Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003351115 Individual Practitioner Male Practitioner

Jerry Priddy , PA-C

Physician Assistant • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jerry Priddy, PA-C is a certified Physician Assistant practicing in Springfield, IL. With approximately 10 years of clinical experience since completing medical education in 2016, Jerry Priddy delivers high-quality medical care to the local community at 619 E MASON ST STE 5.

Jerry Priddy is affiliated with Siu Physicians And Surgeons Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

619 E Mason St Ste 5

Springfield, IL 627011080

Telephone 2175458000
Fax 2175452552
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -1.9 yrs vs City Avg
City Avg: 11.9 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
103 Specialists

Practicing in Springfield, IL (4958 Statewide)

Telehealth Adoption Rate
10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Priddy (10 Years) 10 Yrs
Springfield Specialty Average (11.9 Years) 11.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
34 22 $354.00 $66.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes
33 26 $197.33 $41.86
99239 Hospital discharge day management, more than 30 minutes
15 15 $510.00 $95.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
11 11 $624.00 $109.96

Medical Specialties & State Licenses

CMS Verified: 2024-12-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085006117

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License IL 085006117

Definition to come...

Hospital & Practice Group Affiliations

Siu Physicians And Surgeons Inc

751 N Rutledge St, Springfield, IL 627024968

Phone: 2175458000

Secondary Practice Locations

1301 S Koke Mill Rd

Springfield, IL 62711

Phone: 2175479100

1301 S Koke Mill Rd

Springfield, IL 62711

Phone: 2175479100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335
Dr. Anand Patel , PharmD

Pharmacist - Ambulatory Care

NPI 1003634981

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location December 18, 2024

Registered at 619 E MASON ST STE 5, SPRINGFIELD, IL 627011080 (Tel: 2175458000)

📍
Updated Business Mailing Address December 18, 2024

Registered at PO BOX 19639, SPRINGFIELD, IL 627949639 (Tel: 2175458000)

👤
Provider Name / Credentials Updated December 18, 2024

Recorded as JERRY PRIDDY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2024

Physician Assistant (License #085006117 in IL)

📍
Updated Practice Location September 25, 2018

Registered at 1301 S KOKE MILL RD, SPRINGFIELD, IL 62711 (Tel: 2175479100)

📍
Updated Business Mailing Address September 25, 2018

Registered at 1301 S KOKE MILL RD, SPRINGFIELD, IL 627119252 (Tel: 2175479100)

NPI Profile Active February 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2017

Registered at 301 N 8TH ST, SUITE 38300, SPRINGFIELD, IL 627011041 (Tel: 2177576570)

📍
Updated Business Mailing Address February 22, 2017

Registered at 301 N 8TH ST, SUITE 38300, SPRINGFIELD, IL 627011041 (Tel: 2177576570)

👤
Provider Name / Credentials Updated February 22, 2017

Recorded as JERRY PRIDDY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2017

Physician Assistant (License #085006117 in IL)

NPI Profile Active December 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 28, 2016

Registered at 301 N 8TH ST, SUITE 38300, SPRINGFIELD, IL 627011041 (Tel: 2177576570)

📍
Updated Business Mailing Address December 28, 2016

Registered at 301 N 8TH ST, SUITE 38300, SPRINGFIELD, IL 627011041 (Tel: 2177576570)

👤
Provider Name / Credentials Updated December 28, 2016

Recorded as JERRY PRIDDY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2016

Physician Assistant (License #000123456 in IL)

🟢
Initial NPI Registration & Enumeration December 28, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jerry Priddy. Be the first to share your experience!

Sign in to leave a review for Jerry Priddy

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1003351115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2016
Last Update: December 18, 2024
Sole Proprietor: No

Mailing Address

Po Box 19639

Springfield, IL 627949639

Phone: 2175458000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.