TARA JOCK (PA) – Physician Assistant, NPI 1912256975
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for TARA JOCK (PA)
2844 HOLT RD
MASON, MI 488549460
Phone: (269) 986-1765
Type: Mailing
790 E COLUMBIA ST
MASON, MI 488541387
Phone: (517) 244-0120
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $394.
Total Amount is formed as General ($394) + Research ($0) + Ownership ($0) = $394.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Medtronic, Inc. ($149).
Total Amount
$394
General + Research + Ownership
Payments
15
Total payment records
General Amount
$394
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $149 |
| Tandem Diabetes Care, Inc. | $77 |
| Insulet Corporation | $71 |
| Lilly USA, LLC | $66 |
| Novartis Pharmaceuticals Corporation | $30 |
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: 2012-10-30
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 |
|---|---|---|---|---|
| I20121030000025 | I | Physician Assistant | MI | 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 | 159 | 81 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 71 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 27 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 48854)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| P A T H O L O G Y | IL | |
| Nurse Practitioner | MI | |
| Vascular Surgery, General Surgery | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| Family Practice | MI |
Reviews
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