JAIME PEDRAZA (P.A.) – Medical Physician Assistant, NPI 1790774297
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JAIME PEDRAZA (P.A.)
The Boulevard, Riverlights, Little Chester, Derby, East Midlands, England, DE1 2BB, United Kingdom
CHESTER, PA 190133902
Phone: (610) 619-7360
Fax: (610) 619-7366
Type: Mailing
30 MEDICAL CENTER BLVD BLDG 1
CHESTER, PA 190133955
Phone: (610) 874-6448
Type: Location
13825 US Highway 1
Sebastian, FL 329583232
Phone: (772) 388-9998
Fax: (772) 388-9742
Type: Location
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: 2017-01-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170130001174 | I | Physician Assistant | PA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 145 | 47 | $0 |
Insurance plans in this area (ZIP 19013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| A N E S T H E S I O L O G Y | PA | |
| Anesthesiology, Anesthesiology, Pain Management, Pain Management | PA | |
| A N E S T H E S I O L O G Y | PA | |
| - | PA | |
| A N E S T H E S I O L O G Y | MI | |
| A N E S T H E S I O L O G Y | PA | |
| A N E S T H E S I O L O G Y | NC | |
| A N E S T H E S I O L O G Y | PA | |
| A N E S T H E S I O L O G Y | PA |
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