JERRY JOHN (MD) – Advanced Heart Failure and Transplant Cardiology Physician, NPI 1659440543
Advanced Heart Failure and Transplant Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
46 ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY in VA
Provider Addresses for JERRY JOHN (MD)
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 387-3850
Type: Mailing
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone: (540) 224-5352
Type: Mailing
2001 CRYSTAL SPRING AVE SW STE 203
ROANOKE, VA 240142465
Phone: (540) 981-8749
Fax: (540) 981-9305
Type: Location
2001 Crystal Spring Ave SW Ste 203
Roanoke, VA 240142465
Phone: (540) 981-8749
Fax: (540) 981-9305
Type: Location
4403 Harrison Blvd
Suite 3450
Ogden, UT 844033271
Phone: (801) 387-3850
Type: Location
PO BOX 5299
MS: 820-5-PCO
TACOMA, WA 984150299
Phone:
Type: Mailing
1901 S CEDAR ST STE 101
TACOMA, WA 984052302
Phone: (253) 301-5370
Fax: (253) 301-5379
Type: Location
4403, Harrison Boulevard, Ogden, Weber County, Utah, 84403, United States
SUITE 3450
OGDEN, UT 844033271
Phone: (801) 387-3850
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $904.
Total Amount is formed as General ($904) + Research ($0) + Ownership ($0) = $904.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Abbott Laboratories ($510).
Total Amount
$904
General + Research + Ownership
Payments
9
Total payment records
General Amount
$904
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $510 |
| Cardiac Dimensions, Inc. | $166 |
| ABIOMED | $124 |
| Bayer Healthcare Pharmaceuticals Inc. | $104 |
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: 2025-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050314000311 | I | Cardiovascular Disease (Cardiology) | UT | TBD |
| I20220912000748 | I | Advanced Heart Failure And Transplant Cardiology | VA | TBD |
| I20250305003144 | I | Advanced Heart Failure And Transplant Cardiology | WA | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 104 | 89 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 55 | 35 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 46 | 20 | $0 |
| 99291 | Critical care, first 30-74 minutes | 46 | 25 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 39 | 36 | $0 |
Insurance plans in this area (ZIP 84127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | IL | |
| O P H T H A L M O L O G Y | OR | |
| O P H T H A L M O L O G Y | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Interventional Radiology, Diagnostic Radiology | OH | |
| Physician Assistant | ID | |
| Clinical Psychologist | WA |
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