phone: (734) 246-7901
Type: Location
205, East Avenue, Grass Lake, Grass Lake Township, Jackson County, Michigan, 49240, United States
JACKSON, MI 492011753
Phone: (517) 205-7164
Fax: (517) 205-7050
Type: Mailing
4000 WELLNESS DR
MIDLAND, MI 486701000
Phone: (844) 832-1956
Fax: (989) 633-5241
Type: Mailing
1501 W CHISHOLM ST
ALPENA, MI 497071401
Phone: (989) 356-8060
Fax: (989) 356-7794
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $1,429.
Total Amount is formed as General ($1,429) + Research ($0) + Ownership ($0) = $1,429.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Boston Scientific Corporation ($672).
Total Amount
$1,429
General + Research + Ownership
Payments
22
Total payment records
General Amount
$1,429
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $672 |
| Medtronic, Inc. | $274 |
| Nevro Corp. | $236 |
| ABBVIE INC. | $124 |
| Saluda Medical Americas, Inc. | $123 |
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: 2023-08-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221014000381 | I | Psychiatry | MI | TBD |
| I20230818002098 | I | Psychiatry | AR | 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 | 61 | 36 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 32 | 16 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 12 | 12 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 48801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Anesthesiology, Interventional Pain Management | MI | |
| - | MI |
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