MR. JON PAUL HENDERSHOT (PA-C) – Physician Assistant, NPI 1407872401
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
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Provider Addresses for MR. JON PAUL HENDERSHOT (PA-C)
457, Jack Martin Boulevard, Laurelton Gardens, Brick Township, Ocean County, New Jersey, 08724, United States
BRICK, NJ 087247776
Phone: (732) 840-7500
Fax: (732) 840-2088
Type: Location
2001 VAIL AVE STE 200A
CHARLOTTE, NC 282071222
Phone: (704) 323-2564
Fax: (732) 840-2088
Type: Location
4601 Park Road, 4601, Park Road, Park Road Shopping Center, Parkdale, Charlotte, Mecklenburg County, North Carolina, 28209, United States
STE 300
CHARLOTTE, NC 282092290
Phone: (704) 323-2090
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $180.
Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Stryker Corporation ($167).
Total Amount
$180
General + Research + Ownership
Payments
2
Total payment records
General Amount
$180
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $167 |
| DePuy Synthes Sales Inc. | $13 |
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: 2025-07-30
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 |
|---|---|---|---|---|
| I20160829001752 | I | Physician Assistant | NC | TBD |
| I20250730000084 | I | Physician Assistant | SC | 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 | 2,160 | 29 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1,479 | 195 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 374 | 339 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 348 | 218 | $0 |
| 73564 | X-ray of knee, 4 or more views | 286 | 232 | $0 |
Insurance plans in this area (ZIP 08724)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| Physical Medicine And Rehabilitation | PA | |
| - | NC |
Reviews
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