DR. JEREMY A IDJADI (MD) – Orthopaedic Surgery Physician, NPI 1578659264
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
780 ORTHOPEDIC SURGERY in WA
Provider Addresses for DR. JEREMY A IDJADI (MD)
834 SHERIDAN ST
PORT TOWNSEND, WA 983682443
Phone: (360) 344-0400
Fax: (360) 344-0418
Type: Location
221 5th St S
Glasgow, MT 592302422
Phone: (406) 228-3400
Type: Location
1231 116th Ave NE
Suite 750
Bellevue, WA 980043804
Phone: (425) 455-3600
Fax: (425) 455-3920
Type: Location
Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States
SUITE 901
SEATTLE, WA 981041172
Phone: (206) 264-8100
Fax: (206) 264-8689
Type: Mailing
Ridgway Face & Aesthetic Center, 1231, 116th Avenue Northeast, Midlakes, Bellevue, King County, Washington, 98004, United States
SUITE 750
BELLEVUE, WA 980043804
Phone: (425) 455-3600
Fax: (425) 455-3920
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,088.
Total Amount is formed as General ($1,088) + Research ($0) + Ownership ($0) = $1,088.
Last reported payment date: 2023-06-03 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($1,088).
Total Amount
$1,088
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,088
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $1,088 |
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: 2020-06-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070111000683 | I | Orthopedic Surgery | WA | TBD |
| I20200617002050 | I | Orthopedic Surgery | MT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98368)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | WA | 73562 | X-ray of knee, 3 views | 30 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AK | |
| - | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | OR | |
| Diagnostic Radiology | AK | |
| Nurse Practitioner | OR | |
| Family Practice | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| - | WA |
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