JASON JARVIS (DO) – Family Medicine Physician, NPI 1174010375

JASON JARVIS (DO) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 7702 (OK). The NPI Number for JASON JARVIS (DO) is 1174010375

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JASON JARVIS (DO)
NPI
1174010375
Phone
(480) 359-5563
Address
9905 S Pennsylvania Ave Ste A
Enumeration Date
13 April 2018
Last Update Date
19 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
0840728382
Group Practice PAC ID
0143138669
Professional Enrollment ID
I20250425001601
Address ID
IA506163468CH800XXSTXX300
Telehealth
Yes

Contacts

Secure Messaging
jason.jarvis.1@29601.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness95
Years active:8State licenses:2Other names

1,780 FAMILY PRACTICE in OK

Provider Addresses for JASON JARVIS (DO)

  • 9905 S Pennsylvania Ave Ste A

    Oklahoma City, OK 731596920

    Phone: (480) 359-5563

    Type: Location

  • 2070 E Baseline Rd

    Phoenix, AZ 850426948

    Phone: (602) 834-9071

    Fax: (888) 895-1154

    Type: Location

  • NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR

    SAN DIEGO, CA 921340001

    Phone: (480) 359-5563

    Type: Mailing

  • 9905 S PENNSYLVANIA AVE STE A

    OKLAHOMA CITY, OK 731596920

    Phone: (480) 359-5563

    Type: Mailing

  • 2721 S SAN TAN VILLAGE PKWY STE 104

    GILBERT, AZ 852950713

    Phone: (480) 837-4000

    Fax: (480) 837-8302

    Type: Location

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 $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2023-10-20 • Largest payer in this snapshot: Gilead Sciences, Inc. ($35).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$35
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: 2025-04-25

PECOS data refreshed: 2026-06-15

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
I20250110002068IFamily PracticeIATBD
I20250425001601IFamily PracticeAZTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73159)

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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: 0143138669View full group profile
NameSpecialtyState
Nurse PractitionerIA
Family PracticeIA
Nurse PractitionerIA
Certified Nurse Midwife (Cnm)MN
-IA
O T O L A R Y N G O L O G YIA
Nurse PractitionerIA
General SurgeryAZ
Nurse PractitionerIA
Family PracticeIA

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find JASON JARVIS (DO)'s NPI?
You can confirm JASON JARVIS (DO) with NPI 1174010375; it appears in the national provider directory.
Is JASON JARVIS (DO) currently active in the NPI registry?
CMS-published data lists JASON JARVIS (DO) as an active registrant.
Can you summarize JASON JARVIS (DO)'s specialty in plain language?
Clinically, the directory lists JASON JARVIS (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for JASON JARVIS (DO)?
We surface Oklahoma City, Oklahoma for JASON JARVIS (DO) based on available NPPES addresses.
What if Oklahoma City, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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