JEREMY DANIEL LAZORKA (PA-C) – Physician Assistant, NPI 1043573066

JEREMY DANIEL LAZORKA (PA-C) is a healthcare provider. based in Mill hall, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA055552 (PA). The NPI Number for JEREMY DANIEL LAZORKA (PA-C) is 1043573066

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY DANIEL LAZORKA (PA-C)
NPI
1043573066
Phone
(570) 726-7992
Address
7133 NITTANY VALLEY DR
Enumeration Date
25 June 2012
Last Update Date
1 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5709717121
Graduation Year
2012 (14 years ago)
PAC ID
7214230689
Group Practice PAC ID
6608317029
Professional Enrollment ID
I20171009003365
Address ID
PA177451237LO45XXXAVEX301

Contacts

Secure Messaging
jeremylazorkapac@fpc.medentdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for JEREMY DANIEL LAZORKA (PA-C)

  • 7133 NITTANY VALLEY DR

    MILL HALL, PA 177519013

    Phone: (570) 726-7992

    Fax: (570) 726-6554

    Type: Location

  • 7 DOCK HILL RD

    MIDDLEBURG, PA 178428910

    Phone: (570) 837-2123

    Fax: (570) 837-2185

    Type: Mailing

  • 529 HIGH ST

    LOCK HAVEN, PA 177453029

    Phone: (570) 858-5622

    Fax: (570) 858-5636

    Type: Location

  • 45 BELLEFONTE AVE

    SUITE #2

    LOCK HAVEN, PA 177451237

    Phone: (570) 858-5328

    Fax: (570) 858-5355

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 228 Open Payments records for all available years, with a total value of $4,059.

Total Amount is formed as General ($4,059) + Research ($0) + Ownership ($0) = $4,059.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($832).

Total Amount

$4,059

General + Research + Ownership

Payments

228

Total payment records

General Amount

$4,059

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-10-09

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
I20171009003365IPhysician AssistantPATBD

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 minutes557173$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month27050$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month20646$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit141141$0
99213Established patient office or other outpatient visit, 20-29 minutes11882$0
View full utilization report →

Insurance plans in this area (ZIP 17751)

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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: 6608317029View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerPA
Hospitalist, Internal MedicinePA

Reviews

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Frequently asked questions

What number should I use to identify JEREMY DANIEL LAZORKA (PA-C) for billing?
Administrative and clinical systems typically use NPI 1043573066 for JEREMY DANIEL LAZORKA (PA-C).
Is JEREMY DANIEL LAZORKA (PA-C)'s NPI status active today?
Active status means JEREMY DANIEL LAZORKA (PA-C)'s NPI record is not deactivated in the public file.
What services align with JEREMY DANIEL LAZORKA (PA-C)'s listing?
JEREMY DANIEL LAZORKA (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to JEREMY DANIEL LAZORKA (PA-C)?
JEREMY DANIEL LAZORKA (PA-C) shows a connection to Mill Hall, Pennsylvania in registry-derived data.
Can I export JEREMY DANIEL LAZORKA (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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