JOSE JAMES PARKER (PA C) – Surgical Physician Assistant, NPI 1457301731

JOSE JAMES PARKER (PA C) is a healthcare provider. based in Medford, Oregon. specializing in Surgical Physician Assistant. They hold the professional credentials PA C. They hold a License No. PA00759 (OR). The NPI Number for JOSE JAMES PARKER (PA C) is 1457301731

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JOSE JAMES PARKER (PA C)
NPI
1457301731
Phone
(541) 779-1672
Address
2900 STATE ST
Enumeration Date
10 May 2006
Last Update Date
8 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417797000
Graduation Year
2001 (25 years ago)
PAC ID
2860403060
Group Practice PAC ID
8022275684
Professional Enrollment ID
I20060602000117
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOSE JAMES PARKER (PA C)

  • 2900, State Street, Medford, Jackson County, Oregon, 97504, United States

    MEDFORD, OR 975048475

    Phone: (541) 779-1672

    Fax: (541) 779-0986

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-06-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060602000117IPhysician AssistantORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 97504)

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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: 8022275684View full group profile
NameSpecialtyState
Nurse PractitionerOR
N E U R O S U R G E R YOR
N E U R O S U R G E R YLA
Physician AssistantOR
Physician AssistantOR
Physician AssistantOR
N E U R O S U R G E R YOR
Physician AssistantCA
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOSE JAMES PARKER (PA C)?
JOSE JAMES PARKER (PA C) — NPI 1457301731 — is the standard way to identify this listing.
Does CMS list JOSE JAMES PARKER (PA C) as active?
Yes — JOSE JAMES PARKER (PA C) is active in the NPI listing used on this page.
What taxonomy line describes JOSE JAMES PARKER (PA C)?
For research purposes, treat JOSE JAMES PARKER (PA C) as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JOSE JAMES PARKER (PA C) on a map?
Expect Medford, Oregon as a primary anchor for JOSE JAMES PARKER (PA C) unless the record lists multiple sites.
Is the information about JOSE JAMES PARKER (PA C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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