JESSE ALEXANDER HALLAM (PA-C) – Medical Physician Assistant, NPI 1053748335

JESSE ALEXANDER HALLAM (PA-C) is a healthcare provider. based in Hershey, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA056442 (PA). The NPI Number for JESSE ALEXANDER HALLAM (PA-C) is 1053748335

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JESSE ALEXANDER HALLAM (PA-C)
NPI
1053748335
Phone
(717) 531-8521
Address
500 UNIVERSITY DR
Enumeration Date
2 October 2013
Last Update Date
10 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
5395972046
Group Practice PAC ID
3870405483
Professional Enrollment ID
I20131230000700
Address ID
PA170332360HE500XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for JESSE ALEXANDER HALLAM (PA-C)

  • 500 UNIVERSITY DR

    HERSHEY, PA 170332360

    Phone: (717) 531-8521

    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: 2013-12-30

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131230000700IPhysician 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
10005Fine needle aspiration biopsy using ultrasound guidance, first growth3433$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance3130$0
76942Ultrasonic guidance for needle placement2020$0
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
10006Fine needle aspiration biopsy using ultrasound guidance, each additional growth1312$0
View full utilization report →

Insurance plans in this area (ZIP 17033)

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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: 3870405483View full group profile
NameSpecialtyState
P A T H O L O G YPA
Vascular SurgeryMD
O P H T H A L M O L O G YPA
-PA
Nurse PractitionerPA
-FL
-PA
-PA
Emergency MedicinePA
Critical Care (Intensivists)PA

Reviews

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Frequently asked questions

What unique ID ties claims to JESSE ALEXANDER HALLAM (PA-C)?
NPI 1053748335 is assigned to JESSE ALEXANDER HALLAM (PA-C) under the national enumeration system.
Does this profile mean JESSE ALEXANDER HALLAM (PA-C) is currently active?
Yes — JESSE ALEXANDER HALLAM (PA-C) appears active in the national provider directory.
What field does JESSE ALEXANDER HALLAM (PA-C) work in?
You can think of JESSE ALEXANDER HALLAM (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for JESSE ALEXANDER HALLAM (PA-C)?
The page summarizes Hershey, Pennsylvania for JESSE ALEXANDER HALLAM (PA-C); expand the address list for detail.
Is JESSE ALEXANDER HALLAM (PA-C) a real provider?
This page reflects official NPPES data for NPI 1053748335. Always confirm identity and privileges with the practice and licensing boards.

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